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Health Inspection

Hadley Pointe Nursing Rehab & Care

January 17, 2025 · Hadley, MA · 20 North Maple Street
Citations 2
CMS Rating 1/5
Beds 154
Provider ID 225697
Healthcare Facility
Hadley Pointe Nursing Rehab & Care
Hadley, MA  ·  View full profile →
Inspection Summary

Hadley Pointe Nursing Rehab & Care in HADLEY, MA — inspection on January 17, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF585
Minimal harm or Few Based on record review and interview, the facility failed to resolve a grievance timely for one Resident (#32) affected

Review of the Minimum Data Set (MDS) assessment dated [DATE], indicated Resident #32 was severely cognitively impaired as evidenced by a BIMS score of three out of 15 total possible points.

During an interview on 1/10/25 at 10:41 A.M., Family Member #1 said Resident #32's clothing had persistently gone missing, each time he/she would bring this concern up, the facility staff would inform him/her that it was because the Resident's clothing was laundered outside the facility by a contracted company, and it was difficult for the facility to trace the Resident's clothing.

Family Member #1 said he/she was tired of buying new clothing every week for Resident #32.

Review of the Grievance Binder did not indicate a record of Family Member #1's grievance regarding Resident #32's missing clothing items.

During an interview on 1/15/25 at 1:51 PM., Social Worker (SW) #1 said he was aware of Family Member #1's concerns but had not documented a formal grievance and had not been able to resolve the grievance. SW #1 said Family Member #1 had reported to him on numerous occasions about Resident #32's missing clothing but he had not formally written these as grievances. SW #1 further said he should have documented the missing clothing as formal grievances, investigated the concerns, and followed-up for resolution, but he had not.

225697

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 225697 B.

Wing 01/17/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Elaine Center at Hadley 20 North Maple Street Hadley, MA 01035

Finding includes:

Resident #59 was admitted to the facility in February 2024, with diagnoses including Unspecified Dementia, Type 2 Diabetes, Difficulty in walking, Lack of Coordination, Dysphagia, and History of Cerebral Infarction.

Review of the Care Plan for Activities of Daily Living (ADL: refers to an individual's daily self-care activities and includes bathing, dressing and grooming), initiated 2/27/24, indicated:

-Resident #59 required assistance/ dependent on staff for ADL care related to impaired cognition and weakness.

-Intervention to provide Resident with extensive to total assist of 1 for bed mobility, personal hygiene (the ability to maintain personal hygiene, including combing hair, shaving), initiated 2/27/24.

Review of Minimum Data Set (MDS) assessment dated [DATE], indicated the Resident:

-Scored one out of 15 on the Brief Interview for Mental Status (BIMS) and had severe cognitive impairment.

-Required maximum assistance from staff for upper body dressing.

-Was dependent on staff for personal hygiene including grooming needs.

-Required maximum assistance from staff for bed mobility.

-Required maximum assistance from staff for sit to stand ability.

-Did not ambulate.

-Did not exhibiti any behaviors or rejection of care.

On 1/14/25 at 8:36 A.M., the surveyor observed Resident #59 seated in the dining area for the breakfast meal. He/she was fully dressed and was unshaven with facial hair on his/her chin, upper lip, and bilateral cheeks.

225697

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 225697 B.

Wing 01/17/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Elaine Center at Hadley 20 North Maple Street Hadley, MA 01035

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HADLEY, MA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Hadley Pointe Nursing Rehab & Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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