Hadley Pointe Nursing Rehab & Care
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.
Inspection Findings
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