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
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.