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Complaint Investigation

Hadley Pointe Nursing Rehab & Care

November 14, 2025 · Hadley, MA · 20 North Maple Street
Citations 1
CMS Rating 1/5
Beds 154
Provider ID 225697
Healthcare Facility
Hadley Pointe Nursing Rehab & Care
Hadley, MA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Hadley Pointe Nursing Rehab & Care in HADLEY, MA — inspection on November 14, 2025.

Found 1 citation. 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

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations (which included taking photographs), interviews and records reviewed, for one of two resident units, the Facility failed to ensure it provided a safe, clean, comfortable and homelike environment for their residents, when there were visible signs of unclean conditions on bathroom floors and PTAC Units (packaged terminal air conditioners, which are self-contained all-in-one heating and cooling units installed through a wall), located in resident rooms were heavily coated in dust, these conditions did not support that a homelike environment was being provided and/or maintained for residents.Findings include:

Review of the Facility policy titled Environmental Services Inspection, dated 03/01/24, indicated:- Centers/Communities will closely monitor environmental services to ensure the facility is maintained in a safe and sanitary manner and assessed on a regular basis.During an environmental tour of the [NAME] Unit on 09/30/25 from 7:53 A.M. to 11:09 A.M., the surveyor observed the following:room [ROOM NUMBER]: The PTAC unit top was dust laden (heavily coated), and the removable filters on the front were coated with a thick layer of dust and debris.room [ROOM NUMBER]: the PTAC unit top and front ventilation grilles were dirty and dust laden. room [ROOM NUMBER]: The PTAC unit top and front ventilation grilles were dirty and dust laden.room [ROOM NUMBER]: The PTAC unit top and front ventilation grilles were dirty and dust laden, and the walk-in shower room floor tiles were heavily stained with a black substance.room [ROOM NUMBER]: The walk-in shower room floor tiles were heavily stained with a black substance.During an interview on 09/30/25 at 8:00 A.M., after observing the surveyor in room [ROOM NUMBER], the Director of Maintenance came into the room and said the entire room was not home-like, that the PTAC unit and the black stains on the tiles in the bathroom needed to be cleaned thoroughly.On 09/30/25 between 4:45 P.M. and 5:20 P.M., the surveyor conducted a tour of the [NAME] unit with the Director of Maintenance, Administrator and representatives from the Facility's Corporate Office to review the surveyor's findings.

The Director of Maintenance and the Administrator said the residents' rooms were not homelike, that the PTAC units and bathroom floors were dirty and needed to be cleaned.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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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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About This Inspection Report

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.