Nursing Home News — Page 564

What federal inspectors found when they arrived on November 20, 2025, was that the facility had not done what it said it would do.

The investigation, triggered by a complaint filed with regulators, resulted in **two deficiency citations** for the Arlington Heights nursing home.

The state ombudsman told inspectors she hadn't received any discharge notices from Agawam East Rehab and Nursing since March 2025.

Staff A started her 7:00 AM shift on October 19, 2025, and began checking rooms around 7:15 AM when she discovered Resident ID #1 missing from bed.

Among the citations, the facility failed to ensure residents' right to a safe, clean, and comfortable living environment.

The deficiency was classified at **Scope/Severity Level D**, meaning the violation was isolated in nature.

The violent altercation left the resident with a nasal fracture.

Medical records showed the patient was cognitively intact with a BIMS score of 13 out of 15.

The facility was given a correction timeline and reported the issue was resolved as of **December 18, 2025**.

During three days of inspections in November, investigators discovered the same pattern repeatedly.

Staff only called an ambulance after the granddaughter alerted them around 4:15 PM on September 3 that she was having trouble waking the resident up.

The owner of the independent living facility told inspectors the placement was inappropriate from the start.