| Agawam North Rehab and Nursing | |
| 55 Cooper Street, Agawam, Massachusetts 01001 | |
| (413) 333-8131 | |
| Name | Agawam North Rehab and Nursing |
|---|---|
| Location | 55 Cooper Street, Agawam, Massachusetts |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 124 |
| Occupancy Rate | 89.52% |
| Medicare ID (CCN) | 225766 |
| Legal Business Name | Agawam North Rehab and Nursing LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Stern Consultants (22 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1811674633 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Agawam North Rehab and Nursing LLC |
| Address | 55 Cooper St, Agawam, MA 01001 |
| Phone Number | 413-333-2400 |
| NPI Number | 1649175449 |
| Match | Possible same name, address or phone number |
| Organization Name | Agawam North Operating LLC |
| Doing Business As | Agawam North Rehab and Nursing |
| Address | 55 Cooper St, Agawam, MA 01001 |
| Phone Number | 413-333-8131 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.65 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.32 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.14 | 3.42 |
| RN hours per resident per day on the weekend | 0.45 | 0.48 |
| Physical therapist hours per resident per day | 0.04 | 0.07 |
| Total nursing staff turnover | 44.5% | 45.8% |
| Registered nurse turnover | 38.9% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $86,130 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 9, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Give the resident's representative the ability to exercise the resident's rights. F0551, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 23, 2025 |
| Apr 9, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2025 |
| Apr 9, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Oct 22, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Jan 23, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Feb 19, 2024 |
| Jan 23, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 19, 2024 |
| Jan 23, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 19, 2024 |
| Jan 23, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 19, 2024 |
| Jan 23, 2024 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, widespread | Corrected by Feb 19, 2024 |
| Jan 23, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Feb 28, 2024 |
| Jan 23, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Feb 19, 2024 |
| Jul 26, 2022 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 13, 2022 |
| Jul 26, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 13, 2022 |
| Jul 26, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Sep 13, 2022 |
| Jul 26, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 13, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.16 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.63 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.92 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.51 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.92 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.6 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.51 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.78 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.51 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.81 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.02 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.39 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.05 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.6 | 15.38 |
Agawam East Rehab and Nursing Location: 464 Main Street, Agawam, Massachusetts 01001 Phone: (413) 333-2200 |
Agawam South Rehab and Nursing Location: 65 Cooper Street, Agawam, Massachusetts 01001 Phone: (413) 786-8000 |
Agawam West Rehab and Nursing Location: 61 Cooper Street, Agawam, Massachusetts 01001 Phone: (413) 294-6800 |