11 health deficiencies
Top issue: Infection Control (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
South Hadley, MA
1-star overall rating with 2-star inspections with 11 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
573 Granby Rd, South Hadley, MA
(413) 532-2200
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
132
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-03-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.50
Registered nurse staffing
LPN hours / resident day
0.99
Licensed practical nurse staffing
Aide hours / resident day
1.91
Nurse aide staffing
Weekend hours
3.05
Weekend nurse staffing
RN turnover
83%
Annual RN turnover
Total nurse turnover
63%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.9
About the same
|
1.9
About the same
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 61.3% |
92.2%
30.9 pts worse
|
93.4%
32.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.0% |
94.8%
6.8 pts worse
|
95.5%
7.5 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
3.5%
2.8 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
12.0%
10.5 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 5.0% |
5.2%
0.2 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.5% |
19.2%
2.3 pts worse
|
19.6%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
22.5%
14.4 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 34.7% |
17.7%
17 pts worse
|
16.3%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.1% |
17.6%
7.5 pts worse
|
14.9%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% |
1.0%
3.4 pts worse
|
1.0%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
2.0%
1.5 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.7% |
21.7%
8 pts worse
|
19.8%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
4.6%
0.2 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.6% |
77.1%
38.5 pts worse
|
81.7%
43.1 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
11.8%
3 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.3%
0.2 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.0% |
77.7%
16.7 pts worse
|
79.7%
18.7 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
25.8%
0.4 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Infection Control (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (7 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (8 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Develop a communication plan.
Corrected 2025-08-04
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-08-04
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-08-04
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-08-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-04
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-08-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-04
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-04-30
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-06-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-16
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-16
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-01-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-16
Inspection history
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2025-06-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-20
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-06-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-20
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-06-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-06-20
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-06-20
Health
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.
Corrected 2024-08-07
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-07-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-24
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-04-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-24
Health
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.
Corrected 2024-04-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-22
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-04-22
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-04-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-24
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-22
Health
Keep all essential equipment working safely.
Corrected 2024-04-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-24
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-04-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-12
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-07-21
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-07-21
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-12-31
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-12-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-12-31
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-31
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-12-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-12-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-12-31
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-12-31
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-12-31
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-12-31
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-12-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-12-31
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-12-31
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-12-31
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-12-31
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-12-31
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-12-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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