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AGAWAM WEST REHAB AND NURSING

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AGAWAM WEST REHAB AND NURSING is a for profit - limited liability company facility in AGAWAM, MA with 164 certified beds and a 2-star overall CMS rating. The facility has 31 deficiency records on file. Total penalties: $13K.

61 COOPER STREET, AGAWAM, MA 01001

Phone: 4137868000

Overall Rating

2/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
225253
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
164
Residents
117
In Hospital
No
County
Hampden
Last Inspection
Sep 15, 2025

Staffing Data

RN Hours
0.57 (nat'l avg: 0.68)
LPN Hours
0.87
CNA Hours
2.25
Total Nursing Hours
3.69 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
34.5%
RN Turnover
44.4%

What the CMS Record Reveals About AGAWAM WEST REHAB AND NURSING

AGAWAM WEST REHAB AND NURSING operates 164 certified beds in AGAWAM, MA with approximately 117 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 31 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $13K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.69 total nursing hours per resident day (national average 3.89), with RN coverage at 0.57 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, AGAWAM WEST REHAB AND NURSING falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 34.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (31 most recent)

G — Isolated - Actual harm Oct 15, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2025

F — Widespread - Minimal harm Sep 15, 2025 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 10, 2025

E — Pattern - Minimal harm Sep 15, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 10, 2025

D — Isolated - Minimal harm Sep 15, 2025 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Oct 10, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jun 9, 2025

D — Isolated - Minimal harm Mar 26, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 21, 2025

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0646

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 14, 2024

D — Isolated - Minimal harm Jul 16, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Aug 14, 2024

E — Pattern - Minimal harm Apr 26, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2023

E — Pattern - Minimal harm Apr 26, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2023

D — Isolated - Minimal harm Apr 26, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 35.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 41.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 31.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.7% Yes

Penalty History 1 penalties totaling $13K

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for AGAWAM WEST REHAB AND NURSING?
AGAWAM WEST REHAB AND NURSING has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at AGAWAM WEST REHAB AND NURSING?
AGAWAM WEST REHAB AND NURSING reports 3.69 total nursing hours per resident day (national average: 3.89). RN hours are 0.57 per resident day (national average: 0.68). Nursing staff turnover is 34.5%.
How many beds does AGAWAM WEST REHAB AND NURSING have?
AGAWAM WEST REHAB AND NURSING has 164 certified beds with approximately 117 residents. The facility is located at 61 COOPER STREET, AGAWAM, MA 01001.
Does AGAWAM WEST REHAB AND NURSING have any deficiencies on record?
Yes, AGAWAM WEST REHAB AND NURSING has 31 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has AGAWAM WEST REHAB AND NURSING received any fines or penalties?
Yes, AGAWAM WEST REHAB AND NURSING has received 1 penalties totaling $13K.
Who owns AGAWAM WEST REHAB AND NURSING?
AGAWAM WEST REHAB AND NURSING is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was AGAWAM WEST REHAB AND NURSING last inspected?
The most recent health inspection for AGAWAM WEST REHAB AND NURSING was on Sep 15, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for AGAWAM WEST REHAB AND NURSING?
AGAWAM WEST REHAB AND NURSING is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial