WINGATE AT SPRINGFIELD REHAB & SKILLED NURS RES

Nursing Home Inspector

215 BICENTENNIAL HIGHWAY
SPRINGFIELD, MA 01118
Hampden County
Phone: 413-796-7511
Provider Number: 225392
Last Inspection: 11/08/2016

About the Nursing Home

Number of Beds: 120
Number of Residents: 109
Beds Available: 11
Percent Occupancy: 91%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

35

Facility
16

County
16

MA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

35

2016
57

2015
16

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

11/8/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 12/16/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 12/16/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/16/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/16/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 12/16/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 12/16/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 12/16/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/16/2016
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Isolated : Minimal 3 12/16/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/16/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/16/2016
 

8/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/30/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/30/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/30/2015
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 9/30/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 9/30/2015
 
Failed To: Make sure that all required doctor visits are made personally. Isolated : Minimal 3 9/30/2015
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 9/30/2015
 
Failed To: Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Isolated : Minimal 3 9/30/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 9/30/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/30/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/30/2015
 
Failed To: Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. Isolated : Minimal 3 9/30/2015
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 9/30/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 9/30/2015
 
Failed To: Provide residents with private access to a telephone. Pattern : Minimal 4 9/30/2015
 
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Isolated : Minimal 3 9/30/2015
 
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 9/30/2015
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 9/30/2015
 

6/11/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 7/28/2014
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/28/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/28/2014
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/28/2014
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/28/2014
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

4/19/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Actual 4 5/30/2017
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Actual 4 5/30/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 5/30/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 5/30/2017
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 5/30/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/30/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 5/30/2017
 

2/18/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 3/31/2016
 

4/14/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated : Minimal 3 6/8/2015
 

1/12/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Actual 4 3/20/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 3/20/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MA State Avg
Number of Residents 109 94.77 96.79
Registered Nurses 0.84 0.90 0.89
Licensed Practical / Vocational Nurses 0.77 0.74 0.84
Certified Nursing Assistants 2.20 2.25 2.30
Total Staff Hours 3.81 3.89 4.03

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MA State Avg%
of high risk long-stay residents with pressure ulcers 2 3 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 61 93 92
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 95 95
of long-stay residents experiencing one or more falls with major injury 1 3 3
of long-stay residents who have depressive symptoms 1 2 2
of long-stay residents who lose too much weight 5 6 5
of long-stay residents who received an antianxiety or hypnotic medication 21 21 20
of long-stay residents who received an antipsychotic medication 11 20 18
of long-stay residents who self-report moderate to severe pain 13 5 4
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 18 18 18
of long-stay residents whose need for help with daily activities has increased 14 15 14
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 4 3 3
of low risk long-stay residents who lose control of their bowels or bladder 60 59 54
of short-stay residents assessed and appropriately given the pneumococcal vaccine 82 80 79
of short-stay residents who had an outpatient emergency department visit 12 10 11
of short-stay residents who made improvements in function 48 61 60
of short-stay residents who newly received an antipsychotic medication 2 2 1
of short-stay residents who self-report moderate to severe pain 25 13 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83 83 82
of short-stay residents who were rehospitalized after a nursing home admission 28 21 22
of short-stay residents who were successfully discharged to the community 60 57 56
of short-stay residents with pressure ulcers that are new or worsened 1 0 0