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  Facility Details

  
GOVERNORS CENTER
66 BROAD STREET
WESTFIELD , MASSACHUSETTS 01085
TELEPHONE: (413)562-5464
     

PERFORMANCE SUMMARY FOR EACH CATEGORY

  ADMINISTRATION
  RESULTS :       Standard Survey - 0 of 39 Met      Complaint Investigation Deficiencies - 0
Score after Adjustment for Scope and Severity :0
  This nursing facility met 0 out of the 39 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 0. The statewide average facility score was 36.
  The following requirement(s) were not met. The regulation(s) survey date and scope and severity rating(s) are listed below.

The services provided or arranged by the facility as outlined by the comprehensive care plan must meet professional standards of quality. (F 658) 02/01/2022 D
     
  NURSING
  RESULTS :       Standard Survey - 0 of 33 Met      Complaint Investigation Deficiencies - 0
Score after Adjustment for Scope and Severity :0
  This nursing facility met 0 out of the 33 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 0. The statewide average facility score was 27.
  The following requirement(s) were not met. The regulation(s) survey date and scope and severity rating(s) are listed below.

A facility must maintain all resident assessments completed within the previous 15 months in the resident?s active record and use the results of the assessments to develop, review and revise the resident?s comprehensive care plan. (F 639 ) and/or; The facility develops and implements comprehensive person-centered care plans for each resident that include measurable objectives and time frames to meet each resident's medical, nursing and mental and psychosocial needs which describe services to be furnished to attain or maintain residents highest practical well-being and assess resident or resident representative goals for desired outcomes. (F 656 ) 02/01/2022 D03/17/2021 E
The facility ensures that each resident receives and the facility provides the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being. (F 675) and/or; The facility ensures that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents? choices (F 684) and/or; The facility ensures that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents? goals and preferences. (F 697) and/or; The facility ensures that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents? goals and preferences. (F 698) and/or; Resident who displays or are diagnosed with dementia, receive the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. (F 744)03/17/2021 D
The facility ensures that; residents who enter the facility without limited range of motion do not experience reduction in range of motion unless the resident?s clinical condition demonstrates that a reduction in range of motion is unavoidable; residents with limited range of motion receive appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion; residents with limited mobility receive appropriate services, equipment, and assistance to maintain or improve mobility with the maximum practicable independence unless a reduction in mobility is demonstrably unavoidable. (F 688)03/17/2021 D
The facility ensures that residents continent of bladder and bowel on admission receive services and assistance to maintain continence unless his or her clinical condition is or becomes such that continence is not possible to maintain. The facility ensures residents incontinent of bladder receive appropriate treatment and services to prevent urinary tract infections and to restore as much normal bladder function as possible, specifically not catheterizing residents incontinent of urine who enter the facility without an indwelling catheter and assessing residents who enter with an indwelling catheter for removal of the catheter as soon as possible. (F 690 )03/17/2021 D
The facility ensures that its medication error rates are not 5 percent or greater. (F 759 ) 02/01/2022 D


  RESIDENT RIGHTS
  RESULTS :       Standard Survey - 0 of 27 Met      Complaint Investigation Deficiencies - 0
Score after Adjustment for Scope and Severity :0
  This nursing facility met 0 out of the 27 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 0. The statewide average facility score was 24.
  The following requirement(s) were not met. The regulation(s) survey date and scope and severity rating(s) are listed below.

The facility observes resident rights to personal privacy, including personal and medical records, accommodations, medical treatment, all communications, deliveries, personal care, visits, and meetings of family and resident groups and respects residents? right to refuse the release of personal and medical records when allowed by state and federal law. (F 583) and/or; The facility maintains medical records containing required information on each resident that are complete, accurately documented, readily accessible and Systematically organized; ensures all identifiable resident records remain confidential and does not release identifiable resident information unless permitted to do so; safeguards medical record information against loss, destruction, or unauthorized use; and retains the medical records for the specified amount of time. ( F 842) 03/17/2021 B
The facility observes resident rights to personal privacy, including personal and medical records, accommodations, medical treatment, all communications, deliveries, personal care, visits, and meetings of family and resident groups and respects residents? right to refuse the release of personal and medical records when allowed by state and federal law. (F 583) and/or; The facility maintains medical records containing required information on each resident that are complete, accurately documented, readily accessible and Systematically organized; ensures all identifiable resident records remain confidential and does not release identifiable resident information unless permitted to do so; safeguards medical record information against loss, destruction, or unauthorized use; and retains the medical records for the specified amount of time. ( F 842) 02/01/2022 D03/17/2021 D
The facility treats each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident?s individuality; provide equal access to quality care regardless of diagnosis, severity of condition, or payment source; and ensures that residents can exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility. (F 550 ) 03/17/2021 D


  KITCHEN/FOOD SERVICES
  RESULTS :       Standard Survey - 0 of 12 Met      Complaint Investigation Deficiencies - 0
Score after Adjustment for Scope and Severity :0
  This nursing facility met 0 out of the 12 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 0. The statewide average facility score was 11.
  The following requirement(s) were not met. The regulation(s) survey date and scope and severity rating(s) are listed below.

The facility procures food from sources approved or considered satisfactory by federal state or local authorities and stores, prepares, distributes and serves food in accordance with professional standards for food service safety. (F 812 ) and/or; The facility has a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. (F 813 )02/01/2022 F


  ENVIRONMENT
  RESULTS :       Standard Survey - 0 of 21 Met      Complaint Investigation Deficiencies - 0
Score after Adjustment for Scope and Severity :0
  This nursing facility met 0 out of the 21 requirements reviewed in this category in its last 3 standard surveys. The number of deficiencies not met as a result of complaint investigations was: 0 . The facility's score after adjustment for scope and severity is 0. The statewide average facility score was 18.
  The following requirement(s) were not met. The regulation(s) survey date and scope and severity rating(s) are listed below.

The facility provides a safe, clean, comfortable, and homelike environment, allowing residents to use their personal belongings to the extent possible by; Ensuring that the physical layout of the facility maximizes resident independence and does not pose a safety risk; Providing housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior; Maintaining clean bed and bath linens that are in good condition; And providing private closet space in each resident room, adequate and comfortable lighting levels in all areas, comfortable and safe temperature levels and the maintenance of comfortable sound levels. (F 584 ) 02/01/2022 D
The facility ensures that the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents. (F 689 )02/01/2022 G03/17/2021 D
The facility is equipped to allow residents to call for staff assistance through a communication system which relays the call from resident rooms, toilet and bathing facilities directly to a staff member or to a centralized staff work area. (F 919 )02/01/2022 D


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