Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AGAWAM WEST REHAB AND NURSING

AGAWAM, MA · 164 certified beds · Last Life Safety survey September 15, 2025

CMS Certification Number 225253 · first certified May 1976

Ownership

Operated by STERN CONSULTANTS · For profit - Limited Liability company

  • Ownership changed October 16, 2023 (change of ownership)to AGAWAM WEST REHAB AND NURSING LLC from 61 COOPER STREET OPERATIONS LLC
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MA

8 citations — more than 36% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to December 2026. This facility’s last Life Safety survey was September 2025. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 8 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-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.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

This facility8MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0432024-0732025-09
Citations at each Life Safety survey
Survey dateCitations
April 26, 20232
July 16, 20243
September 15, 20253

Most-cited tags

Most-cited tags at this facility
K-03532K-09182E-00411K-07121K-03791K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-09-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-09-15
E-0041Implement emergency and standby power systems.12024-07-16
K-0712Have simulated fire drills held at unexpected times.12023-04-26
K-0379Have proper openings in smoke barrier doors.12023-04-26
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-09-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 15, 2025 — 3 citations

Citations issued on September 15, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 10, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 17, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 10, 2025)

July 16, 2024 — 3 citations

Citations issued on July 16, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 8, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 10, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 8, 2024)

April 26, 2023 — 2 citations

Citations issued on April 26, 2023
TagWhat the surveyor checksStatus
K-0379Have proper openings in smoke barrier doors.Deficient, Provider has date of correction (June 15, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 16, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.