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

HAMPDEN POST ACUTE

WILBRAHAM, MA · 135 certified beds · Last Life Safety survey January 23, 2026

CMS Certification Number 225295 · first certified April 1987

Ownership

Operated by MARQUIS HEALTH SERVICES · For profit - Limited Liability company

  • New ownershipOwnership changed May 28, 2025 (change of ownership)from VANTAGE AT WILBRAHAM LLC
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within MA

12 citations — more than 54% 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 4 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was January 2026. 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

1 inspection-and-testing tag has 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

2 of the 12 citations on file are 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 12 Life Safety citations above. The Physical Environment Index

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

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 facility12MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0672024-0942026-01
Citations at each Life Safety survey
Survey dateCitations
June 27, 20231
September 16, 20247
January 23, 20264

Most-cited tags

Most-cited tags at this facility
K-03532K-03241K-02111K-09111K-03721K-05211K-07611E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-01-23
K-0324Provide properly protected cooking facilities.12024-09-16
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12026-01-23
K-0911Meet requirements for the installation and maintenance of electrical systems.12026-01-23
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-01-23
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-06-27
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-09-16
E-0039Conduct testing and exercise requirements.12024-09-16

What the citations cover

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

Every citation on file

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

January 23, 2026 — 4 citations

Citations issued on January 23, 2026
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 6, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 6, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 6, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (March 6, 2026)

September 16, 2024 — 7 citations

Citations issued on September 16, 2024
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (November 14, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 14, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 14, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 14, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (November 14, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 14, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 14, 2024)

June 27, 2023 — 1 citation

Citations issued on June 27, 2023
TagWhat the surveyor checksStatus
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 13, 2023)

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