WINGATE AT SPRINGFIELD REHAB & SKILLED NURSING RESIDENCE

The information listed below provides an in-depth look into the type and quality of care offered at Wingate at Springfield Rehab & Skilled Nursing Residence. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WINGATE AT SPRINGFIELD REHAB & SKILLED NURSING RESIDENCE
215 BICENTENNIAL HIGHWAY
SPRINGFIELD, MA 01118
(413) 796-7511

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 112
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Wingate at Springfield Rehab & Skilled Nursing Residence. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.1%
Total Percent:0.1%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1614.0%
ADL Index Range: 6-1021.1%
ADL Index Range: 0-516.4%
Total Percent:51.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.7%
ADL Index Range: 6-108.4%
ADL Index Range: 0-58.6%
Total Percent:27.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.4%
ADL Index Range: 0-50.5%
Total Percent:1.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.4%
ADL Index Range: 6-104.8%
ADL Index Range: 0-53.4%
Total Percent:8.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.4%
ADL Index Range: 11-14
- No Signs of depression
1.0%
Total Percent:2.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
3.9%
ADL Index Range: 2-5
- No Signs of depression
0.1%
Total Percent:4.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.2%
ADL Index Range: 0-1
- Signs of depression
1.1%
ADL Index Range: 0-1
- No Signs of depression
1.4%
Total Percent:2.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.7%
Total Percent:0.7%
 

Rating Details For Wingate at Springfield Rehab & Skilled Nursing Residence

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours54 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours39 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 3 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 33 Minutes1 Hour and 50 Minutes
Total Nurse Hours3 Hours and 36 Minutes4 Hours and 20 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Massachusetts are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMassachusetts Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%14%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%2%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased15%12%
Percent of Long-Stay Residents Who Lose Too Much Weight5%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores6%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder71%63%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores10%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain42%18%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/29/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/18/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/29/2010
  • Correction Date: 09/12/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/18/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/18/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/18/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/29/2010
  • Correction Date: 09/12/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/18/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/18/2008
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/18/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 05/26/2009
  • Correction Date: 07/10/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 07/29/2010
  • Correction Date: 09/12/2010
Source: Medicare Nursing Home Compare; Massachusetts Department of Public Health - Retrieved 2011