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Springside Rehabilitation And Skilled Care Center

255 Lebanon Avenue, Pittsfield, MA 01201 · For profit - Limited Liability company · 135 certified beds · (413) 499-2334 Medicare & Medicaid certified

Call the home — (413) 499-2334 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 18 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Pharmacy
200 West St · (413) 447-9844 · Call to confirm hours
Grocery
703 W Housatonic St · (413) 443-7411 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased14.6%16.4%15.4%typical
Long-stay residents who lose too much weight4.7%5.1%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.9%1.8%2.0%better
Long-stay residents with depressive symptoms5.5%15.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.7%3.4%3.3%worse
Long-stay residents whose ability to walk worsened15.5%15.4%16.1%typical
Long-stay residents on antianxiety or hypnotic medication23.3%19.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.0%94.8%95.3%typical
Long-stay residents with pressure ulcers4.7%4.2%4.7%typical
Long-stay residents with worsening bladder/bowel control17.2%21.2%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table25.7%21.4%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.5%1.4%1.4%worse
Short-stay residents given the seasonal flu vaccine87.7%77.7%79.4%better
Short-stay residents rehospitalized after admission22.9%25.7%22.6%typical
Short-stay residents with an outpatient ER visit13.0%11.9%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.641.881.67typical
Long-stay outpatient ER visits per 1,000 resident days2.171.501.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

49.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

49.6%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
44.6%U.S. median 56.6%
Met the expected recovery
0.23U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 44.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 92 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 29% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 46% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF49.6%CMS range 42.0–57.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 6.7–14.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge44.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge38.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge22.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.5%CMS range 5.6–15.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.021.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.36
RN hours/ resident / day
0.93
LPN hours/ resident / day
2.27
Aide hours/ resident / day
3.55
Total nurse hours/ resident / day
0.19
RN hoursweekends
49.4%
Total nursing turnover
54.5%
RN turnover

How full it usually is: this home is certified for 135 beds and averages 102.0 residents a day — about 76% occupied, or roughly 33 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.55 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.27 hrs/resident/day on weekends vs 3.67 on weekdays — 11% thinner on weekends. RN hours go from 0.43 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

2
deficiencies at the latest standard inspection (2025-09-29)
6
at the previous standard inspection (2024-07-16)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · D2025-09-29 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain a medication pass error rate of less than five percent (%) for one Resident (#39), of four applicable residents, out of 29 medication pass opportunities. The medication error rate was observed to be 6.9%. Specifically, 1. For Resident #39, the Resident was administered Memantine (a medication used to treat memory loss) capsule and Depakote Sprinkles (a medication used for seizures and various psychiatric symptoms) capsule by opening the capsules and crushing the inside sprinkle capsules placing the Resident at risk of having less efficacy of the prescribed medications. Findings include: Review of the Mayo Clinic's Drug and Supplement information (www.mayoclinic.org/drugs-supplements) for Memantine and Depakote Sprinkles indicated the following: -Memantine >Swallow the extended-release capsules whole. Do not break, crush, or chew them. >If you cannot swallow the extended-release capsule, you may open it and pour the medicine into a small amount of soft food such as applesauce. Stir this mixture well…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to adhere to infection control standards to prevent the potential transmission of communicable diseases and infections for one Resident (#112), of one applicable Resident reviewed with an intravenous access site, out of a total of 21 sampled Residents. Specifically, for Resident #112, the facility failed to ensure hand hygiene was performed as indicated after removal of gloves to prevent potential cross-contamination during an intravenous (IV) medication administration. Findings include: Review of the facility policy titled Handwashing/Hand Hygiene, reviewed August 2015, indicated the following: -This facility considers hand hygiene the primary means to prevent the spread of infections. -Use an alcohol-based hand rub containing at least 62 percent (%) alcohol; or alternatively, soap (antimicrobial or non-antimicrobial) and water for the following situations: >before and after direct contact with residents >before and after handling an invasive device (e.g., urinary catheters, IV access sites) >after removing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-07-16 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record and policy review, the facility failed to ensure that staff assessed and offered COVID-19 vaccination as recommended by the Centers for Disease Control and Prevention (CDC) for three Residents (#13, #45, and #53) out of a total sample of five residents. Specifically, for Residents #13, #45, #53 the facility failed to offer a second dose of the current COVID-19 2023 - 2024 vaccination as recommended to by the CDC when a person is over the age of 65. Findings include: Review of the facility policy titled COVID-19 Vaccine Policy and Procedure, dated 11/21/23, indicated the following: -COVID-19 vaccinations will be offered to all staff and residents (or their representatives if they cannot make health care decisions) per CDC and/or Food and Drug Administration (FD) guidelines . Review of the CDC website Clinical Guidance for COVID-19 Vaccination | CDC, last reviewed 4/4/24, indicated the following: -Special situation for people ages 65 years and older: >People ages 65 years and older…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-16 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, policy and record review, the facility failed to ensure that the accuracy and safety of administered routine medications and pharmaceutical services were provided to meet the needs of each facility resident for one Resident (#30) out of a total sample of 18 residents, and one medication cart (Unit A-side one) out of four medication carts observed. Specifically, the facility staff failed to ensure that expired Insulin (a hormone used to control high blood sugar) medications for Resident #30 was removed from the Unit A- side one medication cart, so that they could not be administered to the Resident thus increasing his/her risk for high blood sugar levels (hyperglycemia) due to the decreased effectiveness of the expired medication. Findings include: Review of the facility policy titled, Storage of Medications, dated 9/2023 indicated the following: -The nursing staff shall be responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-16 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record and policy review, the facility failed to ensure that the Physician documented the rationale for disagreeing with the Consultant Pharmacist recommendation from the Monthly Medication Review for one Resident (#34) out of a total sample of 18 residents. Specifically, for Resident #34, the Physician failed to document why he/she disagreed with the Consultant Pharmacist medication recommendation to change the Vitamin D3 (D3 - fat-soluble vitamin that helps the body to absorb calcium and phosphorus) medication to a monthly dose from a daily/weekly dose. Findings include: Review of the facility policy titled Timely Response to Pharmacist Comment, undated, indicated the following: -Physicians shall respond timely to the Pharmacist comment directed to Physicians on the Pharmacist/Physician Progress Note, sign, and date. Review of the facility policy titled Essential Guidelines for Licensed Independent Practitioners, dated 9/23, indicated the following: -Pharmacy recommendations require a written response within the medical record. Resident #34 was admitted to the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-16 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record and policy review, the facility failed to provide a medication regimen that was free from unnecessary medications for one Resident (#296) out of a total sample of 18 residents. Specifically, the facility staff failed to ensure that a Physician's order for Torsemide (a potent loop diuretic [water pills that act on the kidneys to increase the flow of urine] medication used to treat fluid retention) medication was accurately transcribed resulting in Resident #296 receiving extra doses of medication and putting him/her at risk for dehydration, electrolyte imbalance, hypotension (low blood pressure) and sudden cardiac arrhythmias (irregular heartbeats). Findings include: Review of the facility policy titled Medication Reconciliation dated 9/2023, indicated the following: -Purpose: to prevent or reduce medication errors which occur when patients/residents transition from one healthcare setting to another. Review of the facility policy titled Administering Medications, dated 12/2012 indicated the following: -Medications must be administered in accordance with the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-16 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that routine dental services were provided for one Resident (#18) out of a total sample of 18 residents. Specifically, the facility staff failed to assist Resident #18 in arranging for and obtaining routine dental services when the Resident consented to receive dental services while residing in the facility. Findings include: Review of the facility policy titled Dental Services, reviewed 9/2022, indicated the following: -The facility must provide or obtain from an outside resource, routine, and emergency dental services to meet the needs of each resident. -The facility is responsible for assisting residents in obtaining needed dental services, including routine and emergency dental services. Resident #18 was admitted to the facility in May 2023, with diagnoses including obstructive and reflux uropathy (occurs when urine cannot flow normally through the urinary tract due to obstructed urinary flow which can cause back-up of urine into the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-16 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure that complete and accurate information was maintained for one Resident (#18) out of a total sample of 18 residents. Specifically, the facility staff failed to document urinary output each shift per the Physician orders for a Resident with urinary retention (condition that occurs when a person is unable to empty their bladder completely or partially of urine) placing him/her at an increased risk of further retention, urinary tract infections, and compromised bladder and kidney function. Findings include: Resident #18 was admitted to the facility in May 2023, with diagnoses including obstructive and reflux uropathy (occurs when urine cannot flow normally through the urinary tract due to obstructed urinary flow which can cause back-up of urine into the kidneys). Review of the facility policy titled Intake and Output, reviewed 9/2023 indicated the following: -All residents/patients with a Foley (urinary) catheter will have output recorded for the duration of their therapy. On 7/11/24 at 11:49 A.M., the surveyor observed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-27 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on records reviewed and interviews, for one of three sampled residents (Resident #2) who had moderate cognitive impairment, but could make his/her needs known, the Facility failed to ensure he/she was treated in a dignified and respectful manner, when at 5:00 A.M. on 09/02/23 and witnessed by Nurse #1, Certified Nurse Aide (CNA) #1 directed profanities at Resident #2 and unplugged his/her television (TV) after threatening to do so, if he/she would not be quiet. Findings include: Review of the Facility's Code of Conduct, dated as revised 03/28/23, indicated that staff must ensure that its residents are treated with dignity and respect, and that residents are never subject, at any time, to any verbal, mental or physical abuse, corporal punishment, or involuntary seclusion. Resident #2 was admitted to the Facility in April 2023 with diagnoses including muscle weakness and partial intestinal obstruction. Review of Resident #2's Quarterly Minimum Data Set (MDS) Assessment, dated 07/19/23, indicated he/she was moderately cognitively impaired with a score of 11 out of 15 on the Brief…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Past Non-Compliance
  • Potential for harm · F2023-03-06 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility and its staff failed to provide a designated person that met regulatory requirements, to serve as the Director of Food and Nutrition Services when a full-time Dietitian was not employed. Findings include: During an interview on 3/3/23 at 1:01 P.M., the Food Service Director (FSD) said that she had worked as the FSD at the facility for about one week. The FSD said she was not a Certified Dietary Manager (CDM), or Certified Food Service Manager (CFSM), did not have an associate degree or higher in food service management, and did not have two years' experience in the position of Director of Food and Nutrition Services in a nursing facility setting. During an interview on 3/3/23 at 1:44 P.M., the Administrator said the Dietitian worked part-time at the facility. She said that the FSD was not a CDM or CFSM and did not have a qualifying degree or experience as required.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · E2023-03-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure its staff obtained labs timely for a possible urinary tract infection (UTI), resulting in a delay of treatment of an active infection for one Resident (#43), out of a sample of 20 residents. Findings Include: Review of the facility policy titled Urinary Tract Infection (UTI) Protocol, reviewed 9/22, indicated the following: -Start resident on UTI Protocol in PCC (the electronic medical record-EMR that the facility utilized) if showing signs of potential UTI such as (elevated temperature, dysuria (pain/difficulty when urinating), frequency, etc). -Nurse to assess resident daily - monitor for improvement or worsening of symptoms, can assist in identifying when or if a urine sample should be obtained for testing. Resident #43 was admitted to the facility in April 2021 with a diagnosis of Urinary Retention. Review of the Resident's Minimum Data Set (MDS) assessment dated [DATE] indicated the Resident scored a 15 out of 15 on the Brief Interview for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-06 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure its staff afforded dignity and privacy for one Resident (#34), out of a sample of 20 residents. Specifically, posted personal information related to the Resident's care and condition was viewable from his/her bedroom doorway. Findings include: Resident #34 was admitted to the facility in April 2022 with a colostomy (an artificial opening in the large intestine/colon to the outside of the body (stoma) created if one could not pass stool through the anus due to illness, injury, or a problem with the digestive system). During an observation and interview on 3/1/23 at 9:40 A.M., the surveyor stood in the hallway outside the Resident's room and observed a sign on the wall that indicated: When changing colostomy bag (a pouch that collects stool from the stoma), please do not throw away the clip to the bag. During an interview at this time, the Resident said he/she did not like the sign there and was afraid people would laugh at him/her. During an observation and interview on 3/1/23 at 4:05 P.M., the surveyor observed the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-06 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and policy/procedure review the facility and its staff failed to maintain a safe, clean, comfortable, and homelike environment for one Resident (#74) out of 20 total residents sampled. Specifically, the facility staff failed to: 1. clean soiled walls, curtains and floors of the resident's room, 2. address infestation of fruit flies, and 3. provide repairs where needed. Findings include: Review of the Professional Health Care (PHS) (company the facility contracts with for housekeeping services) Cleaning Procedure guide indicated in part the following steps (for daily cleaning of resident rooms): -Dry mop the floor in the entire room and bathroom, under beds, behind doors, closets, and corners -Clean sink, mirror, and shelf (in the bathroom) -Toilet both inside and out -Wet mop the floor in the entire room and bathroom, under beds, behind doors, closets and corners Review of the February PHS Light Housekeeper cleaning checklist, provided by the housekeeping staff indicated no documented evidence that Resident #74's room had been cleaned during the month…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-06 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review the facility failed to ensure its staff completed a Comprehensive Minimum Data Set (MDS) Assessment within the required 14 days of admission to the facility for one Resident (#18), out of a sample of 20 residents. Findings include: Resident #18 was admitted to the facility in January 2023. Review of Resident #18's MDS Assessments indicated that as of 3/2/23, an admission MDS Assessment had not been completed for Resident #18. During an interview on 3/2/23 at 1:51 P.M., the Director of Nursing (DON) said the Resident's admission MDS Assessment should have been completed for 1/28/23, it was not realized the Assessment was missed until 2/26/23, and at the time of survey the Assessment had not been completed and submitted yet, as required.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, policy review, record review, and interview, the facility failed to ensure staff provided care consistent with professional standards and facility policy, related to replacing and dating oxygen tubing and providing oxygen humidification as ordered by the Physician for one Resident (#86), out of a total sample of 20 residents. Specifically, the facility staff failed to: a) change oxygen tubing as ordered to prevent possible airway infection, and b) monitor and maintain humidification bottles to prevent airway dryness and infection. Findings include: Review of the facility policy titled, Use of Oxygen, dated January 2023, indicated: -Be sure there is water in the humidifying jar and that the water level is high enough that the water bubbles as oxygen flows through. -Periodically re-check water level in humidifying jar. -All oxygen administration should adhere to specified infection control policies, including changing nasal cannulas weekly. -All oxygen delivery devices and bottles should be dated and changed every 7 days and PRN (as needed). Resident #86 was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-06 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure staff maintained medical records that were accurate for three Residents (#86, #18, and #39) out of a sample of 20 residents. Specifically, the facility staff failed: 1. For Resident #86, documented oxygen tubing changes and oxygen humidification maintenance. 2. For Resident #18, recorded meal percentages (the amount of each meal eaten) as requested by the dietitian. 3. For Resident #39, documented catheter (tubing inserted into the bladder that allows urine to be drained) care and urine output every shift. Findings include: 1. Resident #86 was admitted to the facility December 2022 with the diagnosis of Chronic Obstructive Pulmonary Disease (COPD-condition blocking airflow in the airways and causing difficulty and/or discomfort in breathing). Review of the Physician's orders dated March 2, 2023, indicated the following orders: -Oxygen via nasal cannula at 1- 4 liters. Utilize humidified oxygen while connected to room concentrator,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-06 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure its staff maintained a record that contained a plan of care including what individualized services Hospice will provide for one Resident (#47), out of a total sample of 20 residents. Findings include: Review of the facility manual titled Care and Treatment, End of Life, Hospice Program, reviewed 9/2022, indicated the following: -Coordinated care plans for residents receiving hospice services will include the most recent hospice plan of care . -The coordinated care plan shall be revised and updated as necessary to reflect the resident's current status. -Hospice shall establish and maintain a written plan of care for each Hospice patient . Resident #47 was admitted to the facility in September 2020. Review of the Comprehensive Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #47 was receiving Hospice services. Record review indicated no documented evidence of a Hospice plan of care or an assessment/evaluation identifying services…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-06 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure its staff provided access to a call light/bell (a button tethered to the wall in a resident's room, indicating in the hallway and at the nurses station that a resident required assistance) for two Resident's (#72 and #141), out of a total sample of 20 residents. Specifically, the call light/bell was not located within easy reach for the residents to summon assistance when needed. Findings include: Review of the facility procedure for Call Bells, reviewed on 12/2022 indicated when the resident is in bed or confined to a chair, be sure the call light is within easy reach of the resident. 1) Resident #72 was admitted to the facility in January 2023. Review of the Minimum Data Set (MDS) assessment dated [DATE], indicated a Brief Interview of Mental Status (BIMS) score of 10 out of 15, indicating Resident #72 had moderately impaired cognition. During an interview and observation on 3/1/23 at 10:01 A.M., Resident #72 requested the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
BANE WEST MASTER LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/01/2017
FARIA, MARIEIndividualW-2 MANAGING EMPLOYEEsince 01/01/2020
LIMA, JUDITHIndividualW-2 MANAGING EMPLOYEEsince 01/01/2020
MORRIS, KEVINIndividualCORPORATE OFFICERsince 01/28/2022
BANE CARE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 03/17/2014

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$10.8M
Net patient revenuemost recent cost report
-8.0%
Operating marginrevenue minus expenses
$567K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 11%Other / private 18%

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $567K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$341per resident / day
operating cost
$10,375per month
≈ monthly operating cost
$316per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Massachusetts Medicaid page.

Typical monthly cost in Massachusetts
$14,448/mo
Nursing home (semi-private)
$15,817/mo
Nursing home (private)
$9,600/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 225386. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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