Berkshire Health & Rehabilitation Center

Location & what’s nearby

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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

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.

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.

54.2% 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 230 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.3% 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 95 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 0.44 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 32% 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.

Staffing

How full it usually is: this home is certified for 180 beds and averages 172.3 residents a day — about 96% occupied, or roughly 8 beds typically open. It runs essentially full — expect a waiting list. 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 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.80 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 2.72 hrs/resident/day on weekends vs 3.41 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.54 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Deficiencies are more than at the previous inspection — worsening. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

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.

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

• Potential for harm · Dcited before2026-05-27 · 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

  Based on staff interview, clinical record review and facility document review, the facility staff failed to ensure medications were available for administration for 1 of 3 residents in the survey sample, Resident #2. The findings included: For Resident #2 the facility staff failed to ensure the medication Morphine sulfate was available for administration. Resident #2's clinical record listed diagnoses which included but not limited to polyneuropathy, pressure ulcer of sacral region, and polyarthritis. Resident #2's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/21/26 assigned the resident a Brief Interview for Mental Status (BIMS) score of 15 out of 15 in section C, cognitive patterns. This indicates that the resident is cognitively intact. Section J, health conditions, coded the resident as receiving scheduled and as needed pain medications over the previous five (5) days from the assessment reference date. Resident #2's comprehensive care plan was reviewed and contained a plan for Opioids: the resident is at risk for complications related to the use…

  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 · E2024-06-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility document review, the facility staff failed to store, monitor, and discard refrigerated cold food properly and failed to maintain cleanliness of food preparation equipment in accordance with professional standards for food safety. The findings include: The facility staff failed to monitor and discard out-of-date, perishable food items stored in the walk-in and reach-in facility refrigerators, failed to store food in proper containers in the reach-in refrigerator, and failed to maintain cleanliness of the convection oven to protect the equipment from grease contamination in the facility main kitchen. On 6/10/24 at 12:42 PM, surveyor entered the facility kitchen for initial tour with Other Staff#1 (OS#1). Surveyor observed the walk-in-refrigerator at 12:47 PM and observed a large container of cottage cheese on the second (2nd) shelf with a best-used-by (BB) date of, 6/1/24. Two gallons of whole milk were also observed on the 2nd shelf with white, chunky, substances in both of them and BB dates of, 6/6/24. OS#1 removed the cottage…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-18 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interview, staff interview, and clinical record review, facility staff failed to implement a person-centered care plan that addressed the resident's actual reported pain for 1 of 33 current residents in the survey sample (Resident #50). Resident #50 was admitted with diagnoses which included cerebral infarction, bilateral hemiplegia/hemiparesis, morbid obesity, type 2 diabetes mellitus, chronic osteomyelitis right thigh, epilepsy, heart failure, abscess of bursa left hip, primary osteoarthritis, hypertension, and chronic kidney disease. On the most recent Minimum Data Set (MDS) full assessment with assessment reference date 5/20/24, the resident scored 10/15 on the Brief Interview for Mental status and was assessed as without signs of delirium, psychosis, or behavior affecting care. The resident reported almost constant pain which interfered with sleep and activities of daily living. The Comprehensive Care Plan revised 5/31/24 read Focus the resident has a risk for pain related to OA, chronic wounds, impaired mobility, lumbar DDD, dry eyes with interventions…

  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 · D2024-06-18 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and document review, the facility staff failed to review and revise care plans for two (2) of 40 sampled residents (Resident #63 and Resident #121). The findings include: 1. The facility staff failed to review and revise Resident #63's care plan to address the removal and subsequent reimplementation of the use of a defined parameter mattress (DPM). Resident #63's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 5/23/24, was signed as completed on 5/27/24. Resident #63 was assessed as usually able to make self understood and as usually able to understand others. Resident #63's Brief Interview for Mental Status (BIMS) summary score was documented as a six (6) out of 15; this indicated severe cognitive impairment. Resident #63 was assessed as being depended on others for toileting hygiene, dressing, and personal hygiene. Resident #63's fall/fall risk care plan had an intervention for a DPM dated as being created on 1/24/23. One of Resident #63's Device Assessment forms indicated the resident did not have a DPM in use on 3/9/23. Another…

  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 · Dcited before2024-06-18 · 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

  Based on observations, interviews, and clinical record review, facility staff failed to ensure provider ordered medications were available for administration for 1 of 40 sampled residents (Resident #116). The findings were: The facility staff failed to ensure Resident #116's provider ordered medication Lactulose (a laxative, ammonia reducer for liver disease) was administered to Resident #116. Resident #116's admission record listed diagnoses to include but were not limited to alcoholic cirrhosis of liver with ascites, protein-calorie malnutrition, alcohol abuse, psychotic disorder with delusions due to known physiological condition, atrial fibrillation, schizoaffective disorder, bipolar disorder, anxiety disorder and major depressive disorder. Resident #116's quarterly minimum data set with an assessment reference date of 05/29/24 scored the brief interview for mental status a 15 out of 15. During a medication pass and pour observation with licensed practical nurse (LPN #5) on 06/11/24 at 8:23 a.m., Resident #116's Lactulose was not available in the medication cart. LPN #5…

  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 · Dcited before2024-06-18 · 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, staff interview, clinical record review, and facility document review, the facility staff failed to ensure a medication error rate of less than 5%. There were two (2) medication errors in 30 opportunities for a medication error rate of 6.67%. These medication errors affected Resident #116 and #120. The findings were: 1. For Resident #116, the facility staff failed to ensure the provider ordered medication Lactulose (a laxative, ammonia reducer for liver disease) was administered. Resident #116's admission record listed diagnoses to include but were not limited to alcoholic cirrhosis of liver with ascites, protein-calorie malnutrition, alcohol abuse, psychotic disorder with delusions due to known physiological condition, atrial fibrillation, schizoaffective disorder, bipolar disorder, anxiety disorder and major depressive disorder. Resident #116's quarterly minimum data set with an assessment reference date of 05/29/24 scored the brief interview for mental status a 15 out of 15. During a medication pass and pour observation with licensed practical nurse (LPN #5)…

  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 · D2024-06-18 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide timely radiology or other diagnostic services to meet the needs of a resident for 1 of 40 sampled residents, Resident #30. The findings include: For Resident #30 (R30), the facility staff failed to schedule a timely CT (computed tomography) scan of the abdomen as ordered on 5/31/24 by the provider. Resident #30's diagnosis list included diagnoses that included, but were not limited to, chronic kidney disease-stage 3 (three), essential (primary) hypertension, peripheral vascular disease, anemia in chronic kidney disease, and type 2 (two) diabetes mellitus with diabetic chronic kidney disease. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 3/23/24 assigned the resident a brief interview for mental status (BIMS) summary score of 14 out of 15 for cognitive abilities, indicating R30 was cognitively intact. A review of R30's clinical record on 6/11/24 revealed a diagnostic order summary that read in part, .CT Abdomen without contrast per…

  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 · Dcited before2024-06-18 · 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 observations, staff interviews, clinical record review, and facility document review, (a) the facility staff failed to correctly perform hand hygiene during wound care for one (1) of 40 sampled residents (Resident #75), (b) the facility staff failed to follow enhanced barrier precautions during resident care for one (1) of 40 sampled residents (Resident #75), and (c) the facility staff failed to correctly perform hand hygiene and/or glove change during wound care for one (1) observation of an unsampled resident (Resident #82). The findings include: 1. The facility staff failed to appropriately change gloves and/or appropriately perform hand hygiene while providing Resident #75's wound care. The facility staff failed to wear a gown when removing wound dressings and transferring a resident on Enhanced Barrier Precautions (EBPs) (Resident #75). Resident #75's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 6/8/24, was signed as completed on 6/17/24. Resident #75 was assessed as sometimes able to make self understood and as sometimes able to…

  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 · D2024-06-18 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and document review, the facility staff failed to ensure clinical documentation supported the need for the resident's transfer for one (1) of 40 sampled residents (Resident #219). The findings include: Resident #219's clinical documentation failed to include information to support the need for the resident to be transferred to a local hospital under an emergency custody order (ECO). Resident #219's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 7/6/23, was signed as completed on 7/13/23. Resident #219 was assessed as able to make self understood and as able to understand others. Resident #219's Brief Interview for Mental Status (BIMS) summary score was documented as a five (5) out of 15; this indicated severe cognitive impairment. Resident #219 was assessed as requiring supervision with dressing, eating, toilet use, and personal hygiene. Review of Resident #219's clinical documentation failed to reveal documentation detailing the events on 8/10/23 which resulted in the facility staff obtaining an ECO for Resident #219. No…

  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 · D2024-06-18 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and the review of documents, the facility staff failed to provide behavior health care/interventions to address changes in condition for one (1) of 40 sampled residents (Resident #219). The findings include: The facility staff failed to ensure that medical provider orders/guidance were implemented related to Resident #219's alleged behaviors on 8/2/23. The facility staff failed to ensure a licensed nurse was involved when Resident #219 was experiencing an alleged change of condition which resulted in the request for an emergency custody order (ECO) on 8/10/23. Resident #219's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 7/6/23, was signed as completed on 7/13/23. Resident #219 was assessed as able to make self understood and as able to understand others. Resident #219's Brief Interview for Mental Status (BIMS) summary score was documented as a five (5) out of 15; this indicated severe cognitive impairment. Resident #219 was assessed as requiring supervision with dressing, eating, toilet use, and personal hygiene. The following…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFEWORKS REHAB — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

14 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.

This home reported $5.5M paid to related parties — landlords or management companies under common ownership — equal to about 24% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

Straight from this home’s Medicare cost report (CMS, FY2024). 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 VA