Cycle 1
Health 2025-04-09 · Fire 2025-04-09
16 health deficiencies
Top issue: Resident Rights (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Agawam, MA
Agawam North Rehab And Nursing
2-star overall rating with 1-star inspections with $86,130 in total fines with 16 recent health deficiencies
55 Cooper Street, Agawam, MA
(413) 786-8000
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
124
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stern Consultants
Operator or chain grouping
Approved since
2002-12-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
37%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,658
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
2.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.26% · Performance 26.73% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.66% · Performance 8.56% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 65.52% · Performance 65.57% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.87
Baseline 3.97 hours · Performance 3.32 hours · Measure score 0.87 · Achievement 0.87 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.81% |
10.72%
3.1 pts worse
|
Worse than the National Rate · Eligible stays 223 · Observed rate 17.04% · Lower 95% interval 10.8% |
| Discharge to community | 52.52% |
50.57%
2 pts better
|
No Different than the National Rate · Eligible stays 214 · Observed rate 47.2% · Lower 95% interval 44.28% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 102 · Denominator 102 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 102 |
| Discharge self-care score | 64.52% |
53.69%
10.8 pts better
|
Numerator 40 · Denominator 62 |
| Discharge mobility score | 53.23% |
50.94%
2.3 pts better
|
Numerator 33 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 0.98% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 102 · Adjusted rate 0.79% |
| Healthcare-associated infections requiring hospitalization | 8.56% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 130 · Observed rate 9.23% · Lower 95% interval 4.74% |
| Staff COVID-19 vaccination coverage | 4.95% |
8.2%
3.2 pts worse
|
Numerator 5 · Denominator 101 |
| Staff flu vaccination coverage | 52.83% |
42%
10.8 pts better
|
Numerator 56 · Denominator 106 |
| Discharge function score | 61.29% |
56.45%
4.8 pts better
|
Numerator 38 · Denominator 62 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 33 · Denominator 33 |
| Transfer of health information to patient | 95.56% |
96.28%
0.7 pts worse
|
Numerator 43 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 14.29% |
25.2%
10.9 pts worse
|
Numerator 7 · Denominator 49 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 2.2 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.5
0.1 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
92.2%
3.2 pts worse
|
93.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 88.6% · Q3 89.9% · Q4 87.8% · 4Q avg 89.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
94.8%
2 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.5%
2.6 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 1.1% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.8% |
12.0%
8.2 pts better
|
11.4%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.0% · Q3 5.2% · Q4 0.0% · 4Q avg 3.8% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
5.2%
2.6 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 4.9% · Q3 10.1% · Q4 8.8% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% |
19.2%
8.2 pts better
|
19.6%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 10.8% · Q3 11.1% · Q4 9.6% · 4Q avg 11.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.1% |
22.5%
6.4 pts better
|
16.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 14.5% · Q3 20.3% · Q4 18.0% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.8% |
17.7%
9.9 pts better
|
16.3%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.6% |
17.6%
14 pts better
|
14.9%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.5% · Q3 2.5% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.0%
0.2 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
2.0%
1.1 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.2% |
21.7%
6.5 pts worse
|
19.8%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 29.7% · Q3 26.7% · Q4 22.3% · 4Q avg 28.2% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
4.6%
0.7 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.9% · Q3 3.0% · Q4 4.9% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.5% |
77.1%
0.6 pts worse
|
81.7%
5.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.8% · Q2 76.6% · Q3 82.1% · Q4 79.2% · 4Q avg 76.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
11.8%
0.2 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 11.7% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.3%
0.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.0% |
77.7%
0.7 pts worse
|
79.7%
2.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.7% |
25.8%
7.9 pts worse
|
23.9%
9.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.7% · Observed 33.0% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-23 · Fire 2024-01-23
8 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2022-07-26 · Fire 2022-07-26
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-01-23
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-02-19
D · Potential for more than minimal harm
2022-07-26
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-09-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-04-09
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-04-09
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-04-09
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-04-09
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F551 · Resident Rights Deficiencies
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-04-09
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-05-01
D · Potential for more than minimal harm
2025-04-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
D · Potential for more than minimal harm
2024-10-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-08
E · Potential for more than minimal harm
2024-01-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-19
D · Potential for more than minimal harm
2024-01-23
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-19
D · Potential for more than minimal harm
2024-01-23
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-19
D · Potential for more than minimal harm
2024-01-23
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-02-19
C · Minimal harm
2024-01-23
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-02-19
B · Minimal harm
2024-01-23
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-02-28
B · Minimal harm
2024-01-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-19
E · Potential for more than minimal harm
2022-07-26
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-09-13
E · Potential for more than minimal harm
2022-07-26
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-09-13
E · Potential for more than minimal harm
2022-07-26
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-09-13
D · Potential for more than minimal harm
2022-07-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-13
Penalties and ownership
What sits behind the stars
$86,130
2025-04-09
Fine
Fine · fine $86,130
Fine
Ownership
Etn Family Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Tlco Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Sheps, Boruch
5% Or Greater Direct Ownership Interest · Individual
Erblich, Avraham
5% Or Greater Direct Ownership Interest · Individual
Friedman, Shana
5% Or Greater Direct Ownership Interest · Individual
Com Family Trust
5% Or Greater Indirect Ownership Interest · Organization
E Newhouse Family Trust
5% Or Greater Indirect Ownership Interest · Organization
T Newhouse Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Tlm Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Stern, Bezalel
5% Or Greater Direct Ownership Interest · Individual
Ashkar, Rami
Operational/Managerial Control · Individual
Beatty, Brittany
Operational/Managerial Control · Individual
Erblich, Avraham
Operational/Managerial Control · Individual
Etn Family Holdings LLC
Operational/Managerial Control · Organization
Friedman, Benjamin
Operational/Managerial Control · Individual
Millman, Chaim
Operational/Managerial Control · Individual
Millman, Chaim
Corporate Officer · Individual
Newhouse, Eric
Operational/Managerial Control · Individual
Plew, Andrea
Operational/Managerial Control · Individual
Sheps, Boruch
Operational/Managerial Control · Individual
Stern Therapy Consultants LLC
Operational/Managerial Control · Organization
Tazifor, Roger
Operational/Managerial Control · Individual
Tlco Holdings LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Agawam West Rehab And Nursing
Agawam, MA
2-star overall rating with 2-star inspections with $12,735 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Agawam South Rehab And Nursing
Agawam, MA
4-star overall rating with 3-star inspections with 14 recent health deficiencies
#3
Agawam East Rehab And Nursing
Agawam, MA
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out