Northampton, MA

Care One At Northampton

4-star overall rating with 3-star inspections with $39,819 in total fines with 4 recent health deficiencies

548 Elm Street, Northampton, MA

(413) 586-3150

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Careone

Operator or chain grouping

Approved since

1978-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

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

0.44

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.21

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.65

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.28

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.57

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,679

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.73

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.63

Baseline 23.79% · Performance 21.68% · Measure score 2.63 · Achievement 0 · Improvement 2.63

Healthcare-associated infections

Baseline 7.98% · Performance 8.02% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.08

Baseline 44.56% · Performance 55.17% · Measure score 2.08 · Achievement 2.08 · Improvement 0

Adjusted total nurse staffing

1.58

Baseline 3.62 hours · Performance 3.53 hours · Measure score 1.58 · Achievement 1.58 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.61%	10.72% 1.9 pts worse	No Different than the National Rate · Eligible stays 333 · Observed rate 13.81% · Lower 95% interval 9.62%
Discharge to community	60.42%	50.57% 9.9 pts better	Better than the National Rate · Eligible stays 334 · Observed rate 53.59% · Lower 95% interval 53.2%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	98.54%	95.27% 3.3 pts better	Numerator 202 · Denominator 205
Falls with major injury	0.49%	0.77% 0.3 pts better	Numerator 1 · Denominator 205
Discharge self-care score	60.51%	53.69% 6.8 pts better	Numerator 95 · Denominator 157
Discharge mobility score	59.87%	50.94% 8.9 pts better	Numerator 94 · Denominator 157
Pressure ulcers or injuries, new or worsened	5.85%	2.29% 3.6 pts worse	Numerator 12 · Denominator 205 · Adjusted rate 6.12%
Healthcare-associated infections requiring hospitalization	8.02%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 190 · Observed rate 8.42% · Lower 95% interval 5.58%
Staff COVID-19 vaccination coverage	8.95%	8.2% 0.8 pts better	Numerator 17 · Denominator 190
Staff flu vaccination coverage	32.95%	42% 9 pts worse	Numerator 58 · Denominator 176
Discharge function score	70.7%	56.45% 14.2 pts better	Numerator 111 · Denominator 157
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 49 · Denominator 49
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 117 · Denominator 117
Resident COVID-19 vaccinations up to date	18.35%	25.2% 6.8 pts worse	Numerator 20 · Denominator 109

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.9 0.7 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	92.2% 6.1 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.4% · Q3 100.0% · Q4 95.7% · 4Q avg 98.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.7%	94.8% 1.1 pts worse	95.5% 1.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.7%
Percentage of long-stay residents experiencing one or more falls with major injury	0.3%	3.5% 3.2 pts better	3.3% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.8%	12.0% 11.2 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.2% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight	3.5%	5.2% 1.7 pts better	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 4.5% · Q3 1.5% · Q4 1.6% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.3%	19.2% 5.9 pts better	19.6% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 16.2% · Q3 11.4% · Q4 10.9% · 4Q avg 13.3%
Percentage of long-stay residents who received an antipsychotic medication	17.4%	22.5% 5.1 pts better	16.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 18.2% · Q3 19.0% · Q4 15.5% · 4Q avg 17.4% · 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	13.8%	17.7% 3.9 pts better	16.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.5%	17.6% 11.1 pts better	14.9% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 4.5% · Q3 5.7% · Q4 1.6% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.0% 0.5 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	2.0% 1.3 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.3% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.4%	21.7% 1.3 pts better	19.8% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 21.0% · Q3 23.1% · Q4 15.7% · 4Q avg 20.4%
Percentage of long-stay residents with pressure ulcers	5.2%	4.6% 0.6 pts worse	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.0% · Q3 7.0% · Q4 3.3% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	86.4%	77.1% 9.3 pts better	81.7% 4.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 88.2% · Q3 82.7% · Q4 81.9% · 4Q avg 86.4%
Percentage of short-stay residents who had an outpatient emergency department visit	13.9%	11.8% 2.1 pts worse	12.0% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 14.2% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.3% 0.3 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.3% · Q3 1.2% · Q4 0.7% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	77.6%	77.7% 0.1 pts worse	79.7% 2.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 77.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.5%	25.8% 3.7 pts worse	23.9% 5.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 29.1% · Expected 23.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-19 · Fire 2025-12-19

4 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-09-03 · Fire 2024-09-03

9 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-30 · Fire 2023-05-30

8 health deficiencies

Top issue: Infection Control (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-02-02

D · Potential for more than minimal harm 2025-12-19

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 2026-02-02

D · Potential for more than minimal harm 2025-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-02

D · Potential for more than minimal harm 2025-12-19

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2026-02-02

G · Actual harm 2025-02-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-19

D · Potential for more than minimal harm 2025-02-20

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 2025-03-19

G · Actual harm 2025-02-04

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 2025-01-29

G · Actual harm 2025-02-04

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 2025-01-29

D · Potential for more than minimal harm 2025-02-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-29

E · Potential for more than minimal harm 2024-09-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-09-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-09-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-09-03

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 2024-09-30

F · Potential for more than minimal harm 2023-05-30

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2023-06-16