Federal inspection record · CMS data as of October 1, 2026
Center For Extended Care at Amherst
150 University Drive, Amherst, MA · (413) 256-8181
- Certified beds
- 134
- Residents per day
- 127
- Ownership
- For-Profit
- Chain
- Shimon Lefkowitz
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1990
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Center For Extended Care at Amherst carries 90 inspection points. That is fewer than 14% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning9D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- C
Ensure each resident receives an accurate assessment.
- B
Assess the resident when there is a significant change in condition
Resident Rights5D
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4F
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration2D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Quality of Life and Care1D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service1D
- D
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.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2025-06-04
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-04-10
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-03-15
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 18 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 60% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$48,550 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-07 | Fine | $19,635 |
| 2025-06-04 | Fine | $28,915 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.0 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 99.8% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 100.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 9.8% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 4.2% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts worse | 20.5% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.6 pts worse | 30.1% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.6 pts worse | 15.5% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 14.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.8% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 1.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse | 22.5% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.6% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts better | 92.7% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts better | 10.6% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication4.5 pts worse | 5.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.6 pts better | 97.7% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts worse | 28.2% | 25.7% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lefkowitz, Shimon | 5% Or Greater Direct Ownership Interest · Individual | 25% | 6 facilities |
| Shimon, Miriam | 5% Or Greater Direct Ownership Interest · Individual | 18% | 1 facilities |
| Loffler, Abraham | 5% Or Greater Direct Ownership Interest · Individual | 8% | 3 facilities |
| Loffler, Israel | 5% Or Greater Direct Ownership Interest · Individual | 8% | 1 facilities |
| Loffler, Solomon | 5% Or Greater Direct Ownership Interest · Individual | 8% | 1 facilities |
| Amherst LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lefkowitz, Shimon | Corporate Director · Individual | 0% | 6 facilities |
| Lefkowitz, Shimon | Adp Of The SNF · Individual | 0% | 6 facilities |
| Loffler, Abraham | Corporate Director · Individual | 0% | 3 facilities |
| Loffler, Abraham | Corporate Officer · Individual | 0% | 3 facilities |
| Loffler, Abraham | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mavado Management LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Mavado Management LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Mintz, Joshua | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Mintz, Joshua | Adp Of The SNF · Individual | 0% | 5 facilities |
| Rackliffe, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rackliffe, Thomas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shimon, Miriam | Corporate Director · Individual | 0% | 1 facilities |
| Simha, David | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Simha, David | Corporate Director · Individual | 0% | 3 facilities |
| Simha, David | Corporate Officer · Individual | 0% | 3 facilities |
| Simha, David | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Simha, David | Adp Of The SNF · Individual | 0% | 3 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2D
- D
Provide emergency officials' contact information.
- D
Implement emergency and standby power systems.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
Services1D
- D
Have elevators that firefighters can control in the event of a fire.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Hadley Pointe Nursing Rehab & Care
Hadley, MA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 6 min
- Fines
- $139,056
-
Care One At Northampton
Northampton, MA · Careone
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 42 min
- Fines
- $39,819
-
Linda Manor Extended Care Facility
Leeds, MA · Integritus Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 51 min
- Fines
- $8,788