27 health deficiencies
Top issue: Resident Rights (9 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Hadley, MA
1-star overall rating with 1-star inspections with $85,596 in total fines with 27 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
20 North Maple Street, Hadley, MA
(413) 584-5057
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
154
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-03-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.43
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.97
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.15
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.18
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.88
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.63
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
12,612
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.71% · Performance 22.56% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.19
Baseline 6.49% · Performance 7.48% · Measure score 1.19 · Achievement 1.19 · Improvement 0
Total nurse turnover
1.25
Baseline 54.81% · Performance 58.59% · Measure score 1.25 · Achievement 1.25 · Improvement 0
Adjusted total nurse staffing
2.16
Baseline 3.64 hours · Performance 3.69 hours · Measure score 2.16 · Achievement 2.16 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.86% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 7.69% · Lower 95% interval 6.84% |
| Discharge to community | 43.59% |
50.57%
7 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 35.29% · Lower 95% interval 34.91% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 62 · Denominator 62 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 62 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 23 · Denominator 46 |
| Discharge mobility score | 47.83% |
50.94%
3.1 pts worse
|
Numerator 22 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 2 · Denominator 62 · Adjusted rate 4.16% |
| Healthcare-associated infections requiring hospitalization | 7.48% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 8% · Lower 95% interval 4.68% |
| Staff COVID-19 vaccination coverage | 5.81% |
8.2%
2.4 pts worse
|
Numerator 5 · Denominator 86 |
| Staff flu vaccination coverage | 29.92% |
42%
12.1 pts worse
|
Numerator 79 · Denominator 264 |
| Discharge function score | 56.52% |
56.45%
0.1 pts better
|
Numerator 26 · Denominator 46 |
| Transfer of health information to provider | 90.91% |
95.95%
5 pts worse
|
Numerator 20 · Denominator 22 |
| Transfer of health information to patient | 85.71% |
96.28%
10.6 pts worse
|
Numerator 18 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 70% |
25.2%
44.8 pts better
|
Numerator 14 · Denominator 20 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.9
About the same
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.2 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.7% |
92.2%
0.5 pts worse
|
93.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 95.2% · Q3 91.7% · Q4 83.1% · 4Q avg 91.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
94.8%
0.4 pts better
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.5%
0.1 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.6% · Q3 3.6% · Q4 2.6% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
12.0%
10.3 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 1.4% · Q4 2.8% · 4Q avg 1.7% |
| 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 6.8% · Q2 6.7% · Q3 6.8% · Q4 11.4% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.4% |
19.2%
7.8 pts better
|
19.6%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 6.7% · Q3 12.0% · Q4 18.1% · 4Q avg 11.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.8% |
22.5%
8.3 pts worse
|
16.7%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 33.3% · Q3 28.6% · Q4 29.1% · 4Q avg 30.8% · 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 | 24.2% |
17.7%
6.5 pts worse
|
16.3%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 7.8% · Q3 29.9% · Q4 46.9% · 4Q avg 24.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.1% |
17.6%
6.5 pts worse
|
14.9%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 7.1% · Q3 47.2% · Q4 30.4% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.0%
0.8 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.0%
0.4 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.4% · Q3 1.2% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.4% |
21.7%
9.7 pts worse
|
19.8%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 36.3% · Q3 33.7% · Q4 23.5% · 4Q avg 31.4% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
4.6%
1.8 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.7% · Q3 2.3% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.7% |
77.1%
46.4 pts worse
|
81.7%
51 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 31.4% · Q3 32.3% · Q4 23.0% · 4Q avg 30.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.9% |
11.8%
6.9 pts better
|
12.0%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 4.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.3%
0.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 39.4% |
77.7%
38.3 pts worse
|
79.7%
40.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 39.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
25.8%
1.9 pts better
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 19.0% · Expected 19.0% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (9 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-03-06
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-03-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-05
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-02-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-05
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-03-05
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-02-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-12-27
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-12-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-27
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-27
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-12-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-12-27
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-12-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-05
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-05-05
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-02-20
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-02-20
Health
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.
Corrected 2025-11-18
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-10-25
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-10-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-25
Health
Respond appropriately to all alleged violations.
Corrected 2025-10-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-25
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-10-25
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-20
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-03-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-20
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-25
Health
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected 2025-02-20
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-03-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-25
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-02-20
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-02-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-20
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-02-20
Health
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.
Corrected 2025-02-20
Health
Assess the resident when there is a significant change in condition
Corrected 2025-02-20
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-03-25
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-20
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 2025-02-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-04
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-14
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-12-14
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-12-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-14
Health
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.
Corrected 2023-12-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-02
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-05-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-05-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-05-13
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 2022-05-13
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-05-24
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-05-24
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 2022-05-13
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2022-05-13
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-02
Penalties and ownership
Fine · fine $76,278
Fine
Fine · fine $9,318
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
General Partnership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Amherst, MA
2-star overall rating with 2-star inspections with $28,915 in total fines with 7 recent health deficiencies
Northampton, MA
4-star overall rating with 3-star inspections with $39,819 in total fines with 4 recent health deficiencies
Leeds, MA
1-star overall rating with 2-star inspections with $8,788 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out