Cycle 1
Health 2025-12-11 · Fire 2025-12-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
North Adams, MA
North Adams Commons Nursing & Rehabilitation Cente
5-star overall rating with 5-star inspections
175 Franklin Street, North Adams, MA
(413) 664-4041
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
119
Certified beds
Average residents
92
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Integritus Healthcare
Operator or chain grouping
Approved since
1989-02-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 3 overall / 3 health / 3 staffing / 2 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
0.57
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.72
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
39%
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
7,211
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9859
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.43
Baseline 23.43% · Performance 18.99% · Measure score 6.43 · Achievement 5.26 · Improvement 6.43
Healthcare-associated infections
4.04
Baseline 7.69% · Performance 6.63% · Measure score 4.04 · Achievement 4.04 · Improvement 3.43
Total nurse turnover
0
Baseline 45.45% · Performance 62.50% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.69
Baseline 3.53 hours · Performance 3.56 hours · Measure score 1.69 · Achievement 1.69 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.23% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 164 · Observed rate 10.37% · Lower 95% interval 7.5% |
| Discharge to community | 60.15% |
50.57%
9.6 pts better
|
Better than the National Rate · Eligible stays 157 · Observed rate 53.5% · Lower 95% interval 51.99% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 119 · Denominator 119 |
| Falls with major injury | 1.68% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 119 |
| Discharge self-care score | 47.95% |
53.69%
5.7 pts worse
|
Numerator 35 · Denominator 73 |
| Discharge mobility score | 50.68% |
50.94%
0.3 pts worse
|
Numerator 37 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 0.84% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 119 · Adjusted rate 1.2% |
| Healthcare-associated infections requiring hospitalization | 6.63% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 100 · Observed rate 6% · Lower 95% interval 3.66% |
| Staff COVID-19 vaccination coverage | 11.46% |
8.2%
3.3 pts better
|
Numerator 11 · Denominator 96 |
| Staff flu vaccination coverage | 70.19% |
42%
28.2 pts better
|
Numerator 73 · Denominator 104 |
| Discharge function score | 56.16% |
56.45%
0.3 pts worse
|
Numerator 41 · Denominator 73 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 59 · Denominator 59 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 33 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 60.29% |
25.2%
35.1 pts better
|
Numerator 41 · Denominator 68 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.9
0.1 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
1.5
1 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
92.2%
7.5 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.8%
5.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.5%
0.9 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 2.6% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 56.5% |
12.0%
44.5 pts worse
|
11.4%
45.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 63.5% · Q3 60.8% · Q4 67.6% · 4Q avg 56.5% |
| Percentage of long-stay residents who lose too much weight | 2.2% |
5.2%
3 pts better
|
5.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 1.4% · Q4 4.3% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.9% |
19.2%
6.7 pts worse
|
19.6%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 24.6% · Q3 28.4% · Q4 24.3% · 4Q avg 25.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.0% |
22.5%
2.5 pts better
|
16.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 26.8% · Q3 15.7% · Q4 10.9% · 4Q avg 20.0% · 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 | 25.2% |
17.7%
7.5 pts worse
|
16.3%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 21.5% · Q3 32.1% · Q4 17.5% · 4Q avg 25.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.7% |
17.6%
2.1 pts worse
|
14.9%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 18.8% · Q3 22.9% · Q4 20.0% · 4Q avg 19.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.0%
0.2 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 1.2% · Q4 2.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.0%
0.6 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 4.0% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.1% |
21.7%
12.4 pts worse
|
19.8%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.8% · Q2 40.4% · Q3 28.6% · Q4 29.4% · 4Q avg 34.1% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
4.6%
1.5 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.8% · Q3 1.2% · Q4 3.3% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.9% |
77.1%
13.8 pts better
|
81.7%
9.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.8% · Q2 90.7% · Q3 93.3% · Q4 90.6% · 4Q avg 90.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
11.8%
1.3 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 14.0% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
1.3%
1.8 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 5.0% · Q4 1.7% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
77.7%
17.7 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
25.8%
1.8 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 29.9% · Expected 25.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-19 · Fire 2024-07-19
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-13 · Fire 2023-04-13
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-07-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-19
D · Potential for more than minimal harm
2024-07-19
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 2024-08-19
D · Potential for more than minimal harm
2024-07-19
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 2024-08-19
D · Potential for more than minimal harm
2023-04-13
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-23
D · Potential for more than minimal harm
2023-04-13
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 2023-05-23
D · Potential for more than minimal harm
2023-04-13
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 2023-05-23
D · Potential for more than minimal harm
2023-04-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-23
D · Potential for more than minimal harm
2023-04-13
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-23
D · Potential for more than minimal harm
2023-04-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-23
D · Potential for more than minimal harm
2023-04-13
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-23
D · Potential for more than minimal harm
2023-04-13
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 2023-05-23
D · Potential for more than minimal harm
2023-04-13
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 2023-05-23
D · Potential for more than minimal harm
2023-04-13
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-05-23
D · Potential for more than minimal harm
2023-04-13
F887 · Infection Control Deficiencies
Health
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.
Corrected 2023-05-23
Penalties and ownership
What sits behind the stars
Ownership
Willowood Extended Care Services Inc
5% Or Greater Direct Ownership Interest · Organization
Gingras, Marcie Jo
Corporate Officer · Individual
Integritus Healthcare Inc
5% Or Greater Indirect Ownership Interest · Organization
Integritus Healthcare Inc
5% Or Greater Security Interest · Organization
Integritus Healthcare Management Services Inc
5% Or Greater Indirect Ownership Interest · Organization
Integritus Healthcare Management Services Inc
Operational/Managerial Control · Organization
Jones, William
Corporate Officer · Individual
Naventi, Gabriel
Operational/Managerial Control · Individual
Post, Robert
Operational/Managerial Control · Individual
Willowood Extended Care Services Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Williamstown Commons Nursing & Rehab
Williamstown, MA
4-star overall rating with 4-star inspections with 4 recent health deficiencies
#2
Crescent Manor Care Ctrs
Bennington, VT
3-star overall rating with 3-star inspections with $47,258 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Bennington Health & Rehab
Bennington, VT
2-star overall rating with 2-star inspections with $167,424 in total fines with 10 recent health deficiencies
Jump out