Federal inspection record · CMS data as of October 1, 2026

Palmer Healthcare Center

250 Shearer Street, Palmer, MA · (413) 289-9887

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
61
Residents per day
49
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 15, 2002

1

How this home got 4 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Massachusetts homes

Palmer Healthcare Center carries 23 inspection points. That is fewer than 68% of Massachusetts's 339 rated homes.

5★4★3★2★1★+11 homes above 148.505102550100inspection points → fewer is better on the leftThis home · 23 pts · 4★

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

14 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 0 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights4D
  1. D

    Give the resident's representative the ability to exercise the resident's rights.

    January 6, 2026 · Standard · F551 · Corrected January 26, 2026

  2. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    December 16, 2025 · Complaint · F557 · Corrected December 10, 2025

  3. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    September 26, 2024 · Standard · F557 · Corrected November 1, 2024

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    September 26, 2024 · Standard · F558 · Corrected November 1, 2024

Nutrition and Dietary3F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 26, 2024 · Standard · F812 · Corrected November 1, 2024

  2. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    September 26, 2024 · Standard · F805 · Corrected November 1, 2024

  3. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    August 10, 2023 · Standard · F801 · Corrected August 25, 2023

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    January 6, 2026 · Standard · F641 · Corrected January 26, 2026

  2. D

    Plan the resident's discharge to meet the resident's goals and needs.

    August 10, 2023 · Standard · F660 · Corrected August 25, 2023

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    December 16, 2025 · Complaint · F607 · Corrected December 10, 2025

  2. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    September 2, 2025 · Complaint · F607 · Corrected July 8, 2025

Quality of Life and Care2D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 26, 2024 · Standard · F684 · Corrected November 1, 2024

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 26, 2024 · Standard · F689 · Corrected November 1, 2024

Environmental1D
  1. D

    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.

    September 26, 2024 · Standard · F909 · Corrected November 1, 2024

Inspection history

  1. 2026-01-06

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  2. 2024-09-26

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2023-08-10

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 37 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

3 h 37 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 58% of nursing staff and 50% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.41.81.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.21.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts better97.7%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better100.0%93.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better1.9%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms15.1 pts better2.3%17.4%13.5%
Percentage of long-stay residents who lose too much weight4.4 pts worse9.4%5.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts worse21.5%19.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.2 pts worse26.7%21.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.7 pts worse21.6%13.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.3 pts worse25.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse1.9%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts worse2.8%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts better12.4%20.4%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse4.6%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.7 pts worse65.2%78.9%82.3%

·

Who owns and runs it

12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Ascentria Consulting Services IncAdp Of The SNF · Organization0%1 facilities
Cavalier, DavidDirect Ownership Interest · Individual0%1 facilities
Cavalier, DavidCorporate Director · Individual0%1 facilities
Cavalier, DavidCorporate Officer · Individual0%1 facilities
Cavalier, DavidOperational/Managerial Control · Individual0%1 facilities
Cavalier, DavidAdp Of The SNF · Individual0%1 facilities
CliftonlarsonallenAdp Of The SNF · Organization0%124 facilities
Mintz, JoshuaOperational/Managerial Control · Individual0%5 facilities
Mintz, JoshuaAdp Of The SNF · Individual0%5 facilities
Twomagnets LLCAdp Of The SNF · Organization0%57 facilities
Wellman Realty, LLCIndirect Ownership Interest · Organization0%1 facilities
Wellman Realty, LLCAdp Of The SNF · Organization0%1 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4D
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 26, 2024 · K321 · Corrected October 30, 2024

  2. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    September 26, 2024 · K345 · Corrected October 30, 2024

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 10, 2023 · K353 · Corrected September 5, 2023

  4. D

    Have proper openings in smoke barrier doors.

    August 10, 2023 · K379 · Corrected September 4, 2023

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 6, 2026 · K918 · Corrected February 10, 2026

·

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