Greenfield, MA

Poet's Seat Healthcare Center

2-star overall rating with 3-star inspections with $5,541 in total fines with 6 recent health deficiencies

359 High Street, Greenfield, MA

(413) 774-6318

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ephram Lahasky

Operator or chain grouping

Approved since

1989-05-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 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

0.48

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.15

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

66%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,243

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

Performance score

20.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9825

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.55% · Performance 21.43% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.40

Baseline 5.55% · Performance 6.22% · Measure score 5.40 · Achievement 5.40 · Improvement 0

Total nurse turnover

1.35

Baseline 69.70% · Performance 61.40% · Measure score 1.35 · Achievement 0.56 · Improvement 1.35

Adjusted total nurse staffing

1.64

Baseline 2.82 hours · Performance 3.45 hours · Measure score 1.64 · Achievement 1.32 · Improvement 1.64

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.15%	10.72% 2.4 pts worse	No Different than the National Rate · Eligible stays 143 · Observed rate 18.18% · Lower 95% interval 10.12%
Discharge to community	52.98%	50.57% 2.4 pts better	No Different than the National Rate · Eligible stays 129 · Observed rate 47.29% · Lower 95% interval 46.69%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	98.88%	95.27% 3.6 pts better	Numerator 88 · Denominator 89
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 89
Discharge self-care score	50.77%	53.69% 2.9 pts worse	Numerator 33 · Denominator 65
Discharge mobility score	50.77%	50.94% 0.2 pts worse	Numerator 33 · Denominator 65
Pressure ulcers or injuries, new or worsened	1.12%	2.29% 1.2 pts better	Numerator 1 · Denominator 89 · Adjusted rate 0.92%
Healthcare-associated infections requiring hospitalization	6.22%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 80 · Observed rate 3.75% · Lower 95% interval 3.45%
Staff COVID-19 vaccination coverage	20%	8.2% 11.8 pts better	Numerator 13 · Denominator 65
Staff flu vaccination coverage	29.63%	42% 12.4 pts worse	Numerator 24 · Denominator 81
Discharge function score	52.31%	56.45% 4.1 pts worse	Numerator 34 · Denominator 65
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 43 · Denominator 43
Resident COVID-19 vaccinations up to date	40.54%	25.2% 15.3 pts better	Numerator 15 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.9 0.4 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.2 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	92.2% 6.8 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0%
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	3.1%	3.5% 0.4 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.1% · Q3 3.9% · Q4 2.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	12.0% 12 pts better	11.4% 11.4 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 who lose too much weight	4.4%	5.2% 0.8 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 12.8% · Q3 2.4% · Q4 0.0% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.1%	19.2% 10.9 pts worse	19.6% 10.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 34.1% · Q3 27.3% · Q4 26.2% · 4Q avg 30.1%
Percentage of long-stay residents who received an antipsychotic medication	22.1%	22.5% 0.4 pts better	16.7% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 28.0% · Q3 19.4% · Q4 10.7% · 4Q avg 22.1% · 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	19.8%	17.7% 2.1 pts worse	16.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.9% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.0%	17.6% 4.6 pts better	14.9% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 17.5% · Q3 11.6% · Q4 2.4% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	1.0% 0.7 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	2.0% 0.9 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.4%	21.7% 6.3 pts better	19.8% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 18.6% · Q3 14.8% · Q4 2.2% · 4Q avg 15.4%
Percentage of long-stay residents with pressure ulcers	2.7%	4.6% 1.9 pts better	5.1% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.3% · Q3 0.0% · Q4 3.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.8%	77.1% 18.7 pts better	81.7% 14.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 84.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 95.8%
Percentage of short-stay residents who had an outpatient emergency department visit	11.4%	11.8% 0.4 pts better	12.0% 0.6 pts better	Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.1% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.3% 0.7 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 2.0% · Q4 2.4% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.8%	77.7% 21.1 pts better	79.7% 19.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.5%	25.8% 7.7 pts worse	23.9% 9.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.5% · Observed 31.9% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-28 · Fire 2025-05-28

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-11 · Fire 2024-03-11

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2022-11-02 · Fire 2022-11-02

30 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-03-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-08

E · Potential for more than minimal harm 2024-03-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-19

D · Potential for more than minimal harm 2024-03-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-11

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-03-19

D · Potential for more than minimal harm 2024-03-11

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-03-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-04-05

E · Potential for more than minimal harm 2022-11-02

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-11-28

E · Potential for more than minimal harm 2022-11-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-28

Inspection history

Recent health citations

G · Actual harm 2025-05-28

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 2025-05-28

G · Actual harm 2025-05-28

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-05-28

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-05-28

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 2025-05-28

D · Potential for more than minimal harm 2025-05-28

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 2025-05-28

B · Minimal harm 2025-05-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-28

D · Potential for more than minimal harm 2024-10-03

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 2024-10-28

D · Potential for more than minimal harm 2024-10-03

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 2024-10-28

F · Potential for more than minimal harm 2024-03-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-03-11

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-11

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 2024-04-10

D · Potential for more than minimal harm 2024-03-11

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-04-08

C · Minimal harm 2024-03-11

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2024-04-08

E · Potential for more than minimal harm 2023-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-08-28

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-08-31

G · Actual harm 2022-11-02

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2022-11-17

E · Potential for more than minimal harm 2022-11-02

F585 · Resident Rights Deficiencies

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 2022-12-03

E · Potential for more than minimal harm 2022-11-02

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-12-03

E · Potential for more than minimal harm 2022-11-02

F657 · Resident Assessment and Care Planning Deficiencies

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 2022-12-09

E · Potential for more than minimal harm 2022-11-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-12-03

E · Potential for more than minimal harm 2022-11-02

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 2022-12-03

E · Potential for more than minimal harm 2022-11-02

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-12-03

E · Potential for more than minimal harm 2022-11-02

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 2022-12-03

E · Potential for more than minimal harm 2022-11-02