Starfile

Starfile / Massachusetts

Sixteen Acres Health and Rehabilitation Center LLC

215 BICENTENNIAL HIGHWAY, SPRINGFIELD, MA 01118 · CCN 225392

Ratings

Overall
★★★★☆ 4
Health inspection
★★★★☆ 4
Quality measures
★★★☆☆ 3
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
120
Avg residents/day
109.5
Phone
4137967511

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMassachusetts avgNational avgvs state
12025-12-0988.99.5-0.9 better
22024-08-22510.09.8-5.0 better
32023-05-041512.79.3+2.3 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning2
Nutrition and dietary1
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9437.5%
RN staffing (reported)0.3342.9%
Total nurse staffing (adjusted)4.23

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
BEAR MOUNTAIN HEALTHCARE
Facilities in chain
8
Chain avg overall
2.80 / 5

Inspection citations (28)

  1. BF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-12-09 · Health · corrected 2026-01-20

    Potential for minimal harm

  2. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-12-09 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  3. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-09 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  4. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-09 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  5. DF0761Ensure 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.2025-12-09 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  6. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-09 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-09 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  8. EF0880Provide and implement an infection prevention and control program.2025-12-09 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  9. DF0584Honor 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.2024-08-22 · Health · corrected 2024-10-05

    Potential for more than minimal harm

  10. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-08-22 · Health · corrected 2024-10-05

    Potential for more than minimal harm

  11. BF0641Ensure each resident receives an accurate assessment.2024-08-22 · Health · corrected 2024-10-05

    Potential for minimal harm

  12. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-08-22 · Health · corrected 2024-10-05

    Potential for more than minimal harm

  13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-22 · Health · corrected 2024-10-05

    Potential for more than minimal harm

  14. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  15. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  16. FF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  17. DF0637Assess the resident when there is a significant change in condition2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  18. FF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  19. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  20. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  21. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  22. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  23. DF0679Provide activities to meet all resident's needs.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  24. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  25. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  26. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  27. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  28. DF0926Have policies on smoking.2023-05-04 · Health · corrected 2023-07-07

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in SPRINGFIELD

NameOverallBeds
LOOMIS LAKESIDE AT REEDS LANDING★★★★★42

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.