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.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-09 | 8 | 8.9 | 9.5 | -0.9 better |
| 2 | 2024-08-22 | 5 | 10.0 | 9.8 | -5.0 better |
| 3 | 2023-05-04 | 15 | 12.7 | 9.3 | +2.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.94 | 37.5% |
| RN staffing (reported) | 0.33 | 42.9% |
| 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)
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-12-09 · Health · corrected 2026-01-20
Potential for more than minimal harm
- 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
- 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
- BF0641Ensure each resident receives an accurate assessment.2024-08-22 · Health · corrected 2024-10-05
Potential for minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0637Assess the resident when there is a significant change in condition2023-05-04 · Health · corrected 2023-07-07
Potential for more than minimal harm
- 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
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-05-04 · Health · corrected 2023-07-07
Potential for more than minimal harm
- 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
- 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
- DF0679Provide activities to meet all resident's needs.2023-05-04 · Health · corrected 2023-07-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
| Name | Overall | Beds |
|---|---|---|
| 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.