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Center for Extended Care at Amherst

150 University Drive, Amherst, MA 01002 · Hampshire County · (413) 256-8181

134 certified beds, about 126 residents a day · For profit - Partnership · Medicare and Medicaid since 1990

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225420 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 4, 2025, inspectors cited 4 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

Of 34 health citations since March 2023, 5 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $48,550 in the last three years; the largest was $28,915, and the latest is dated April 7, 2026.

Nurses and nurse aides worked 3.34 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.

39.3% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

CMS links it to Shimon Lefkowitz, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
19D
4E
3F
Potential for minimal harm
0A
2B
1C
April 7, 2026Complaint inspection · 2 citations
  1. G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents, (Resident #1), who was non-ambulatory and per his/her care plan required the assistance of two staff members with a mechanical lift for all transfers, the Facility failed to ensure staff consistently implemented and followed his/her care plan interventions for transfers, when on 03/14/26, Certified Nurse Aide #1 transferred Resident #1 by herself using a stand pivot transfer technique, Resident #1 was later diagnosed with a left ankle fracture.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents, (Resident #1), who was non-weight bearing and required two staff members and a mechanical lift for all transfers, the Facility failed to ensure he/she was provided with the necessary level of staff assistance and assistive devices, to maintain his/her safety to prevent an incident/accident resulting in an injury, when on 03/14/26, Certified Nurse Aide #1 transferred Resident #1 alone, without a mechanical lift, using a stand pivot type transfer. Resident #1 was later found with bruising and swelling to his/her left ankle and was diagnosed with a left ankle fracture, (which was consistent with the type of injury that could occur with the twisting motion of a stand-pivot a pivot transfer).
June 10, 2025Complaint inspection · 2 citations
  1. J
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), who had right sided weakness from a stroke and whose care plan interventions included that he/she required the assistance of two staff members for bed mobility, including turning and repositioning in bed, the Facility failed to ensure that staff consistently implemented and followed interventions from his/her plan of care. When on [DATE] at 1:15 P.M., while attempting to change his/her bed sheets, Certified Nurse Aide (CNA) #1 turned and repositioned Resident #1 on his/her left side in bed, without having another staff member present to assist her, Resident #1 rolled out of the bed and landed on his/her knees on the floor. [...]
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), who had right sided weakness from a stroke and required the assistance of two staff members for turning and repositioning in bed, the Facility failed to ensure he/she was provided with the necessary level of staff assistance to maintain his/her safety and prevent an incident/accident resulting serious injury and death. On [DATE] at 1:15 P.M., while attempting to change his/her bed sheets, Certified Nurse Aide (CNA) #1, without another staff member to assist her, positioned Resident #1 on his/her left side away from her, and Resident #1 rolled out of the bed, landing on his/her knees on the floor. [...]
June 4, 2025Standard inspection · 4 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 3, 2025
    Inspectors wroteBased on observations, interviews, and records reviewed, the facility failed to provide care consistent with professional standards of practice to prevent deterioration of a pressure ulcer (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) for one Resident (#41), of five applicable residents reviewed for pressure ulcer care and services, out of a total sample of 26 residents. [...]
  2. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 3, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that resident meal trays were served timely for three Units (West 1, [NAME] 2 and Dharma), out of three units observed. Specifically, the facility failed to ensure that resident meals were delivered timely and coordinated with medication administration times for residents that required meals in order for medications to be appropriately administered.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 3, 2025
    Inspectors wroteBased on observations, interview and record review, the facility failed to maintain a clean and sanitary kitchen. Specifically, the facility failed to ensure: -storage for resident food/fluids remained clean and free of foul odors -shelves that maintained clean pots/pans/dishware used for resident meals were clean and free from debris -fans in the facility kitchen were free of dust/debris
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services per professional standards of practice related to monitoring the use of Vitamin D (vitamin that helps regulate calcium and phosphorus in the body, crucial for bone health and immune system) medication for one Resident (#116) out of a total sample of 26 residents. Specifically, for Resident #116, the facility failed to obtain Physician orders to monitor serum laboratory results to determine appropriate decrease of the dosage of Vitamin D medication, when the Resident was administered high doses of Vitamin D medication weekly, putting him/her at risk for adverse effects of the medication.
April 15, 2025Complaint inspection · 1 citation
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled employee personnel files, Certified Nurse Aide (CNA) #1, the Facility failed to ensure staff implemented and followed their Abuse policies related to background checks when Massachusetts Nurse Aide Registry (NAR) and Criminal Offender Record Information (CORI) checks were not conducted on CNA #1 as required, prior to employment at the facility.
November 7, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2024
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1) who was severely cognitively impaired and dependent on staff for care, the Facility failed to ensure he/she was treated in a dignified and respectful manner, when on 10/13/24 at 9:00 A.M., two staff members witnessed Certified Nurse Aide (CNA) #1 directing profanity at Resident #1 and treating him/her in a demeaning, insulting manner during care.
April 24, 2024Complaint inspection · 1 citation
  1. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1) who required staff assistance with ambulation and was usually continent, the Facility failed to ensure staff implemented and followed their Abuse Policy related to the need to immediately report an allegation of abuse to the Administrator and/or designee, when on 03/14/24 at approximately 5:00 A.M., Resident #1 reported to the Nurse Supervisor that a Certified Nurse Aide (later identified as CNA #1) told him/her that he/she was not allowed to get out of bed to use the bathroom until the morning. Although the Nurse Supervisor was made aware of the allegation, Facility Administration was not made aware of the incident until 9:30 A.M. [...]
April 10, 2024Standard inspection · 11 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wrote2. Review of the facility policy titled Cleaning and Disinfection of Resident - Care Items and Equipment, revised September 2022, indicated the following: -Reusable items are cleaned and disinfected or sterilized between residents (e.g., stethoscopes, durable medical equipment [DME]). On 4/8/24 at 8:23 A.M., the surveyor observed Nurse #3 using the portable vital signs machine to obtain measurements from a resident. The surveyor observed Nurse #3 apply the blood pressure cuff to the resident's upper arm and the pulse oximeter (device that measures a person's blood oxygen saturation [the amount of oxygen that is in the blood]) to the resident's finger. Nurse #3 proceeded to obtain the resident's vital signs from the machine. [...]
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintained a clean and sanitary facility kitchen in accordance with professional standards for food service safety. Specifically, the facility failed to: -ensure that a rinse temperature issue with the facility dish machine was addressed according to professional standards when the minimum temperature and sanitation requirements were not being met as required. -ensure the use of a commercial grade chlorine-based sanitizer and not household bleach was used in the dish machine to sanitize the facility dish ware.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, and policy review the facility failed to ensure a dignified existence for the facility residents in one dining room ([NAME]) out of three dining rooms observed on the Dharma Unit (Dementia Special Care Unit - DSCU). Specifically, the facility failed to ensure that: 1. the staff spoke respectfully of residents. 2. staff were seated while assisting residents with their meals.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to notify the Physician/Non-Physician Practitioner (NPP/ Nurse Practitioner) of a significant change in condition for two Residents (#54 and #74) out of a total sample of 25 residents. Specifically, the facility staff failed to notify the Physician/NPP: 1. To determine the need to alter medication treatment when Resident #54 had recurrent seizure activities. 2. When Resident #74 experienced an unplanned, significant weight loss in one month.
  5. D
    Honor 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation and record review the facility failed to ensure that a homelike environment was maintained for residents in one dining area ([NAME]) out of three dining areas observed on the Dharma Unit (Dementia Special Care Unit). Specifically, the facility and staff failed to ensure that the dining experience for residents was a homelike environment by adding tablecloths to the dining room tables and removing meals from the meal trays prior to serving the residents.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure that Minimum Data Set (MDS) Assessments were accurately coded for two Residents (#101 and #122), out of a total sample of 25 residents. Specifically, the facility failed to ensure the MDS Assessment: 1. For Resident #101, was accurately coded relative to receiving hospice services. 2. For Resident #122, was accurately coded relative to the use of antibiotic medications.
  7. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide care and services to achieve or maintain bladder function for one Resident (#122) out of three applicable residents, out of a total sample of 25 residents. Specifically, for Resident #122, the facility staff failed to obtain Physician's orders for the care and services of an indwelling urinary catheter (a flexible tube inserted into the bladder to allow for urine flow) to prevent complications and urinary tract infections.
  8. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to accurately implement a psychotropic medication (medication that affects brain activity) gradual dose reduction (GDR) as recommended by the Psychiatric Certified Nurse Practitioner (CNP) for one Resident (#94) out of a total sample of 25 residents. Specifically, the facility staff failed to: -For Resident #94, ensure that the recommendation made by the Psychiatric CNP for a GDR of Zyprexa (an antipsychotic medication) morning dose from 5 milligrams (mg) to 2.5 mg was accurately implemented, when the morning dose of Zyprexa was increased back to 5 mg without any further recommendations, thereby cancelling the GDR process.
  9. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to re-evaluate a performance improvement plan (PIP) when the identified interventions were no longer making progress toward the identified goal for improving lunch meal tray arrival times for one unit (Dharma Unit) out of three units observed. Specifically, the facility failed to ensure that an effective system was maintained for implementing changes, monitoring performance, and obtaining feedback from residents and family representatives, related to consistently late lunch time meals.
  10. D
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on record review, policy review and interview, the facility failed to ensure that the required members were included in the Quality Assurance and Performance Improvement (QAPI) committee meetings. Specifically, the facility failed to provide evidence: -that the Infection Preventionist (IP) was a required member of the QAPI committee and the IP attended two out of the four quarterly meetings. -that the Medical Doctor (MD) attended one out of the four quarterly meetings.
  11. B
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to complete an accurate comprehensive assessment, according to the required Resident Assessment Instrument (RAI) process, for one Resident (#77) out of a total sample of 25 residents. Specifically, the facility staff failed to assess Resident #77's cognitive status through the resident interview process and instead proceeded to the staff interview process on three consecutive Minimum Data Set (MDS) Assessments.
November 13, 2023Standard inspection, Infection control · 2 citations
  1. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · infection control inspection · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure staff 1. assessed residents for eligibility to offer a pneumococcal vaccination and 2. administered a pneumococcal vaccination when a resident and/or their resident representative consented to the vaccination for two Residents (#3 and #4) out of five sampled residents. Specifically, 1. for Resident #3 the facility failed to assess the need for additional pneumococcal vaccination once the Resident was one year past their last vaccination per Centers for Disease Control and Prevention (CDC) recommendations and 2. for Resident #4 the facility failed to ensure a requested pneumococcal vaccination was administered.
  2. D
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · infection control inspection · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure recommended COVID-19 vaccination was offered to one Staff Member (#1) out of one staff member sampled. Specifically, for Staff Member #1 the facility failed to ensure they maintained documentation that any additional COVID-19 vaccination was offered to the staff member after he/she had received their initial COVID-19 series.
March 15, 2023Standard inspection · 10 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure its staff: 1. performed the proper sanitation of kitchen utensils in the main kitchen, and 2. adhered to safe and sanitary food storage practices on two of three units, to prevent the potential for foodborne illness. Specifically, the facility failed to keep the disinfectant level in the disinfecting sink at the manufacturer's recommended guidelines, failed to keep the refrigerators and microwaves clean, and discard unlabeled food brought into the facility per facility protocol for safe and sanitary food storage practices.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure its staff maintained laundry equipment according to the manufacturer's guidelines, and proper storage of both clean and soiled linens. Specifically, failure to: 1. clean two filters on one out of three washing machines to prevent contamination, and 2. ensure staff stored and secured soiled and clean linen carts to prevent access to clean and potentially contaminated linens by one Resident (#36) on the DSCU.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure its staff maintained the dignity during a meal for one Resident (#264), out of a sample of 25 residents.
  4. D
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure its staff obtained orders for monitoring an incision site after return from the hospital one Resident (#43), out of a sample of 25 residents.
  5. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure its staff provided the Resident and/or Resident's Representative with a copy of the Resident's baseline care plan for one Resident (#102) out of a sample of 25 residents.
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on observation, interview, record, and policy reviews, the facility failed to ensure its staff provided care and services according to accepted standards of clinical practice for one Resident (#38), out of a sample of 25 residents. Specifically, the facility staff failed to obtain blood pressure (BP) and pulse/ heart rate (HR) measurements prior to the administration of Metoprolol (a medication used to treat high blood pressure that affects the heart and circulation), as ordered by the Physician and per facility policy.
  7. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to: 1. ensure its staff provided sufficient Certified Nursing Assistants (CNAs) for its residents, in accordance with the Facility Assessment, (an assessment used by facilities to determine what resources are necessary to competently care for residents during regular operations and emergencies), for three out of three units observed, and 2. provide grooming assistance for one Resident (#261), out of a total sample of 25 residents.
  8. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure documented evidence that preventative skin treatments and repositioning were consistently implemented to prevent the development of a left heel pressure injury for one Resident (#261), out of a total sample of 25 residents.
  9. C
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure its staff completed the necessary Resident Assessment Instrument (RAI) to accurately convey a resident's level of cognitive function for five Residents (#23, #94, #35, #2, and #53), out of a total sample of 25 residents. Specifically, the facility staff failed to complete Brief Interview of Mental Status (BIMS-a tool used to assess cognitive status) assessments within the seven day look back period (period of time facility staff have to complete assessments to be utilized in the Minimum Data Set (MDS) assessment), for Residents who were understood verbally, at least some of the time. Findings Include: 1. Resident #23 was admitted to the facility in June 2022. [...]
  10. B
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure its staff identified the need for a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS) Assessment for one Resident (#104), out of a sample of 25 residents.

Fire safety inspections

6 fire safety citations on file: 1 on April 10, 2024, 5 on March 15, 2023.

Every fire safety citation6 citations
  1. D
    Provide emergency officials' contact information.
    E 31 · April 10, 2024 · Corrected (the home has a date of correction)
  2. D
    Implement emergency and standby power systems.
    E 41 · March 15, 2023 · Corrected (the home has a date of correction)
  3. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 15, 2023 · Corrected (the home has a date of correction)
  4. D
    Have elevators that firefighters can control in the event of a fire.
    K 531 · March 15, 2023 · Corrected (the home has a date of correction)
  5. D
    Have restrictions on the use of portable space heaters.
    K 781 · March 15, 2023 · Corrected (the home has a date of correction)
  6. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 15, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 7, 2026Fine $19,635
June 4, 2025Fine $28,915

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMassachusettsUnited States
All nursing staff (RN, LPN and aides)3.343.863.86
Registered nurses0.250.650.69
All nursing staff on weekends3.243.483.42
Nurse aides2.18
Licensed practical nurses0.90
Nursing staff turnover (share who left in a year)39.3%38.2%45.8%
Registered nurse turnover66.7%42.6%42.9%
Administrators who left1

CMS expects 3.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.37 on weekdays and 3.24 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.340.253.373.24 5.1%0 of 90126
Oct to Dec 20253.420.303.503.19 7.3%0 of 92129
Jul to Sep 20253.300.273.373.12 6.1%0 of 92131
Apr to Jun 20253.320.263.403.12 6.1%0 of 91130
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Massachusetts, Jan to Mar 20263.790.613.943.415.0%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Massachusetts

JobMedianMiddle halfEmployed
Massachusetts, all employers
CNAs (nursing assistants)$22.44$21.32 to $23.9438,130
LPNs and LVNs$38.57$34.91 to $40.6613,210
Registered nurses$50.27$42.05 to $65.4488,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMassachusettsUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.716.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.51.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.13.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
7.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.415.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.14.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
29.521.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.525.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.811.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Center for Extended Care at Amherst's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

51.4% this home

No different from the national rate

US median of homes 51.5% · Massachusetts: 121 better, 19 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 86 eligible stays.

Potentially preventable readmissions

8.6% this home

No different from the national rate

US median of homes 10.7% · Massachusetts: 4 better, 15 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 109 eligible stays.

Infections that led to a hospital stay

5.8% this home

No different from the national rate

US median of homes 7.1% · Massachusetts: 5 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 75 eligible stays.

Self-care and mobility at discharge

25.3% this home

Median of homes: Massachusetts51.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 79 residents counted.

Falls with major injury

0.0% this home

Median of homes: Massachusetts0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 100 residents counted.

New or worsened pressure ulcers

2.6% this home

Median of homes: Massachusetts2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 100 residents counted.

Medication list given at discharge

97.4% this home

Median of homes: Massachusetts99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 39 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: AMHERST NURSING HOME, INC. CMS links this home to Shimon Lefkowitz, a group of 5 nursing homes averaging 2.8 stars overall.

NameRoleTypeShareSince
Lefkowitz, Shimon5% or greater direct ownership interestIndividual25%11/03/2015
Loffler, Abraham5% or greater direct ownership interestIndividual8%11/03/2015
Loffler, Israel5% or greater direct ownership interestIndividual8%11/03/2015
Loffler, Solomon5% or greater direct ownership interestIndividual8%11/03/2015
Shimon, Miriam5% or greater direct ownership interestIndividual18%11/03/2015
Simha, DavidDirect ownership interestIndividual11/03/2015
Lefkowitz, ShimonCorporate directorIndividual11/03/2015
Loffler, AbrahamCorporate directorIndividual11/03/2015
Shimon, MiriamCorporate directorIndividual11/03/2015
Simha, DavidCorporate directorIndividual11/03/2015
Loffler, AbrahamCorporate officerIndividual11/03/2015
Simha, DavidCorporate officerIndividual11/03/2015
Mavado Management LLCOperational/managerial controlOrganization11/15/2015
Mintz, JoshuaOperational/managerial controlIndividual05/01/2013
Rackliffe, ThomasOperational/managerial controlIndividual05/01/2013
Simha, DavidOperational/managerial controlIndividual11/03/2015
Amherst LLCAdp of the SNFOrganization12/15/2014
Mavado Management LLCAdp of the SNFOrganization09/04/2025
Lefkowitz, ShimonAdp of the SNFIndividual11/03/2015
Loffler, AbrahamAdp of the SNFIndividual11/03/2015
Mintz, JoshuaAdp of the SNFIndividual09/04/2025
Rackliffe, ThomasAdp of the SNFIndividual09/04/2025
Simha, DavidAdp of the SNFIndividual11/03/2015

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on April 7, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on November 7, 2024: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 7, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 4, 2025: "Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Massachusetts average of 3.48.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Common questions

What is Center for Extended Care at Amherst's Medicare star rating?
CMS rates Center for Extended Care at Amherst 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Center for Extended Care at Amherst get at its last inspection?
4 health deficiencies at the standard inspection on June 4, 2025. The Massachusetts average is 6.8.
Has Center for Extended Care at Amherst been fined?
Yes. CMS lists 2 fines totaling $48,550 in the last three years.
Does Center for Extended Care at Amherst accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Center for Extended Care at Amherst?
CMS lists 23 owners and managers, and links the home to Shimon Lefkowitz. Legal business name: AMHERST NURSING HOME, INC.

Sources

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