Home / Massachusetts / Lenox
40 Sunset Avenue, Lenox, MA 01240 · Berkshire County · (413) 637-5015
74 certified beds, about 70 residents a day · Non profit - Corporation · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225764 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 9, 2025, inspectors cited 2 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
None of its 9 health citations since May 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.42 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.87 of those hours.
41.0% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
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.
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 9 health citations on file.
Inspectors wroteBased on records reviewed and interviews for one of three sampled Residents (Resident #1), the facility failed to ensure they maintained a complete and accurate medical record when Certified Nurse Aide (CNA) documentation related to meal intake was incomplete.
Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to adhere to infection control standards of practice to prevent contamination and the spread of infections for six Residents (#43, #25, #5, #8, #3, and #40) out of a total sample of 17 residents, and on two units (Windemere and [NAME]) out of a total of three units. Specifically, the facility failed to ensure that:1) for Resident's #43, #25, #5, #8 and #3, who resided on the Windemere unit, the facility staff used the correct Personal Protective Equipment (PPE: items such as gowns, masks, eye protection or gloves that are used to prevent the spread of infection) for residents who were on Contact/Droplet Isolation for COVID-19 infection placing other residents and staff at risk of cross contamination and infection. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication pass error rate of less than five percent (%) for one Resident (#58), of three applicable residents, out of 26 medication pass opportunities. The medication error rate was observed to be 15.38%. Specifically, for Resident #58, the facility staff administered: Potassium Citrate (essential mineral) and Metoprolol Succinate (blood pressure medication) medications that were crushed when the orders specified do not crush. A chewable Aspirin (blood thinner that prevents clots forming in the blood) instead of the ordered Enteric Coated (coating on the medication that allows the medication effect to be longer lasting) Aspirin. Polyethylene Glycol eye drops (type of lubricating eye drops) instead of the ordered Dextran 70/Hypromellose 0.1% - 0.3% eye drops (another type of lubricating eye drops).
Inspectors wroteBased on interview, record and record review, the facility failed to coordinate assessments with the Preadmission and Resident Review (PASRR) Unit (state office that identifies evidence of serious mental illness [SMI] and/or intellectual or developmental disabilities [ID/DD] in all individuals seeking admission to a nursing facility that is Medicaid or Medicare certified) for one Resident (#55) out of a total sample of 18 residents. Specifically, for Resident #55, the facility failed to ensure a Level II Resident Review (Level II Evaluation - a comprehensive independent evaluation conducted by the appropriate state designated authority that determines whether an individual has a mental disorder [MD], ID or a related condition, determines the appropriate setting for the individual, and recommends what, if any, specialized services and/or rehabilitative services the individual needs. [...]
Inspectors wroteBased on interview, record and policy review, the facility failed to notify the State Mental Health Authority for a resident review (person-centered assessment taking into account all relevant information) after a significant change in mental condition occurred for one Resident (#120) out of a total sample of 18 residents. Specifically, the facility failed to request a Preadmission Screening and Resident Review Level II screen (PASRR- an evaluation done to determine if a resident has an intellectual or developmental disability and/or serious mental illness[SMI] and if a Resident is in need of additional specialized support services at the facility) after Resident #120 received emergency mental health interventions and experienced limitations in major life activities due to mental illness.
Inspectors wroteBased on interview, record and policy review, the facility failed to offer the Pneumococcal (infections caused by bacteria called Streptococcus Pneumoniae, or Pneumococcus that can cause Pneumonia and blood stream infections) Vaccination as recommended to one Resident (#57), out of five applicable residents, out of a total sample of 18 residents. Specifically, the facility failed to ensure that Pneumococcal Vaccinations were offered to, received by, or declined by Resident/Resident Representative #57 at the time of admission or shortly thereafter, putting the Resident at risk for developing facility acquired Pneumonia.
Inspectors wroteBased on record review and interview, the facility failed to ensure its staff completed Quarterly Minimum Data Set (MDS) Assessments within the required timeframe for 12 Residents (#10, #17, #23, #26, #29, #41, #43, #50, #53, #61, #66 and #73 out of 14 sampled residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure its staff completed Discharge Minimum Data Set (MDS) Assessments for three Residents (#19, #70 and #73) out of 14 sampled Residents.
Inspectors wroteBased on record review and interview the facility failed to ensure its staff accurately completed Minimum Data Set (MDS) Assessments for three Resident's (#44, #60, and #25) out of a total of 18 residents sampled. Specifically, the facility staff failed to accurately code an MDS Assessment relative to falls for Resident #44, mood assessment for Resident #60, and use of an antidepressant for Resident #25.
1 fire safety citation on file: 1 on May 22, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.42 | 3.86 | 3.86 |
| Registered nurses | 0.87 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.63 | 3.48 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 1.22 | ||
| Nursing staff turnover (share who left in a year) | 41.0% | 38.2% | 45.8% |
| Registered nurse turnover | 23.1% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.73 on weekdays and 3.63 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.23 in April to June 2025 to 4.42 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.42 | 0.87 | 4.73 | 3.63 | 12.0% | 0 of 90 | 70 |
| Oct to Dec 2025 | 4.65 | 0.90 | 5.00 | 3.77 | 13.3% | 0 of 92 | 68 |
| Jul to Sep 2025 | 4.31 | 0.90 | 4.65 | 3.44 | 11.7% | 0 of 92 | 70 |
| Apr to Jun 2025 | 4.23 | 0.80 | 4.56 | 3.42 | 12.3% | 0 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.9 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.5 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.1 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.3 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Kimball Farms Nursing Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
49.7% 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. 249 eligible stays.
10.3% 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. 253 eligible stays.
5.7% 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. 189 eligible stays.
55.6% 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. 133 residents counted.
1.1% 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. 180 residents counted.
0.6% 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. 180 residents counted.
100.0% 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. 87 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.
Legal business name: BERKSHIRE EXTENDED CARE SERVICES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Berkshire Retirement Community Inc | 5% or greater direct ownership interest | Organization | 100% | 05/01/2001 |
| Jones, William | Corporate director | Individual | 12/31/2009 | |
| Gingras, Marcie Jo | Corporate officer | Individual | 12/13/2021 | |
| Berkshire Retirement Community Inc | Operational/managerial control | Organization | 02/01/2022 | |
| Integritus Healthcare Management Services Inc | Operational/managerial control | Organization | 02/01/2022 | |
| Kittler, William | Operational/managerial control | Individual | 02/01/2022 | |
| Jones, William | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/24/2025 | |
| Berkshire Retirement Community Inc | Adp of the SNF | Organization | 03/26/2025 | |
| Integritus Healthcare Management Services Inc | Adp of the SNF | Organization | 02/01/2022 | |
| Consolati, Thomas | Adp of the SNF | Individual | 02/01/2022 | |
| Gingras, Marcie Jo | Adp of the SNF | Individual | 02/01/2022 | |
| Jones, William | Adp of the SNF | Individual | 02/01/2022 | |
| Kittler, William | Adp of the SNF | Individual | 02/01/2022 |
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.
Chosen from this home's own inspection record.