Home / Massachusetts / Great Barrington
Timberlyn Heights Nursing and Rehabilitation
320 Maple Avenue, Great Barrington, MA 01230 · Berkshire County · (413) 528-2650
71 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225495 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 24, 2025, inspectors cited 0 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 6 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.10 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
30.2% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
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.
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 6 health citations on file.
November 24, 2025Standard inspection · 0 citations
September 11, 2024Standard inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one Resident (#62) out of a total sample of 17 residents was provided assistance with personal hygiene. Specifically, the facility failed to ensure Resident #62 was offered and/or provided with grooming assistance when the Resident required the assistance of staff for grooming activities.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on interview, record and policy review, the facility failed to ensure ordered lab work was obtained and reviewed timely for one Resident (#65), out of 5 applicable residents reviewed for unnecessary medications, out of a total sample of 17 residents. Specifically, the facility failed to obtain lab work ordered by the Physician for Resident #65, so that lab results would be available for timely review and any needed intervention.
September 15, 2023Complaint inspection · 4 citations
- G Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1), whose Advanced Directives and Physician's Orders indicated his/her elected code status was Do Not Resuscitate (DNR, medical order written by a physician, which instructs healthcare providers not to do cardiopulmonary resuscitation, in the event of cardiac or respiratory arrest) and Do Not Intubate (DNI, medical order written by a physician, which instructs healthcare providers not to place a tube down the patient's throat or connect to a breathing machine that pumps air into and out of lungs), the Facility failed to ensure nursing staff honored his/her right to self-determination related to his/her choice of Advanced Directives. On 03/19/23, at approximately 12:30 P.M., Resident #1 who had been eating lunch, was found to have a blue face and lips and thought to be choking by staff. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on records reviewed and interviews for one of three sampled residents (Resident #1) whose Comprehensive Person Centered Plan of Care indicated he/she was Do Not Resuscitate (DNR, medical order written by a physician, which instructs healthcare providers not to do cardiopulmonary resuscitation, in the event of cardiac or respiratory arrest) and Do Not Intubate (DNI, medical order written by a physician, which instructs healthcare providers not to place a tube down the patient's throat or connect to a breathing machine that pumps air into and out of lungs) and that staff were to honor his/her wishes, the Facility failed to ensure nursing implemented and followed interventions identified in Resident #1's plan of care related to his/her Advanced Directives. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Advanced Directives and Physician's Order indicated his/her elected code status was Do Not Resuscitate (DNR, medical order written by a physician, which instructs healthcare providers not to do cardiopulmonary resuscitation (CPR), in the event of cardiac or respiratory arrest) and Do Not Intubate (DNI, medical order written by a physician, which instructs healthcare providers not to place a tube down the patient's throat or connect to a breathing machine that pumps air into and out of lungs), the Facility failed to ensure services provided by nursing met professional standards of practice, when nursing initiated life saving measures including performing chest compressions on a resident who was a DNR/DNI. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents, (Resident #1), whose Health Care Agent (HCA) upon admission, provided the facility with a copy of his/her New York MOLST (medical order for life-sustaining treatment) which indicated, along with his/her facility Physician's Orders that he/she was a Do Not Resuscitate (DNR) and a Do Not Intubate (DNI), the Facility failed to ensure they maintained a complete and accurate medical record, when on 3/19/23 after Resident #1 became unresponsive and assessed by nursing to be without a pulse or respirations, nursing was unable find a completed MOLST in his/her medical record and initiated life saving measures which included the administration of chest compression for cardiopulmonary resuscitation. [...]
June 15, 2023Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 1 on November 24, 2025, 1 on September 11, 2024, 1 on June 15, 2023.
Every fire safety citation3 citations
- F Have correct number of accessible exits for each story.
- F Have correct number of accessible exits for each story.
- F Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.10 | 3.86 | 3.86 |
| Registered nurses | 0.84 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.62 | 3.48 | 3.42 |
| Nurse aides | 1.80 | ||
| Licensed practical nurses | 0.45 | ||
| Nursing staff turnover (share who left in a year) | 30.2% | 38.2% | 45.8% |
| Registered nurse turnover | 9.1% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.97 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 3.29 on weekdays and 2.62 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.10 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 | 3.10 | 0.84 | 3.29 | 2.62 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.48 | 0.88 | 3.70 | 2.92 | 0.0% | 0 of 92 | 62 |
| Jul to Sep 2025 | 3.31 | 0.80 | 3.50 | 2.85 | 0.0% | 0 of 92 | 64 |
| Apr to Jun 2025 | 3.54 | 0.85 | 3.82 | 2.84 | 0.0% | 0 of 91 | 65 |
| 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.
Quality measures
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 | 7.9 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.0 | 3.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.8 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 53.5 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.2 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.5 | 1.8 |
Owners and operators
Legal business name: BEAR MOUNTAIN 320 OPERATING LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bear Mountain 320 Operating LLC | 5% or greater direct ownership interest | Organization | 09/01/2017 | |
| Bear Mountain Healthcare LLC | 5% or greater direct ownership interest | Organization | 09/01/2017 | |
| Duncan, Christopher | 5% or greater direct ownership interest | Individual | 09/01/2017 | |
| Doyle, Thomas | 5% or greater indirect ownership interest | Individual | 30% | 09/01/2017 |
| Wynne, John | 5% or greater indirect ownership interest | Individual | 30% | 09/01/2017 |
| Ziskin, Scott | 5% or greater indirect ownership interest | Individual | 30% | 09/01/2017 |
| Duncan, Christopher | W-2 managing employee | Individual | 09/01/2017 | |
| Doyle, Thomas | Corporate officer | Individual | 09/01/2017 | |
| Wynne, John | Corporate officer | Individual | 09/01/2017 | |
| Ziskin, Scott | Corporate officer | Individual | 09/01/2017 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 15, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 15, 2023: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.62 hours per resident per day, below the Massachusetts average of 3.48.
Other nursing homes nearby
- Fairview Commons Nursing & Rehabilitation Center Great Barrington, 2.3 mi · 1 of 5 stars · 36 citations
- Lee Healthcare Lee, 11.6 mi · 1 of 5 stars · 35 citations
- Geer Nursing and Rehabilitation Canaan, 11.9 mi · 5 of 5 stars · 18 citations
- Kimball Farms Nursing Care Center Lenox, 13.1 mi · 4 of 5 stars · 9 citations
- Berkshire Rehabilitation & Skilled Care Center Sandisfield, 13.1 mi · 2 of 5 stars · 28 citations
- Noble Horizons Salisbury, 13.4 mi · 2 of 5 stars · 51 citations
- Pine Haven Home Philmont, 14.7 mi · 5 of 5 stars · 13 citations
- Mount Carmel Care Center Lenox, 15.8 mi · 3 of 5 stars · 22 citations
Common questions
- What is Timberlyn Heights Nursing and Rehabilitation's Medicare star rating?
- CMS rates Timberlyn Heights Nursing and Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Timberlyn Heights Nursing and Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on November 24, 2025. The Massachusetts average is 6.8.
- Has Timberlyn Heights Nursing and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Timberlyn Heights Nursing and Rehabilitation 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 Timberlyn Heights Nursing and Rehabilitation?
- CMS lists 10 owners and managers. Legal business name: BEAR MOUNTAIN 320 OPERATING LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.