Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Berkshire Place during CMS and state inspections, most recent first.
Failure to administer consented flu and pneumococcal vaccines: two residents had documented consent and physician orders for immunizations, but the clinical record showed no evidence the vaccines were offered or given. One resident over age 65 had CKD stage 3 and cerebral infarction and had consent for the annual flu shot after a prior dose the year before; another resident over age 50 had prior PCV13 and consent for PCV20, but no record of receiving the recommended pneumococcal vaccine. The DON and UM confirmed the gap, and the IP said the residents should have been vaccinated shortly after consent was obtained.
Failure to administer COVID-19 vaccine after consent was obtained for a resident with acute respiratory failure with hypoxia and cerebral infarction. The resident had no documented COVID-19 immunization, the RR said the vaccine had not been given before admission and requested it, and the DON and IP stated the vaccine should have been provided shortly after consent because the facility had vaccines available.
A facility failed to maintain professional standards of care for a diabetic resident who experienced hyperglycemia with a blood sugar level of 554 mg/dL. The facility's policy required notifying the MD for levels over 450 mg/dL, but there was no documentation of such notification. A nurse confirmed the lack of evidence of communication or documentation, indicating a failure to adhere to established guidelines for diabetic management.
A facility failed to limit a resident's PRN Ativan to 14 days as required by policy. The resident, diagnosed with Anxiety and Bipolar Disorder, was on hospice care. The physician did not provide a stop date or rationale for extending the medication, contrary to policy. The Nursing Administrative Services Nurse confirmed the oversight.
A facility failed to obtain a physician's order before administering a Pneumococcal 20-Valent Conjugate Vaccine (PCV20) to a resident. The facility's policy requires a standing order from the medical director for vaccine administration, but no such order was documented in the resident's medical record. The Infection Preventionist confirmed the absence of the required order in the electronic medical record (EMR).
Failure to Administer Consented Influenza and Pneumococcal Vaccines
Penalty
Summary
The facility failed to ensure that Influenza and Pneumococcal vaccines were administered after consent had been obtained for two residents. For one resident, who was admitted in January 2026 with diagnoses including CKD stage 3 and cerebral infarction and was over age 65, written consent for the Influenza vaccine was obtained from the resident’s representative, and a physician’s order was in place, but the clinical record did not show that the annual Influenza vaccine was offered or given after consent was obtained. The resident had last received Influenza vaccine in October 2024, and the facility’s policy stated the vaccine should be offered between October 1 and March 31. For another resident, who was admitted in June 2024 with diagnoses including dysphagia and acute kidney failure and was over age 50, the immunization record showed prior receipt of PCV13 in November 2018. CDC guidance reviewed by surveyors indicated that adults 50 years or older who previously received only PCV13 should receive a dose of PCV20 or PCV21 at least one year later. Consent for PCV20 was obtained in June 2024, and a physician’s order for pneumonia vaccine per facility protocol was entered, but the record did not show that the recommended pneumococcal vaccine was offered or administered after consent was obtained. During interviews, the Unit Manager confirmed there was no clear evidence that the vaccines had been given as consented. The DON stated that when consent for Influenza or Pneumococcal vaccines was obtained, the expectation was that the vaccines would be administered immediately, and that Influenza vaccines were available in the facility while Pneumococcal vaccines would be ordered from the pharmacy and then administered once received. The Infection Preventionist stated resident immunizations were tracked by nursing staff and that the two residents should have received the vaccines within a few days after consent was obtained.
Failure to Administer COVID-19 Vaccine After Consent
Penalty
Summary
The facility failed to ensure that COVID-19 immunization was administered after written consent was obtained for one resident. Resident #4, who was admitted in October 2025 with diagnoses including acute respiratory failure with hypoxia and cerebral infarction and who was over age 65, had no evidence of COVID-19 vaccination documented in the immunization record. The resident’s COVID-19 Vaccine Consent Form showed written consent was obtained on 10/21/25, and the clinical record did not show that the vaccine was offered and/or administered after that consent was obtained. The facility policy stated residents were to be offered COVID-19 immunization unless medically contraindicated or already immunized, and that immunization would be offered at admission for residents who had not yet been immunized. The resident’s February 2026 physician orders included permission to receive the COVID-19 vaccine according to facility protocol, initiated 10/21/25. During interviews, the DON stated the resident’s representative reported the resident had not received the vaccine prior to admission and had requested it, and the IP stated the resident should have been provided the COVID-19 vaccine within a few days of consent because the facility had no difficulty obtaining vaccines.
Failure to Notify MD of Hyperglycemia in Diabetic Resident
Penalty
Summary
The facility failed to maintain professional standards of care in the management of diabetes for a resident. The resident, who was admitted with a diagnosis of Type II Diabetes Mellitus, experienced a significant episode of hyperglycemia with a blood sugar level recorded at 554 mg/dL. According to the facility's policy, the medical doctor should have been notified for blood sugar levels exceeding 450 mg/dL. However, there was no documentation in the Medication Administration Record (MAR) or Nursing Progress Notes indicating that the medical doctor was informed of this critical blood sugar level. During an interview, a nurse acknowledged that the medical doctor should have been contacted to determine the appropriate treatment for the resident's high blood sugar level. The nurse also confirmed that there was no evidence of such communication or documentation in the resident's records. This oversight in diabetic management represents a failure to adhere to the facility's established guidelines for nursing care of residents with diabetes, thereby compromising the professional standards of care expected in such situations.
Failure to Limit PRN Psychotropic Medication to 14 Days
Penalty
Summary
The facility failed to adhere to its policy regarding the limitation of PRN psychotropic medications to 14 days unless a physician determines a longer duration is necessary. Specifically, a resident with diagnoses of Anxiety Disorder and Bipolar Disorder was prescribed PRN Ativan for anxiety and agitation. The medication was administered twice in October 2024, but the physician's order did not include a stop date or a review date as required by the facility's policy. The policy mandates that PRN psychotropic medications not exceed 14 days unless the attending physician provides documented rationale and a determined duration for continued use. During a monthly Medication Regimen Review, the consultant pharmacist noted the need for a physician's rationale and duration for the PRN Ativan order. However, the physician disagreed with the recommendation, citing the resident's hospice status and stating that no 14-day re-evaluation was needed. This response did not comply with the facility's policy, as it lacked a determined duration for the medication. The Nursing Administrative Services Nurse confirmed that the physician's order should have included a review or stop date, which was missing in this case.
Failure to Obtain Physician's Order for Pneumococcal Vaccine
Penalty
Summary
The facility failed to obtain a physician's order before administering a Pneumococcal 20-Valent Conjugate Vaccine (PCV20) to a resident. According to the facility's policy, a licensed nurse is required to administer the Pneumococcal Vaccine with a standing order from the medical director per manufacturer's guidelines. However, for the resident in question, there was no documentation of a physician's order in the medical record prior to or at the time of the vaccine administration. During an interview, the Infection Preventionist confirmed the absence of a standing physician's order in the resident's electronic medical record (EMR) for the PCV20 vaccine. This oversight occurred despite the facility's policy requiring such an order to be in place before vaccine administration.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Pittsfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hillcrest Commons Nursing & Rehabilitation Center | 1.6 mi | ★★★★★ | 0 | 0 |
| Mt Greylock Extended Care Facility | 2 mi | ★★★★★ | 0 | 0 |
| Springside Rehabilitation And Skilled Care Center | 2.5 mi | ★★★★★ | 2 | 0 |
| Mount Carmel Care Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Craneville Rehabilitation And Skilled Care Center | 4.6 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.