Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 North Adams Commons Nursing & Rehabilitation Cente during CMS and state inspections, most recent first.
The facility failed to offer Pneumococcal vaccinations to four residents upon admission, despite policy requirements and CDC guidelines. These residents, all over 65 and with various health conditions, were not documented as having been offered, received, or declined the vaccination. Interviews with staff revealed a lack of evidence for education or consent, acknowledging that the residents were overdue for their vaccinations.
A facility failed to create a care plan for a resident prescribed Eliquis, an anticoagulant, to address risks and monitoring needs. Despite policies requiring monitoring for bleeding and interactions, no care plan was documented. The resident, with severe cognitive impairment and a history of falls, was on Eliquis following a pulmonary embolism. The Corporate MDS Nurse admitted a care plan should have been developed.
A facility failed to accurately monitor and document a resident's fluid intake, who was on a physician-ordered fluid restriction due to end-stage renal disease and dialysis dependence. The resident's MARs showed discrepancies in fluid intake documentation, with recorded amounts exceeding the prescribed limit and missing data for some shifts. Interviews with the DON and a nurse confirmed the inaccuracies, highlighting a failure in maintaining accurate medical records.
Failure to Offer Pneumococcal Vaccinations to Residents
Penalty
Summary
The facility failed to ensure that its staff offered the Pneumococcal Vaccination to four residents, out of five applicable residents, from a total sample of 19 residents. This deficiency was identified through interviews, record reviews, and policy reviews. The facility's policy, revised in September 2023, mandates that residents be offered immunization against Pneumococcal disease unless medically contraindicated or previously immunized. However, the facility did not adhere to this policy, as evidenced by the lack of documentation showing that the residents were offered, received, or declined the vaccination upon admission or shortly thereafter. Resident #25, admitted in May 2023, had a history of Diabetes, Dementia, and Normal Pressure Hydrocephalus and was over 65 years old. Despite having received previous Pneumococcal vaccinations, there was no evidence of education or an offer of vaccination upon admission. Similarly, Resident #46, admitted in January 2023 with COPD, Diabetes, and Schizophrenia, also over 65, had no documentation of being offered the vaccination. Resident #84, admitted in March 2024 with Cerebral Infarction and Supraventricular Tachycardia, and Resident #55, admitted in October 2023 with Dementia and Hypertension, both lacked evidence of being offered the vaccination upon admission. Interviews with facility staff, including the former Infection Preventionist and the Regional Corporate Nurse, revealed that the residents were overdue for their Pneumococcal vaccinations. The staff could not provide evidence of education or consent for the vaccinations, and the Regional Corporate Nurse acknowledged that the residents should have been offered the vaccination upon admission, in accordance with CDC guidelines, but were not. This oversight put the residents at risk for developing facility-acquired pneumonia.
Failure to Develop Care Plan for Anticoagulant Use
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident who was prescribed Eliquis, an anticoagulant medication, to address the risks, potential side effects, and necessary monitoring associated with its use. The facility's policy on anticoagulant therapy requires monitoring for signs of bleeding and awareness of possible food and drug interactions, as well as changes in liver and kidney function. Despite these requirements, there was no documented evidence of a care plan for the resident's use of Eliquis, which was prescribed following a hospitalization for a fall and a diagnosis of a right-sided pulmonary embolism. The resident, who had severe cognitive impairment and a history of falls, was receiving Eliquis as per physician's orders. However, the care plan meeting form indicated that all nursing concerns were addressed, yet the specific care plan for the anticoagulant medication was missing. During an interview, the Corporate MDS Nurse acknowledged that a care plan should have been developed to address the monitoring and potential side effects of the medication, especially considering the resident's history of falls and the increased risk of bleeding associated with anticoagulant use.
Inaccurate Fluid Intake Documentation for Dialysis Resident
Penalty
Summary
The facility failed to ensure that a resident had a complete and accurate medical record, specifically in monitoring and documenting the resident's total fluid intake during a 24-hour period. The resident, who was admitted with diagnoses including hypertension, end-stage renal disease, and dependence on dialysis, was on a physician-ordered fluid restriction of 1500 cubic centimeters (cc) per day. However, the facility did not accurately document the resident's fluid intake, leading to discrepancies between the recorded shift totals and the 24-hour total fluid intake. The facility's policy on monitoring intake and output required accurate documentation of fluid intake for residents on fluid restrictions, such as those receiving dialysis. Despite this, the resident's medication administration records (MARs) for June and July 2024 showed instances where the documented fluid intake exceeded the prescribed 1500 cc limit. Additionally, there were days when fluid intake amounts were missing for some shifts, and the 24-hour totals did not match the shift totals, indicating a failure in accurate record-keeping. Interviews with the Director of Nursing (DON) and a nurse revealed that the nursing staff was responsible for documenting the total fluids consumed by residents each shift. The night shift nurse was supposed to total the amounts from each shift and document the 24-hour total. However, the DON and the nurse acknowledged that the documentation for the resident did not match the actual fluid intake, which could lead to complications for the resident, who was at increased risk for fluid status changes due to dialysis.
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Illustrative
What surveyors actually found near you
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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 North Adams
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Williamstown Commons Nursing & Rehab | 4.3 mi | ★★★★★ | 10 | 0 |
| Crescent Manor Care Ctrs | 12.3 mi | ★★★★★ | 10 | 0 |
| Bennington Health & Rehab | 12.4 mi | ★★★★★ | 6 | 0 |
| Center For Living & Rehabilitation | 12.7 mi | ★★★★★ | 7 | 0 |
| Vermont Veterans' Home | 13.3 mi | ★★★★★ | 6 | 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.