Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Springside Rehabilitation And Skilled Care Center during CMS and state inspections, most recent first.
Medication Pass Error Rate Exceeded: A nurse improperly administered a resident’s Depakote Sprinkles and Namenda XR by opening the capsules and crushing the contents with other meds before giving them in applesauce. The resident had dementia, mood disorder, and psychotic disturbance, and the nurse later acknowledged the contents should not have been crushed; the corporate nurse said pharmacy advised crushing could shorten the medications’ duration of effect.
Hand hygiene was not performed after glove removal during IV medication administration for a resident with a central venous catheter, MRSA, ESBL resistance, and osteomyelitis. An UM repeatedly changed gloves without cleaning hands while preparing IV supplies, priming tubing, and connecting the IV medication, despite the facility’s hand hygiene policy requiring hand hygiene after removing gloves and before handling an invasive device.
The facility failed to offer a second COVID-19 vaccine dose to three residents over 65, as recommended by the CDC. Despite consent, these residents were not assessed or offered the additional dose. Staff interviews revealed a lack of awareness and education on updated guidelines, with no tracking of vaccination eligibility.
A facility failed to remove expired insulin medications from a medication cart, risking ineffective treatment for a resident with Diabetes Mellitus. The expired Humalog Insulin Kwik Pen and Lantus Insulin vial were observed during a cart inspection, and staff confirmed they should not have been used. Facility policies on medication storage and administration were not followed.
A facility failed to document the physician's rationale for disagreeing with a consultant pharmacist's recommendation to change a resident's Vitamin D3 dosage from daily/weekly to monthly. The resident, with Type 2 Diabetes, received inconsistent doses, and the physician did not provide a written response or rationale in the medical record, as required by facility policies. This was confirmed by the DON during an interview.
A resident received extra doses of Torsemide due to inaccurate transcription of physician's orders. The resident, admitted with NSTEMI, was prescribed Torsemide 20 mg twice daily, but received four doses in one day. The DON confirmed the error was due to the order being entered twice with different times, and the checks and balances system failed to catch this mistake.
A resident with dental issues and a request for services was not provided routine dental care despite consenting to receive it. The resident, admitted with conditions including obstructive and reflux uropathy, had not been seen by a dentist since admission. Interviews revealed the resident was not enrolled in the contracted dental services, and the DON confirmed the resident should have been on the list for dental care but was not.
A facility failed to document urinary output for a resident with a urinary catheter, as required by physician orders. Despite the facility's policy to record output for residents with Foley catheters, the Treatment Administration Record showed missing documentation on several occasions. Interviews with staff confirmed that the monitoring was not completed as ordered, compromising the resident's care.
Medication Pass Error Rate Exceeded
Penalty
Summary
The facility failed to maintain a medication pass error rate of less than five percent during observation, interview, and record review, with an observed error rate of 6.9% for one resident out of four applicable residents and 29 medication pass opportunities. The deficiency involved a resident with diagnoses including dementia, mood disorder, and psychotic disturbance who had active orders for Depakote Sprinkles 125 mg twice daily for mood disorder and Namenda XR 28 mg daily for dementia. During a medication administration observation, a nurse poured the resident’s morning medications into a cup, opened the Depakote Sprinkles and Memantine capsules, placed the contents into a pill crusher pouch with other tablets, crushed the contents, then mixed the crushed medication with applesauce and administered it to the resident. In interview, the nurse stated she believed the medications could be crushed once opened, then later acknowledged that the contents of Depakote Sprinkles and Memantine should not be crushed. The corporate nurse stated the pharmacy advised that crushing the contents could shorten the duration of effect of the medications.
Hand Hygiene Not Performed During IV Medication Administration
Penalty
Summary
The facility failed to adhere to infection control standards to prevent the potential transmission of communicable diseases and infections for one resident with an intravenous access site. The facility policy titled Handwashing/Hand Hygiene stated that hand hygiene should be performed before and after handling an invasive device, including IV access sites, and after removing gloves. The resident involved was admitted in September 2025 with diagnoses including osteomyelitis of the right ankle and foot, MRSA infection, and ESBL resistance, and had an active order for enhanced barrier precautions related to wound infection, a central venous catheter, and MRSA. During a medication administration observation, the Unit Manager performed hand hygiene, donned a gown and gloves, and entered the room to clean and disinfect the resident’s overbed table. After leaving and returning with IV medication supplies, the Unit Manager repeatedly doffed gloves and put on new gloves without performing hand hygiene in between while setting up supplies, preparing the IV medication, priming the tubing, and setting up the IV pump. The Unit Manager later cleaned the central venous catheter, flushed it, hooked up the IV medication tubing, and began the infusion. In interview, the Unit Manager stated that hand hygiene should have been performed after every glove removal before donning new gloves, but it was not.
Failure to Administer Second COVID-19 Vaccine Dose to Eligible Residents
Penalty
Summary
The facility failed to ensure that staff assessed and offered COVID-19 vaccinations as recommended by the CDC for three residents over the age of 65. These residents, identified as #13, #45, and #53, did not receive a second dose of the COVID-19 2023-2024 vaccine formula, which is recommended for individuals in their age group. The facility's policy required offering vaccinations per CDC guidelines, but this was not adhered to in these cases. Resident #13, admitted in June 2023, received their first dose in December 2023 but was not assessed or offered a second dose by June 2024. Similarly, Resident #45, admitted in March 2023, received their first dose in January 2024, and Resident #53, admitted in April 2024, received their first dose in October 2023. Both residents were not assessed or offered a second dose by mid-2024, despite having consented to receive COVID-19 vaccinations. Interviews with facility staff, including the Unit Manager and Director of Nursing, revealed a lack of awareness and education regarding the CDC's updated guidance for administering a second dose to residents over 65. The Unit Manager admitted to not tracking vaccination eligibility, and the Director of Nursing could not provide evidence of staff education on the new guidelines. The Infection Preventionist also indicated uncertainty about tracking residents' need for a second dose, highlighting a systemic issue in the facility's vaccination process.
Expired Insulin Medications Not Removed from Cart
Penalty
Summary
The facility failed to ensure the accuracy and safety of administered routine medications and pharmaceutical services for one resident, specifically regarding the management of insulin medications. The nursing staff did not remove expired insulin medications from the medication cart, which were intended for a resident with Diabetes Mellitus. This oversight increased the risk of administering ineffective medication, potentially leading to high blood sugar levels (hyperglycemia) due to the decreased effectiveness of the expired insulin. During a medication cart inspection, it was observed that the Humalog Insulin Kwik Pen and Lantus Insulin vial for the resident were expired. Interviews with a nurse and the Director of Nursing confirmed that the expired insulin medications should not have been used and should have been discarded. The facility's policies on medication storage and administration were not adhered to, as the expired medications were not removed from the cart, and there was no other insulin available for the resident.
Failure to Document Physician's Rationale for Medication Recommendation Disagreement
Penalty
Summary
The facility failed to ensure that the physician documented the rationale for disagreeing with the consultant pharmacist's recommendation during the monthly medication review for a resident. The consultant pharmacist recommended changing the resident's Vitamin D3 dosage from a daily/weekly dose to a monthly dose. However, the physician did not document any rationale for disagreeing with this recommendation, which is a requirement according to the facility's policies. The resident involved had a diagnosis of Type 2 Diabetes and was admitted to the facility in February 2021. The medication administration records showed inconsistencies in the administration of Vitamin D3, with the resident receiving varying doses daily and weekly. Despite the consultant pharmacist's recommendation to clarify the dose, the physician did not provide a written response or rationale in the medical record, as required by the facility's policies. This lack of documentation was confirmed during an interview with the Director of Nursing, who acknowledged that the rationale should have been documented but was not.
Medication Transcription Error Leads to Overdosing
Penalty
Summary
The facility failed to provide a medication regimen free from unnecessary medications for a resident, resulting in the resident receiving extra doses of Torsemide, a potent loop diuretic. The resident was admitted with a diagnosis of Non-ST elevation Myocardial Infarction (NSTEMI) and had a physician's order for Torsemide 20 mg to be administered twice daily. However, due to inaccurate transcription of the physician's orders, the resident received four doses of Torsemide in one day, instead of the prescribed two doses. The Director of Nursing (DON) acknowledged that the physician's orders were inaccurately transcribed into the electronic medical record (EMR), leading to the resident receiving two extra doses. The process for transcribing orders involved one nurse entering the orders and a second nurse verifying them, but this system failed in this instance. The error was attributed to the order for Torsemide being entered twice with different administration times, which was not caught by the checks and balances in place.
Failure to Provide Routine Dental Services
Penalty
Summary
The facility failed to ensure that routine dental services were provided for a resident who had consented to receive such services. The resident, admitted in May 2023, had diagnoses including obstructive and reflux uropathy and was identified as having obvious or likely cavities or broken natural teeth, putting them at risk for mouth discomfort. Despite signing a request for dental services in May 2023, there was no documented evidence that the resident had been seen by a dentist since admission. Interviews with facility staff revealed that the resident was not seen by the dentist during a visit in January 2024, and the Director of Nursing (DON) confirmed that the resident was not enrolled in the contracted dental services. The DON acknowledged that the resident should have been placed on the list to be seen by the dentist, as identified in an audit in October 2023, but this did not occur, leading to the deficiency in providing necessary dental care.
Failure to Document Urinary Output for Resident with Catheter
Penalty
Summary
The facility failed to maintain complete and accurate documentation of urinary output for a resident with urinary retention, as required by physician orders. The resident, admitted in May 2023, had diagnoses including obstructive and reflux uropathy and was using a urinary catheter due to an inability to void. The facility's policy required that all residents with a Foley catheter have their output recorded for the duration of their therapy. However, the Treatment Administration Record (TAR) for July 2024 showed that urinary output was not documented on six occasions across various shifts. Interviews with facility staff revealed that the urinary output was supposed to be documented once per shift due to the resident's recent urinary retention episode. Nurse #3 acknowledged that if the output was not recorded in the TAR or Nurses notes, it was assumed that the monitoring had not been completed as ordered. The Unit Manager confirmed the absence of documentation for the specified dates, indicating a failure to adhere to physician orders and facility policy, thereby compromising the resident's care.
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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 | 2.2 mi | ★★★★★ | 0 | 0 |
| Berkshire Place | 2.5 mi | ★★★★★ | 2 | 0 |
| Mount Carmel Care Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Mt Greylock Extended Care Facility | 3.9 mi | ★★★★★ | 0 | 0 |
| Kimball Farms Nursing Care Center | 5.3 mi | ★★★★★ | 3 | 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.