The nursing home failed to update each resident’s assessment at least every three months. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: F
Nursing home report
Sixteen Acres Health and Rehabilitation Center LLC
SPRINGFIELD, MA · Medicare-certified · 120 beds
In good standing
For-profitChain member
4 of 5 overall
Sixteen Acres Health and Rehabilitation Center LLC in Springfield, MA has a 4 out of 5 overall rating, with 4-star health inspection and quality measures ratings and a 3-star staffing rating. Reported nurse staffing is 4.08 hours per resident day, just below the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection citations included assessment updates, timely resident assessments, and food temperature/palatability.
Facility ratings
Health inspections
Staffing
4.0754 hrs/resident/day
Quality measures
Last inspection: December 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0754.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.15
- Nurse aides
- 2.57
- Weekend nursing
- 3.71
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.1%Improving
Residents with a fall causing major injury
1.4%Steady
Residents with pressure ulcers (bedsores)
6.2%Improving
Residents with a urinary tract infection
1.1%Improving
Residents who lost too much weight
6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.8%Worsening
Residents whose ability to walk got worse
20.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.5%Steady
Short-stay residents newly given an antipsychotic
1.3%Steady
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
23.2%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
91.8%Steady
Long-stay residents given the pneumonia vaccine
98.1%Steady
Short-stay residents given the seasonal flu vaccine
64.3%Steady
Short-stay residents given the pneumonia vaccine
66.4%Improving
What the inspectors found
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BEAR MOUNTAIN HEALTHCARE · 8 homes · 2.6 stars avg
- Occupancy
- 105.4 residents on an average day (88% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.