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
Nursing home report
Sixteen Acres Healthcare Center
Registered name: Sixteen Acres Health and Rehabilitation Center LLC
SPRINGFIELD, MA · Medicare-certified · 120 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Sixteen Acres Healthcare Center in Springfield, MA has an overall rating of 4 out of 5 stars. Its health inspection rating is 4 stars, staffing and quality measures are 3 stars each, reported nurse staffing is below the federal benchmark (3.72 vs. 4.1 hours per resident per day), and it had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7237 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 3.7237.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 1.14
- Nurse aides
- 2.26
- Weekend nursing
- 3.47
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.6%7.6%Worsening
Residents with a fall causing major injury
0%3.3%Worsening
Residents with pressure ulcers (bedsores)
6.9%8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.3%11.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.7%21.1%Worsening
Residents whose ability to walk got worse
16.3%22.6%Worsening
Long-stay residents on antianxiety or sleep medication
15.6%16.2%Worsening
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
28.3%17.6%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.8%—
Long-stay residents given the pneumonia vaccine
97.8%95.6%Worsening
Short-stay residents given the seasonal flu vaccine
—64.3%—
Short-stay residents given the pneumonia vaccine
76.2%61.4%Worsening
What the inspectors found
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
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 · 6 homes · 2.7 stars avg
- Occupancy
- 104.9 residents on an average day (87% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.