01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-09 | 8 | 2025-12-09 | 2 |
| Cycle 2 | 2024-08-22 | 5 | 2024-08-22 | 4 |
| Cycle 3 | 2023-05-04 | 15 | 2023-05-04 | 1 |
CMS CCN 2253922026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Sixteen Acres Health And Rehabilitation Center Llc
215 Bicentennial Highway · Springfield, MA 01118 · Hampden County
Certified beds120CMS provider file
Recent citation rows35current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
35 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-09 · HEALTHF0644Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: No revisit needed · 2026-01-202025-12-09 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-01-202025-12-09 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-01-202025-12-09 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-01-202025-12-09 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-01-202025-12-09 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-202025-12-09 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-202025-12-09 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-202025-12-09 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-12-222025-12-09 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-12-222024-08-22 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-10-052024-08-22 · HEALTHF0622Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Correction field: Deficient, Provider has date of correction · 2024-10-052024-08-22 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-10-052024-08-22 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-10-052024-08-22 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-052024-08-22 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-08-22 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-08-22 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-08-22 · FIREK0711Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2024-10-022023-05-04 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-04 · HEALTHF0625Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-04 · HEALTHF0636Severity F · widespread; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-04 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-04 · HEALTHF0638Severity F · widespread; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2023-07-0703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AREM, CHERYLIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST25% · since 12/29/2025
- BROWN, YOSSIIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST25% · since 12/29/2025
- HERSKOVITZ, MIRIAMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST25% · since 12/29/2025
- YUROWITZ, SAMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST25% · since 12/29/2025
- BROWN, YOSSIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/29/2025
- JOHNSON, JERIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/29/2025
- YUROWITZ, SAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/29/2025
- BROWN, YOSSIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/29/2025
- YUROWITZ, SAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/29/2025
- BROWN, YOSSIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/29/2025
- YUROWITZ, SAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/29/2025
- INNOVATIONS HEALTHCARE, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2025
- BROWN, YOSSIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2025
- BUTT, JENNIFERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2025
- COUGHLIN, LEANNEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2025
- GREEN, MORRISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2025
- JOHNSON, JERIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2025
- KAZI, FAHIMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/29/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.72per resident day
RN hours0.33per resident day
Weekend nurse hours3.47per resident day
Staff turnover43.1%CMS reported field
06 / LOCAL RECORDS
Open the Springfield ledger →