Sixteen Acres Health and Rehabilitation Center LLCCMS ratings, inspections and fines
- Address
- 215 Bicentennial Highway, Springfield, MA 01118
- CCN
- 225392
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Vantage Care
- Residents per day
- 105
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Sixteen Acres Health and Rehabilitation Center LLC an overall rating of 4 of 5 stars. The last standard survey was on 9 Dec 2025. The latest survey cycle has 8 health citations. The median for nursing homes in Massachusetts is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Hampden County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 26 homes in the county, 341 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 9 Dec 2025 | 8 | 6 |
| Cycle 2 | 22 Aug 2024 | 5 | 8 |
| Cycle 3 | No date | 15 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B | Standard survey | 20 Jan 2026 |
| 9 Dec 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 20 Jan 2026 |
| 9 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Jan 2026 |
| 9 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Jan 2026 |
| 9 Dec 2025 | F0761 | 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. | D | Standard survey | 20 Jan 2026 |
| 9 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Jan 2026 |
| 9 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Jan 2026 |
| 9 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Jan 2026 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Aug 2024 | F0584 | 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. | D | Standard survey | 5 Oct 2024 |
| 22 Aug 2024 | F0622 | 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. | D | Standard survey | 5 Oct 2024 |
| 22 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 5 Oct 2024 |
| 22 Aug 2024 | F0700 | 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. | D | Standard survey | 5 Oct 2024 |
| 22 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 5 Oct 2024 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 May 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0625 | 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. | E | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | F | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | F | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 7 Jul 2023 |
| 4 May 2023 | F0926 | Have policies on smoking. | D | Standard survey | 7 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.72 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.33 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 1.14 | 0.95 | |
| Nurse aides | 2.26 | 2.26 | |
| All nurse staff, weekends | 3.47 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 43.1%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 28.6%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.4% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.9% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.9% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.4% | 19.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Sixteen Acres Health and Rehabilitation Center LLC
- Chain
- Vantage Care (10 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Innovations Healthcare, LLC | Operational/managerial control | 29 Dec 2025 | |
| Innovations Healthcare, LLC | Adp of the snf | 30 Jan 2026 |
The site shows organisations only. It does not show the names of persons.
Other homes in Hampden County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Loomis Lakeside at Reeds Landing | Springfield | 5 of 5 | 0 | $0 | 12 Jan 2026 | |
| Chestnut Hill Health and Rehabilitation Center LLC | East Longmeadow | 3 of 5 | 8 | $0 | 20 May 2025 | |
| East Longmeadow Skilled Nursing Center | East Longmeadow | 4 of 5 | 8 | $0 | 22 Jul 2025 | |
| Julian J Levitt Family Nursing Home | Longmeadow | 4 of 5 | 7 | $11,468 | 7 May 2025 | |
| Care One at Redstone | East Longmeadow | 2 of 5 | 9 | $16,720 | 20 Aug 2025 | |
| Vantage at Hampden LLC | Hampden | 3 of 5 | 2 | $16,801 | 7 Feb 2025 | |
| Life Care Center of Wilbraham | Wilbraham | 4 of 5 | 14 | $0 | 12 Mar 2025 | |
| Chicopee Rehabilitation and Nursing | Chicopee | 3 of 5 | 9 | $7,901 | 18 Feb 2025 | |
| Agawam East Rehab and Nursing | Agawam | 5 of 5 | 3 | $0 | 18 Mar 2026 | |
| Agawam North Rehab and Nursing | Agawam | 1 of 5 | 16 | $86,130 | 9 Apr 2025 | |
| Agawam South Rehab and Nursing | Agawam | 4 of 5 | 6 | $0 | 10 Mar 2026 | |
| Agawam West Rehab and Nursing | Agawam | 2 of 5 | 4 | $0 | 15 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Sixteen Acres Health and Rehabilitation Center LLC (CCN 225392). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/sixteen-acres-health-and-rehabilitation-center-llc-springfield-ma-225392/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Sixteen Acres Health and Rehabilitation Center LLC last inspected?
- The latest inspection with a citation in the CMS record was on 9 Dec 2025. It was a standard survey. It gave 8 citations. The standard survey before the last one was on 22 Aug 2024.
- Who operates Sixteen Acres Health and Rehabilitation Center LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Vantage Care. The CMS ownership file names Innovations Healthcare, LLC for operational or managerial control. This site does not show the names of persons.
- Is Sixteen Acres Health and Rehabilitation Center LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.