Berkshire Rehabilitation & Skilled Care Center

7 Sandisfield Road Box 216 · Sandisfield, MA · 01255 · 8027829136

57 certified beds For profit - Limited Liability company Chain: Athena Healthcare Systems

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 48
Staffing 20% 56
Federal penalties 15% 69
Trend 10% 41
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.103.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.68≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)1 · $29,440

Inspection citations (25 in the current record)

  • Potential for harm · D February 4, 2026

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected March 10, 2026 · Resident Rights

  • Potential for harm · D February 4, 2026

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected March 10, 2026 · Resident Rights

  • Potential for harm · D February 4, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected March 10, 2026 · Resident Rights

  • Potential for harm · D February 4, 2026

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected March 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 4, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F February 4, 2026

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 10, 2026 · Nursing and Physician Services

  • Potential for harm · D February 4, 2026

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected March 10, 2026 · Quality of Life and Care

  • Potential for harm · E February 4, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 10, 2026 · Nutrition and Dietary

  • Potential for harm · D February 4, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 10, 2026 · Infection Control

  • Actual harm · G October 16, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G May 20, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 20, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 20, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 7, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 7, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 15, 2024 · Quality of Life and Care

  • Potential for harm · D October 7, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 15, 2024 · Quality of Life and Care

  • Potential for harm · D October 7, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected November 15, 2024 · Quality of Life and Care

  • No harm found · B October 7, 2024

    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.

    Corrected November 15, 2024 · Resident Rights

  • Potential for harm · D September 28, 2023

    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.

    Corrected November 2, 2023 · Resident Rights

  • Potential for harm · D September 28, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected November 2, 2023 · Pharmacy Service

  • Potential for harm · D September 28, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 2, 2023 · Pharmacy Service

  • Potential for harm · D September 28, 2023

    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.

    Corrected November 2, 2023 · Pharmacy Service

  • Potential for harm · F September 28, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 2, 2023 · Nutrition and Dietary

  • Potential for harm · E September 28, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F September 28, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 2, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
October 16, 2025Fine$29,440

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225771 · certified since October 1, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.