Center for Extended Care at Amherst
150 University Drive · Amherst, MA · 01002 · 4132568185
134 certified beds For profit - Partnership Chain: Shimon Lefkowitz
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
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Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $28,915 |
Inspection citations (34 in the current record)
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Actual harm · G April 7, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Actual harm · G April 7, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2026 · Quality of Life and Care
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Immediate jeopardy · J June 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 9, 2025 · Quality of Life and Care
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Actual harm · G June 4, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D June 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 4, 2025
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · E June 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · D April 15, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · E April 24, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 24, 2024 · Resident Rights
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Potential for harm · D April 10, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 24, 2024 · Resident Rights
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Potential for harm · D April 10, 2024
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 May 24, 2024 · Resident Rights
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Potential for harm · D April 10, 2024
Ensure each resident receives an accurate assessment.
Corrected May 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 24, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024
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 May 24, 2024 · Pharmacy Service
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Potential for harm · E April 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2024 · Nutrition and Dietary
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Potential for harm · D April 10, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 24, 2024 · Administration
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Potential for harm · D April 10, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 24, 2024 · Administration
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Potential for harm · F April 10, 2024
Provide and implement an infection prevention and control program.
Corrected May 24, 2024 · Infection Control
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No harm found · B April 10, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 13, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 28, 2023 · Infection Control
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Potential for harm · D November 13, 2023
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected November 28, 2023 · Infection Control
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Potential for harm · D March 15, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 27, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 4, 2025 | Fine | $28,915 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225420 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.