Overview

Address
65 COOPER STREET, AGAWAM, MA 01001
Phone
4137868000
Certified beds
122
Avg daily residents
85 (69% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1969-03-04
Setting
Urban
4 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.89 4.14 3.63 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.79 0.72 0.74 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.77 0.92 0.71
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.33 2.50 2.18
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.56
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.06

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.46
hrs / resident / day
RN (weekend)
0.62
hrs / resident / day
Total nurse (adjusted, weekend)
3.23
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
43.2%
annual
RN turnover
40.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.47
higher acuity than avg
Case-Mix Index Ratio
1.06
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-11-26 14 12 2 64 1 64
Cycle 2/3 (prior) 2023-10-10 8 8 0 44 1 44
Total weighted health score
59.0
lower is better

Deficiencies (35)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

35 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0692 Provide enough food/fluids to maintain a resident's health. D 2025-04-23 2025-05-16
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-04-23 2025-05-16
0584 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 2024-11-26 2024-12-16
0646 Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. D 2024-11-26 2024-12-16
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-11-26 2024-12-16
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-11-26 2024-12-16
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-11-26 2024-12-16
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-11-26 2024-12-16
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-11-26 2024-12-16
0759 Ensure medication error rates are not 5 percent or greater. D 2024-11-26 2024-12-16
0760 Ensure that residents are free from significant medication errors. E 2024-11-26 2024-12-16
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2024-11-26 2024-12-16
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. D 2024-11-26 2024-12-16
0880 Provide and implement an infection prevention and control program. E 2024-11-26 2024-12-16
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. D 2023-10-10 2023-11-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-10-10 2023-11-24
0691 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. D 2023-10-10 2023-11-24
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-10-10 2023-11-24
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-10-10 2023-11-24
0758 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. D 2023-10-10 2023-11-24
0790 Provide routine and 24-hour emergency dental care for each resident. D 2023-10-10 2023-11-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-10-10 2023-11-24
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2022-04-14 2022-06-17
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2022-04-14 2022-06-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-04-14 2022-06-17
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2022-04-14 2022-06-17
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2022-04-14 2022-06-17
0685 Assist a resident in gaining access to vision and hearing services. D 2022-04-14 2022-06-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2022-04-14 2022-06-17
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-04-14 2022-06-17
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2022-04-14 2022-06-17
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2022-04-14 2022-06-17
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2022-04-14 2022-06-17
0880 Provide and implement an infection prevention and control program. E 2022-04-14 2022-06-17
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2022-04-14 2022-06-17

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.2% Medicaid 54.9% Other 36.0%

Operating performance

Operating Margin
-7.9%
Total Margin
-6.0%
Occupancy Rate
73.4%
Cost per Resident Day
$48

Revenue & costs

Net Patient Revenue
$8.9M
Total Costs
$1.2M
Net Income
-$550K

Balance sheet

Total Assets
-$6.3M
Total Liabilities
-$5.7M
Fund Balance
-$550K
Current Ratio
0.81

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: STERN CONSULTANTS

Chain ID
661
Facilities in chain
22
Legal business name
AGAWAM SOUTH REHAB AND NURSING LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.5
Staffing
2.1
QM
3.7

Owner / manager organizations (9)

Organization Role Association
ETN FAMILY HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
TLCO HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
COM FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
E NEWHOUSE FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
T NEWHOUSE FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
TLM FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/16/2023
ETN FAMILY HOLDINGS LLC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
STERN THERAPY CONSULTANTS LLC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
TLCO HOLDINGS LLC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023

Owner / manager individuals (14)

Name Role Association
ERBLICH, AVRAHAM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
FRIEDMAN, SHANA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
SHEPS, BORUCH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
STERN, BEZALEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/16/2023
ASHKAR, RAMI OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
BEATTY, BRITTANY OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
ERBLICH, AVRAHAM OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
FRIEDMAN, BENJAMIN OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
MILLMAN, CHAIM OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
NEWHOUSE, ERIC OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
PLEW, ANDREA OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
SHEPS, BORUCH OPERATIONAL/MANAGERIAL CONTROL since 10/16/2023
SUBIRA, MARTA OPERATIONAL/MANAGERIAL CONTROL since 04/22/2024
MILLMAN, CHAIM CORPORATE OFFICER since 10/16/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $48 metrics.cost_per_resident_day
Cost Report Current Ratio 0.81 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 54.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.2% metrics.medicare_day_share
Cost Report Net Income ($) $-549,575 metrics.net_income
Cost Report Net Patient Revenue ($) $8,942,049 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 73.4% metrics.occupancy_rate
Cost Report Operating Margin (%) -7.9% metrics.operating_margin
Cost Report Total Assets ($) $-6,278,584 metrics.total_assets
Cost Report Total Costs ($) $1,235,876 metrics.total_costs
Cost Report Total Fund Balances ($) $-549,575 metrics.fund_balance
Cost Report Total Liabilities ($) $-5,729,009 metrics.total_liabilities
Cost Report Total Margin (%) -6.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.71385 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.17687 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.74037 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.63109 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.22628 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 84.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.91876 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.49697 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.72418 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.13991 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.64889 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 661 Chain ID
Provider Information Chain Name STERN CONSULTANTS Chain Name
Provider Information City/Town AGAWAM City/Town
Provider Information CMS Certification Number (CCN) 225176 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Hampden County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1969-03-04 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 42.082 Latitude
Provider Information Legal Business Name AGAWAM SOUTH REHAB AND NURSING LLC Legal Business Name
Provider Information Location 65 COOPER STREET,AGAWAM,MA,01001 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -72.619 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 122 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 22 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.46658 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.06456 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 65 COOPER STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name AGAWAM SOUTH REHAB AND NURSING Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 070 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 12 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-11-26 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 8 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-10-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 44 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 44 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 8 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.61678 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 40.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.55930 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.76543 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.33417 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06362 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.79386 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.89346 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 4137868000 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.45940 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 43.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 59.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 01001 ZIP Code