Care One at Northampton

Name: Care One at Northampton
Address: 548 ELM STREET, Northampton, MA, 01060, US
Telephone: 4135863150

548 Elm Street, Northampton, MA 01060 · Hampshire County · 125 certified beds · avg 104 residents/day · certified since Feb 1, 1978

Part of chain: CAREONE (37 facilities, chain avg rating 3.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

$39,819

Fines, last 3 years

3.46

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 20, 2025 · F-0580 · triggered by a complaint

The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 19, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Feb 4, 2025 · F-0656 · triggered by a complaint

The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 29, 2025 (Past Non-Compliance)

▲ Actual harm, one-off · Feb 4, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 29, 2025 (Past Non-Compliance)

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 19, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 19, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 19, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 19, 2025	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Feb 20, 2025	▲ G · Actual harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Feb 20, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 4, 2025	▲ G · Actual harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 4, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 4, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 3, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 3, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 3, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 3, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 30, 2023	F · Potential for harm, facility-wide	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
May 30, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
May 30, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 30, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 30, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 30, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 30, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 30, 2023	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	F
2024	4	0	E
2025	9	3	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $39,819.

Date	Type	Amount / length
Feb 20, 2025	Fine	$31,031
Feb 4, 2025	Fine	$8,788

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.46	3.89	3.95	bottom 31% in Massachusetts; bottom 35% in the U.S.
Registered Nurse hours	0.50	0.65	0.69	bottom 32% in Massachusetts; bottom 38% in the U.S.
Weekend total nurse staffing	3.01	3.51	3.50	bottom 23% in Massachusetts; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.29	0.46	0.48	bottom 25% in Massachusetts; bottom 30% in the U.S.
Total nursing staff turnover (%)	50.0	38.2	45.8	bottom 18% in Massachusetts; bottom 38% in the U.S.
RN turnover (%)	40.0	42.6	42.9	top 46% in Massachusetts; top 46% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.58, RN 0.52, weekend 3.12. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Care Realty, LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/30/2002
Des-I 2016 Grat	Organization	5% or Greater Indirect Ownership Interest	—	12/01/2021
Straus, Daniel	Individual	5% or Greater Indirect Ownership Interest	—	07/01/2003
Thci of Massachusetts, LLC	Organization	5% or Greater Direct Ownership Interest	—	07/01/2003
Baruch, David	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2021
Baruch, David	Individual	Corporate Officer	NOT APPLICABLE	12/01/2021
Healthbridge Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2003

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Linda Manor Extended Care Facility	2.9 mi	Leeds, MA	★★★☆☆	3/5
Hadley Pointe Nursing Rehab & Care	6.0 mi	Hadley, MA	★☆☆☆☆	1/5	SFF
Center for Extended Care at Amherst	7.0 mi	Amherst, MA	★☆☆☆☆	1/5
Care One at Holyoke	7.0 mi	Holyoke, MA	★★★★★	5/5
South Hadley Rehabilitation and Nursing Center	8.2 mi	South Hadley, MA	★★☆☆☆	2/5
Day Brook Village Senior Living	8.2 mi	Holyoke, MA	★★☆☆☆	2/5
Regalcare at Holyoke	8.5 mi	Holyoke, MA	★☆☆☆☆	2/5
Renaissance Manor on Cabot	8.6 mi	Holyoke, MA	★★★★★	4/5
Massachusetts Veterans Home at Holyoke	8.9 mi	Holyoke, MA		—/5
Mission Care at Holyoke	10.5 mi	Holyoke, MA	★☆☆☆☆	1/5	abuse
Mont Marie Rehabilitation & Healthcare Center	10.8 mi	Holyoke, MA	★★★★☆	3/5
Mary's Meadow at Providence Place	11.5 mi	Holyoke, MA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Northampton →

Facility data as of CMS processing date 2026-08-01. CCN 225257.

The Care File

Visit checklist — Care One at Northampton

548 Elm Street, Northampton, MA 01060 · 4135863150

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $39,819

Most serious findings on record:

▲ Feb 20, 2025 (F-0580, Actual harm, one-off): The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
▲ Feb 4, 2025 (F-0656, Actual harm, one-off): The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
▲ Feb 4, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225257 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)