Center for Extended Care at Amherst
150 University Drive, Amherst, MA 01002 · Hampshire County · 134 certified beds · avg 126 residents/day · certified since Jul 1, 1990
Part of chain: SHIMON LEFKOWITZ (5 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, one-off · Jun 10, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 9, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Jun 10, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 9, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Apr 7, 2026 · 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: Mar 20, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · Apr 7, 2026 · 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: Mar 20, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · Jun 4, 2025 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Jul 3, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (34)
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 |
|---|---|---|
| Apr 7, 2026 | ▲ 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 |
| Apr 7, 2026 | ▲ 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 |
| Jun 10, 2025 | ▲ J · Immediate jeopardy, 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 |
| Jun 10, 2025 | ▲ J · Immediate jeopardy, 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 |
| Jun 4, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 4, 2025 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jun 4, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 4, 2025 | 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. |
| Apr 15, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Apr 24, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Apr 10, 2024 | F · Potential for harm, facility-wide | 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. |
| Apr 10, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 10, 2024 | D · Potential for 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. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 10, 2024 | 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. |
| Apr 10, 2024 | 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. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Apr 10, 2024 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Apr 10, 2024 | B · Minimal risk, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 13, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 13, 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. |
| Mar 15, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 15, 2023 | F · Potential for harm, facility-wide | 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. |
| Mar 15, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 15, 2023 | D · Potential for harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. |
| Mar 15, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 15, 2023 | 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. |
| Mar 15, 2023 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Mar 15, 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. |
| Mar 15, 2023 | C · Minimal risk, facility-wide | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 15, 2023 | B · Minimal risk, repeated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 0 | F |
| 2024 | 13 | 0 | F |
| 2025 | 7 | 3 | J ▲ |
| 2026 | 2 | 2 | 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)
1 fine totaling $28,915.
| Date | Type | Amount / length |
|---|---|---|
| Jun 4, 2025 | Fine | $28,915 |
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) | 3.67 | 3.89 | 3.95 | bottom 44% in Massachusetts; bottom 45% in the U.S. |
| Registered Nurse hours | 0.28 | 0.65 | 0.69 | bottom 4% in Massachusetts; bottom 8% in the U.S. |
| Weekend total nurse staffing | 3.57 | 3.51 | 3.50 | top 37% in Massachusetts; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.46 | 0.48 | bottom 11% in Massachusetts; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 39.3 | 38.2 | 45.8 | bottom 44% in Massachusetts; top 35% in the U.S. |
| RN turnover (%) | 66.7 | 42.6 | 42.9 | bottom 12% in Massachusetts; bottom 15% 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 3.34, RN 0.25, weekend 3.24. 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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lefkowitz, Shimon | Individual | 5% or Greater Direct Ownership Interest | 25% | 11/03/2015 |
| Loffler, Abraham | Individual | 5% or Greater Direct Ownership Interest | 8% | 11/03/2015 |
| Loffler, Israel | Individual | 5% or Greater Direct Ownership Interest | 8% | 11/03/2015 |
| Loffler, Solomon | Individual | 5% or Greater Direct Ownership Interest | 8% | 11/03/2015 |
| Shimon, Miriam | Individual | 5% or Greater Direct Ownership Interest | 18% | 11/03/2015 |
| Simha, David | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/03/2015 |
| Amherst LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/15/2014 |
| Lefkowitz, Shimon | Individual | Corporate Director | NOT APPLICABLE | 11/03/2015 |
| Lefkowitz, Shimon | Individual | ADP of the SNF | NOT APPLICABLE | 11/03/2015 |
| Loffler, Abraham | Individual | Corporate Director | NOT APPLICABLE | 11/03/2015 |
| Loffler, Abraham | Individual | Corporate Officer | NOT APPLICABLE | 11/03/2015 |
| Loffler, Abraham | Individual | ADP of the SNF | NOT APPLICABLE | 11/03/2015 |
| Mavado Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/15/2015 |
| Mavado Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Mintz, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2013 |
| Mintz, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Rackliffe, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2013 |
| Rackliffe, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Shimon, Miriam | Individual | Corporate Director | NOT APPLICABLE | 11/03/2015 |
| Simha, David | Individual | Corporate Director | NOT APPLICABLE | 11/03/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "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 |
|---|---|---|---|---|---|
| Hadley Pointe Nursing Rehab & Care | 1.0 mi | Hadley, MA | ★☆☆☆☆ | 1/5 | SFF |
| Care One at Northampton | 6.9 mi | Northampton, MA | ★★★★☆ | 3/5 | |
| Linda Manor Extended Care Facility | 8.2 mi | Leeds, MA | ★★★☆☆ | 3/5 | |
| South Hadley Rehabilitation and Nursing Center | 10.4 mi | South Hadley, MA | ★★☆☆☆ | 2/5 | |
| Care One at Holyoke | 11.5 mi | Holyoke, MA | ★★★★★ | 5/5 | |
| Regalcare at Holyoke | 12.1 mi | Holyoke, MA | ★☆☆☆☆ | 2/5 | |
| Renaissance Manor on Cabot | 12.1 mi | Holyoke, MA | ★★★★★ | 4/5 | |
| Day Brook Village Senior Living | 12.4 mi | Holyoke, MA | ★★☆☆☆ | 2/5 | |
| Massachusetts Veterans Home at Holyoke | 12.9 mi | Holyoke, MA | —/5 | ||
| Chicopee Rehabilitation and Nursing | 14.0 mi | Chicopee, MA | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225420.