Lee Healthcare
620 Laurel Street, Lee, MA 01238 · Berkshire County · 88 certified beds · avg 69 residents/day · certified since Jun 8, 1999
Part of chain: NEXT STEP HEALTHCARE (14 facilities, chain avg rating 1.7★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.28
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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)
▲ Actual harm, one-off · Sep 10, 2025 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Oct 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 |
|---|---|---|
| Jan 13, 2026 | 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 |
| Nov 19, 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 |
| Sep 10, 2025 | ▲ G · Actual 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. |
| Sep 10, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Sep 10, 2025 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Sep 10, 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. |
| Sep 10, 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. |
| Sep 10, 2025 | 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. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 10, 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. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Sep 10, 2025 | 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. |
| Sep 10, 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. |
| Sep 10, 2025 | 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. |
| Jul 25, 2024 | 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. |
| Jul 25, 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. |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jul 25, 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. |
| Jul 25, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jul 25, 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. |
| Jul 25, 2024 | B · Minimal risk, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jul 25, 2024 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 9, 2023 | E · Potential for harm, repeated | 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. |
| May 9, 2023 | 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. |
| May 9, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| May 9, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 9, 2023 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| May 9, 2023 | 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. |
| May 9, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 9, 2023 | C · Minimal risk, facility-wide | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (9 → 15).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | E |
| 2024 | 9 | 0 | F |
| 2025 | 16 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
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) | 3.28 | 3.89 | 3.95 | bottom 18% in Massachusetts; bottom 25% in the U.S. |
| Registered Nurse hours | 0.62 | 0.65 | 0.69 | top 45% in Massachusetts; top 46% in the U.S. |
| Weekend total nurse staffing | 2.99 | 3.51 | 3.50 | bottom 21% in Massachusetts; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.46 | 0.48 | top 19% in Massachusetts; top 23% in the U.S. |
| Total nursing staff turnover (%) | 62.3 | 38.2 | 45.8 | bottom 4% in Massachusetts; bottom 13% in the U.S. |
| RN turnover (%) | 50.0 | 42.6 | 42.9 | bottom 37% in Massachusetts; bottom 39% 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 3.18, RN 0.60, weekend 2.90. 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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dell'anno, Damian | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2017 |
| Next Step Ma Master Subtenant, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2017 |
| Stephan, William | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2017 |
| Dell'anno, Damian | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Mintz, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/02/2021 |
| Mintz, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 09/02/2021 |
| Next Step Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2017 |
| Next Step Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/10/2025 |
| Thimot, Frantz | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/03/2019 |
| Thimot, Frantz | Individual | ADP of the SNF | NOT APPLICABLE | 12/03/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "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 |
|---|---|---|---|---|---|
| Kimball Farms Nursing Care Center | 2.7 mi | Lenox, MA | ★★★★☆ | 4/5 | |
| Mount Carmel Care Center | 4.9 mi | Lenox, MA | ★★★☆☆ | 3/5 | |
| Springside Rehabilitation and Skilled Care Center | 7.9 mi | Pittsfield, MA | ★★★★☆ | 4/5 | |
| Berkshire Place | 8.0 mi | Pittsfield, MA | ★★★★☆ | 4/5 | |
| Hillcrest Commons Nursing & Rehabilitation Center | 9.2 mi | Pittsfield, MA | ★☆☆☆☆ | 1/5 | |
| Fairview Commons Nursing & Rehabilitation Center | 9.4 mi | Great Barrington, MA | ★☆☆☆☆ | 1/5 | |
| Mt Greylock Extended Care Facility | 9.9 mi | Pittsfield, MA | ★★★★★ | 5/5 | |
| Craneville Rehabilitation and Skilled Care Center | 11.1 mi | Dalton, MA | ★★★★☆ | 4/5 | |
| Timberlyn Heights Nursing and Rehabilitation | 11.6 mi | Great Barrington, MA | ★★★★☆ | 4/5 | |
| Berkshire Rehabilitation & Skilled Care Center | 15.7 mi | Sandisfield, MA | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225749.