Agawam North Rehab and Nursing
A nursing home in Agawam, Massachusetts 01001
55 Cooper Street, Agawam, Massachusetts 01001. (413) 333-8131.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 4 health citations at the latest inspection cycle Massachusetts average: 6.4
- 3.91 nurse hours per resident per day Massachusetts average: 3.94
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
4 health citations at the latest inspection cycle
The Massachusetts average is 6.4.
Last standard inspection Jun 9, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
28 citations in 4 months of the last 36. Last cited Jun 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 28 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 1 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 9, 2026: standard inspection4 citations
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Ensure that residents are free from significant medication errors.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide or get specialized rehabilitative services as required for a resident.
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Provide and implement an infection prevention and control program.
Apr 9, 2025: standard inspection16 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Give the resident’s representative the ability to exercise the resident’s rights.
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Ensure residents have reasonable access to and privacy in their use of communication methods.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Oct 22, 2024: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Jan 23, 2024: standard inspection7 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide and implement an infection prevention and control program.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Ensure each resident receives an accurate assessment.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 10, 2002.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 124 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $86,130 in all.
- No Medicare payment denials in the last three years.
- 1 citation in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 9, 2025 | Fine | $86,130 |
Who does the caring?
3.91 nurse hours per resident per day
The Massachusetts average is 3.94.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Massachusetts average |
|---|---|---|
| Nurse hours per resident per day | 3.91 | 3.94 |
| Of which registered nurses | 0.66 | 0.66 |
| At weekends | 3.34 | 3.52 |
| Nursing staff turnover | 47.5% | 37.6% |
| Registered nurse turnover | 50% | 42.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- TLCO Holdings LLC owns 21% directly since Sep 1, 2023; Etn Family Holdings LLC owns 21% directly since Sep 1, 2023; An organisation CMS lists without a name owns 2% directly since Oct 16, 2023.
- TLCO Holdings LLC and Etn Family Holdings LLC and Stern Therapy Consultants LLC run it.
- 43 owners or officers are people: Avraham Erblich (runs it (operational or managerial control), 100%); Chaim Millman (corporate officer, 100%); Boruch Sheps (owns 5% or more directly, 14.5%); Avraham Erblich (owns 5% or more directly, 13.5%); Shana Friedman (owns 5% or more directly, 11.5%); Bezalel Stern (owns 5% or more directly, 9%); Benjamin Friedman (owns a share directly, 3.5%); Brittany Beatty (owns a share directly, 2%); A person CMS lists without a name (owns a share directly, 1.33%); A person CMS lists without a name (owns a share through other companies, 1.33%); A person CMS lists without a name (owns a share directly, 1%); A person CMS lists without a name (owns a share through other companies, 0.33%); Chaim Millman (owns a share through other companies, 0.01%); Eric Newhouse (owns a share directly, 0.01%); A person CMS lists without a name (trustee); Boruch Sheps (runs it (operational or managerial control)); Boruch Sheps (on the governing body (managing control)); Boruch Sheps (additional disclosable party (controls, leases property to, or provides services to the home)); Avraham Erblich (on the governing body (managing control)); Avraham Erblich (additional disclosable party (controls, leases property to, or provides services to the home)); Chaim Millman (runs it (operational or managerial control)); Chaim Millman (on the governing body (managing control)); Chaim Millman (trustee); Chaim Millman (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (trustee); Benjamin Friedman (runs it (operational or managerial control)); Benjamin Friedman (additional disclosable party (controls, leases property to, or provides services to the home)); Roger Tazifor (runs it (operational or managerial control)); Roger Tazifor (additional disclosable party (controls, leases property to, or provides services to the home)); Brittany Beatty (runs it (operational or managerial control)); Brittany Beatty (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Bezalel Stern (additional disclosable party (controls, leases property to, or provides services to the home)); Eric Newhouse (runs it (operational or managerial control)); Eric Newhouse (on the governing body (managing control)); Eric Newhouse (trustee); Eric Newhouse (additional disclosable party (controls, leases property to, or provides services to the home)); Andrea Plew (runs it (operational or managerial control)); Andrea Plew (additional disclosable party (controls, leases property to, or provides services to the home)); Rami A Ashkar (runs it (operational or managerial control)); Rami A Ashkar (on the governing body (managing control)); Rami A Ashkar (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Stern Consultants (22 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| TLCO Holdings LLC | Owns 5% or more directly | 21% | Sep 1, 2023 |
| Etn Family Holdings LLC | Owns 5% or more directly | 21% | Sep 1, 2023 |
| T Newhouse Family Trust | Owns 5% or more through other companies | 10.4% | Oct 16, 2023 |
| Com Family Trust | Owns 5% or more through other companies | 10.4% | Oct 16, 2023 |
| Tlm Family Trust | Owns 5% or more through other companies | 10.4% | Oct 16, 2023 |
| E Newhouse Family Trust | Owns 5% or more through other companies | 10.4% | Oct 16, 2023 |
| An organisation CMS lists without a name | Owns a share directly | 2% | Oct 16, 2023 |
| TLCO Holdings LLC | Runs it (operational or managerial control) | Oct 16, 2023 | |
| TLCO Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 16, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 13, 2025 | |
| Etn Family Holdings LLC | Runs it (operational or managerial control) | Oct 16, 2023 | |
| Etn Family Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 16, 2023 | |
| T Newhouse Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 16, 2023 | |
| Com Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 16, 2023 | |
| Stern Therapy Consultants LLC | Runs it (operational or managerial control) | Oct 16, 2023 | |
| Stern Therapy Consultants LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 13, 2025 | |
| Tlm Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 16, 2023 | |
| Agawam North Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 16, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 13, 2025 | |
| E Newhouse Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 16, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 13, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Massachusetts average 3.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 5.7 miles, this one had the 7th most health citations at the latest inspection cycle (4; the middle value was 5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Agawam North Rehab and Nursing This nursing home | 4 | |
| Agawam West Rehab and Nursing | 0.1 | 4 |
| Agawam South Rehab and Nursing | 0.1 | 6 |
| Agawam East Rehab and Nursing | 0.2 | 2 |
| Julian J Levitt Family Nursing Home | 3.6 | 7 |
| East Longmeadow Skilled Nursing Center | 4.6 | 8 |
| Loomis Lakeside at Reeds Landing | 4.8 | 0 |
| Westfield Rehabilitation and Health Center | 4.9 | 2 |
| Care One at Redstone | 4.9 | 9 |
| Vantage at West Springfield LLC | 5.3 | 6 |
| Mary’s Meadow at Providence Place | 5.7 | 0 |
| Sixteen Acres Health and Rehabilitation Center LLC | 5.7 | 8 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.