Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.74 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceASK TRUST HUB NETWORK
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AGAWAM SOUTH REHAB AND NURSING has 122 certified beds in AGAWAM, Massachusetts. The CMS overall rating is 4 of 5, compared with the Massachusetts average of 3.0. The CMS health inspection rating is 3 of 5, compared with the Massachusetts average of 3.0. The CMS staffing rating is 3 of 5. The latest standard health survey on Mar 10, 2026 lists 6 deficiencies, compared with the Massachusetts average of 6.4. Total nurse staffing is 3.64 hours per resident day in 2026Q1, compared with the Massachusetts average of 3.87.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 225176.
At a glance
4 of 5
3 of 5
3 of 5
5 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 60 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2023-10-16.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.74 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 10, 2026 cited 6 deficiencies.
View inspection evidenceCMS-published records list 107 ownership or control parties.
CMS records show an ownership change effective October 2023.
View ownership evidenceCMS groups this facility with a chain covering 23 facilities across 3 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
23 currently connected nursing homes share this CMS organization identity with E NEWHOUSE FAMILY TRUST.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 12%
Association date reported to CMS: Oct 16, 2023
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 16, 2023
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 16, 2023
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 16, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 16, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 16, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 16, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 16, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 16, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 16, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 22, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 13.5%
Association date reported to CMS: Oct 16, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 21%
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 11 across IL, MA.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 11.5%
Association date reported to CMS: Oct 16, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.5%
Association date reported to CMS: Oct 16, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 9%
Association date reported to CMS: Oct 16, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 21%
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 14 across IL, MA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10.4%
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 14 across IL, MA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10.4%
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 22 across IL, MA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10.4%
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 22 across IL, MA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10.4%
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 12 across IL, MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 14 across IL, MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 22 across IL, MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2025
Other facilities connected through this exact CMS organization identity: 11 across IL, MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2025
Other facilities connected through this exact CMS organization identity: 14 across IL, MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 22 across IL, MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 16, 2023
Other facilities connected through this exact CMS organization identity: 14 across IL, MA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 661 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 23 | 2.6 | 2.1 |
| Mon Jun | 23 | 2.5 | 2.2 |
| Fri May | 21 | 2.8 | 2.2 |
| Wed Apr | 22 | 2.6 | 2.2 |
| Sun Mar | 22 | 2.6 | 2.1 |
| Sun Feb | 22 | 2.5 | 2.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Assure that each resident’s assessment is updated at least once every 3 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 16, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 16, 2025)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
Provide routine and 24-hour emergency dental care for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
6 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.88 to 3.64 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.88 → 3.64
CMS · Reported in a source release · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
12 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: AGAWAM SOUTH REHAB AND NURSING LLC.
65 COOPER STREET OPERATIONS LLC → AGAWAM SOUTH REHAB AND NURSING LLC
CMS · Recorded event date · View related evidence
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.845 | 3.136 |
| RN categories | 0.837 | 0.493 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.060 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.945 | 0.742 | 0.841 | 2.298 | 0% | 91 |
| 2025Q3 | 3.893 | 0.794 | 0.765 | 2.33 | 0% | 92 |
| 2025Q4 | 3.885 | 0.798 | 0.813 | 2.26 | 0% | 92 |
| 2026Q1 | 3.64 | 0.738 | 0.753 | 2.051 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.