Center For Extended Care At Amherst
Amherst, Hampshire County, Massachusetts · CCN 225420 · For-profit (Partnership) · part of Shimon Lefkowitz (5 facilities, chain average 2.8 stars)
CMS rates Center For Extended Care At Amherst 1 of 5 overall as of August 2026. 134 certified beds, 126 residents a day on average. 34 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $28,915.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 4 / 1 of 5 |
Staffing
| Total nurse staffing | 3.33515 hours per resident per day |
|---|---|
| Registered nurses | 0.25189 hours per resident per day |
| Weekend total | 3.23796 hours per resident per day |
| Nursing staff turnover | 39.3% (registered nurses 66.7%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-07 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2026-03-20 |
| 2026-04-07 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2026-03-20 |
| 2025-06-10 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-06-09 |
| 2025-06-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-06-09 |
| 2025-06-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-07-03 |
| 2025-06-04 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · tag F0809 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-03 |
| 2025-06-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-03 |
| 2025-06-04 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-03 |
| 2025-04-15 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-21 |
| 2024-11-07 complaint survey |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · tag F0557 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-06 |
| 2024-04-24 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-24 |
| 2024-04-10 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-05-24 |
| 2023-11-13 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-11-13 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-03-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · tag F0635 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-04-27 |
| 2023-03-15 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2023-04-27 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-04 | Fine | $28,915 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Amherst LLC Organization | adp of the snf | — | 2014-12-15 |
| Mavado Management LLC Organization | adp of the snf | — | 2025-09-04 |
| Mavado Management LLC Organization | operational/managerial control | — | 2015-11-15 |
| Lefkowitz, Shimon Individual | 5% or greater direct ownership interest | 25% | 2015-11-03 |
| Loffler, Abraham Individual | 5% or greater direct ownership interest | 8% | 2015-11-03 |
| Loffler, Israel Individual | 5% or greater direct ownership interest | 8% | 2015-11-03 |
| Loffler, Solomon Individual | 5% or greater direct ownership interest | 8% | 2015-11-03 |
| Shimon, Miriam Individual | 5% or greater direct ownership interest | 18% | 2015-11-03 |
| Lefkowitz, Shimon Individual | adp of the snf | — | 2015-11-03 |
| Loffler, Abraham Individual | adp of the snf | — | 2015-11-03 |
| Mintz, Joshua Individual | adp of the snf | — | 2025-09-04 |
| Rackliffe, Thomas Individual | adp of the snf | — | 2025-09-04 |
| Simha, David Individual | adp of the snf | — | 2015-11-03 |
| Lefkowitz, Shimon Individual | corporate director | — | 2015-11-03 |
| Loffler, Abraham Individual | corporate director | — | 2015-11-03 |
| Shimon, Miriam Individual | corporate director | — | 2015-11-03 |
| Simha, David Individual | corporate director | — | 2015-11-03 |
| Loffler, Abraham Individual | corporate officer | — | 2015-11-03 |
| Simha, David Individual | corporate officer | — | 2015-11-03 |
| Simha, David Individual | direct ownership interest | — | 2015-11-03 |
| Mintz, Joshua Individual | operational/managerial control | — | 2013-05-01 |
| Rackliffe, Thomas Individual | operational/managerial control | — | 2013-05-01 |
| Simha, David Individual | operational/managerial control | — | 2015-11-03 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Center For Extended Care At Amherst.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hampshire County.