Nursing homes across Berkshire County, Massachusetts, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Timberlyn Heights in Great Barrington runs on numbers that don't all point the same direction. The health inspection record is strong, four stars, only six deficiencies on file, none tied to abuse, and the most recent survey came in late 2025, so the picture is current. Quality measures also score well. The catch is staffing, which sits at one star and drags the overall picture down despite a turnover rate of 30.2% that beats the national average of 45.8%. One deficiency did rise to the harm or jeopardy level, and there's a single fine of $8,894 on record. Family-owned through an LLC, it's profit-run. Worth asking how the low staffing score actually plays out on the floor day to day.
Kimball Farms runs a nonprofit shop in Lenox with 74 certified beds, and the staffing numbers are genuinely better than most: 4.42 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 18% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 41%, a bit under the 45.8% national figure, which matters because familiar aides tend to notice changes sooner. The inspection record is current as of December 2025, with nine deficiencies and none at the harm or jeopardy level. Four out of five stars across health inspections, quality measures, and staffing is a consistent profile, not a lopsided one.
Mt Greylock runs on a nonprofit model in Pittsfield with 100 certified beds, and the staffing numbers are the real story here: 4.20 nurse hours per resident day, roughly 9% above the national average. That edge matters most on weekends, when hours drop about 17% below the home's own weekday level, worth asking about if your family visits then. Turnover sits at 33.3%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The inspection record backs it up: 8 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent visit in June 2025.
Hillcrest Commons runs 265 beds in Pittsfield as a nonprofit, and its staffing sits at 3.75 nurse hours per resident day, slightly under the national 3.86, with weekends about 13% thinner than weekdays, so coverage dips when families tend to visit. The bigger concern is the inspection record: 52 deficiencies, including one at the harm level and one abuse-related, which is why CMS gave it a single star for health inspections despite solid marks on quality measures and staffing. Turnover at 34.5% beats the national 45.8%, and the last inspection was March 2025, so the record is current.
Berkshire Place, a nonprofit home in Pittsfield with 54 beds, runs nurse staffing at 5.02 hours per resident day, roughly 30% above the national average of 3.86. That's the strongest thing going for it. Weekend coverage dips about 10% below its own weekday level, and annual turnover sits at 68.4%, well above the national 45.8%, so the people providing that generous staffing are changing often. Inspections look solid: 4 out of 5 stars, with the most recent visit in February 2026. Eleven deficiencies are on record, two at the harm level, none abuse-related, and one fine totaling $8,648. Strong care hours and recent inspections, but the turnover is the number worth asking about directly.
North Adams Commons runs a nonprofit home with 119 beds, and the health inspection record is the strongest part of the picture, a five-star rating there, with the most recent inspection in December 2025 and 14 deficiencies on file, none of them causing harm or involving abuse. Staffing is a different story: 3.87 nurse hours per resident day sits essentially at the national average of 3.86, and the two-star staffing rating reflects that. Weekend coverage drops about 14% below weekday levels, and turnover runs 44%, just under the national 45.8%. Quality measures land at three stars. So what you have is a clean inspection history paired with staffing that's merely average and thins out on weekends.
Craneville runs on thinner staffing than most homes, and the gap widens on weekends. At 3.67 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekend coverage drops roughly 12% below what the home provides Monday through Friday. Annual turnover of 52.3% is higher than the 45.8% national figure, which means aides and nurses cycle through faster than average, worth asking how that affects who's actually on the floor. The health inspection side looks better: a 4-out-of-5 rating with no deficiencies at the harm or jeopardy level and nothing abuse-related on a record of 18 total. Its last inspection was in April 2025.
Williamstown Commons runs 180 certified beds under nonprofit ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationwide. Weekends drop about 12% below its own weekday levels, so coverage thins when families tend to visit. Turnover is 37.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was March 2026, and CMS gives it middle marks across staffing and health inspections, with a 2/5 on quality measures weighing the overall picture down.
Springside runs leaner than most. Its 3.55 nurse hours per resident day sit about 8% under the national figure of 3.86, and weekends dip another 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 49.4% edges past the 45.8% national rate, meaning nearly half the nursing staff turns over each year. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent inspection in September 2025. State inspectors rate the home well; the federal quality and staffing measures tell a different story.
Berkshire Rehabilitation & Skilled Care Center is a 57-bed for-profit home in Sandisfield, and the numbers that stand out most are on the inspection side. Its record carries 28 deficiencies, including two at the harm or jeopardy level and six tied to abuse, a serious pattern for a building this size, and one that CMS rates just 2 out of 5 stars for health inspections. Nurse staffing runs 3.29 hours per resident day, about 15% under the national average, and weekends drop roughly 17% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover, at 42.9%, is actually slightly better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled in the first place.
Fairview Commons runs a 146-bed nonprofit home in Great Barrington, and the numbers show a building under real strain. Nurse staffing sits at 3.73 hours per resident day, just under the national average, but weekends drop about 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 56%, well above the 45.8% national figure, which means many of the people caring for residents are still learning the building. Its record carries 36 deficiencies, including two at the harm level and three tied to abuse, plus a $74,354 fine. Last inspection was July 2025, recent enough that this is a current picture, not an old one.
Mount Carmel Care Center sits in Lenox with 69 certified beds and a church-affiliated nonprofit owner, and its nurses put in 4.10 hours per resident day, roughly 6% above the national average, with weekend coverage running about 6% thinner than its own weekdays. That staffing edge is real, but it's undercut by 73.3% annual turnover against a 45.8% national figure, meaning the people providing that care are largely new to the building. The record shows 22 deficiencies, one serious enough to trigger a harm-level citation, plus a single $46,410 fine. The most recent inspection closed in April 2025, so the picture is current. Good daily coverage, unstable workforce, and a recent serious finding, that's the tension worth weighing.
Lee Healthcare runs 88 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.18 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% thinner than weekdays. That shortfall shows up in who stays and who leaves, annual turnover of 62.3% against a national 45.8% means roughly three in five caregivers are new each year, and it's hard to build familiarity with residents that way. The current inspection record carries 34 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. State inspectors were last in on September 10, 2025, and the quality measure rating sits at 1 out of 5.