Berkshire Rehabilitation & Skilled Care Center

In the surveyor’s words

From the most serious findings on record at Berkshire Rehabilitation & Skilled Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 16, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who had moderate cognitive impairment, the Facility failed to ensure he/she was free from abuse from a staff member, when on 08/09/25, while Nurse #1 was assisting Resident #1, he/she grabbed and squeezed Nurse #1's hand, and in response she struck Resident #1 on the back and pulled his/her hair in attempt to release his/her grip. Nurse #1 admitted to engaging in a physical altercation with Resident #1 and the incident was witnessed by another staff member, and an alert and oriented resident. A cognitively intact person would likely experience pain, anger and emotional distress if struck and had their hair pulled by a caregiver. […]

• Actual harm, isolatedF600May 20, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was newly admitted , was unfamiliar with the facility, the staff, and was having difficulty adjusting to his/her admission, the Facility failed to ensure he/she was free from abuse, when on 05/01/25 at approximately 1:30 P.M., Director of Nurses (DON) #1 engaged in a verbally and physically abusive altercation with Resident #1. DON #1 with the assistance of Certified Nurse Aide #1, physically restrained Resident #1 to retrieve a bottle of medication he/she had in his/her possession, they pinned him/her up against the wall, blocked him/her from exiting the area, held him/her by his/her arms, pried open his/her hand to check for pills and searched his/her pockets, which only served to escalate… […]

• No harm, potential for more than minimal, widespreadF727Feb 4, 2026

  Based on interviews, and record review, the facility failed to ensure a Registered Nurse (RN) worked eight (8) consecutive hours daily, as required. Specifically, the facility failed to ensure that a Registered Nurse worked at least eight consecutive hours daily on four days from 12/28/25 through 1/28/26. Findings include: Review of the PBJ Staffing Data Report CASPER Report 1705D form dated Quarter 4 2025 (July 1 through September 30), prior to survey entrance, indicated the facility triggered for excessively low weekend staffing. […]

• No harm, potential for more than minimal, widespreadF812Sep 28, 2023

  Based on observations, interview, and policy review, the facility failed to maintain professional standards for safe and sanitary food storage and management in the main kitchen and one out of one kitchenette. Findings include: Review of the facility policy titled Cleaning Schedule, dated 2/2005, indicated the following: -Cleaning schedule will be available for staff. -Cleaning schedule will be posted weekly, followed by staff, and monitored for the Director of Dining Services (Food Service Director-FSD). Review of the facility policy titled Water Pitcher Sanitation, dated 2/2005, indicated the following: -All water pitchers will be sanitized daily. […]

• No harm, potential for more than minimal, widespreadF880Sep 28, 2023

  Based on observation, interview, record review, and policy review, the facility failed to follow professional standards of infection control to prevent communication and spread of infectious organisms for two Residents (#17 and #47) out of a total sample of 14 residents, and three Residents (#1, #26 and #55) out of three residents reviewed on transmission based precautions. Specifically, the facility staff failed to: 1. ensure proper infection control practices were followed for the use of a urinary catheter (tubing inserted into the bladder to allow urine to drain) for Resident #17. 2. ensure proper infection control practices were provided for the storage of a nebulizer (a device that delivers medication in the form of a inhaled mist) equipment for Resident #47. 3. […]