Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Williamstown Commons Nursing & Rehab during CMS and state inspections, most recent first.
A resident with severe dementia and significant anxiety and depression, who was fully dependent on staff for ADLs, verbally said “no” and “stop” during morning dressing care. A CNA floated from another unit continued providing care in an abrupt manner despite these refusals, and the resident appeared anxious, later repeating that she hurt and that the CNA was bad. Two nurses and a weekend supervisor, all familiar with the resident, observed the resident’s anxious behavior and heard her complaints, and the CNA later admitted she did not stop care when the resident told her to stop, contrary to staff expectations that care be stopped when a resident resists or refuses.
The facility's main kitchen was found to be unsanitary, with dried food debris on the stove and oven, and lime build-up on the dishwasher. The Food Service Director and Dietician admitted that the cleaning schedule was not followed due to staff being affected by COVID, with the last cleaning log dated months prior.
A facility failed to notify the State Mental Health Authority for a resident review after a significant change in mental condition. A resident with Schizoaffective Disorder and Dementia experienced increased agitation and paranoia, requiring emergency interventions. Despite this, the facility did not complete a necessary PASRR Level II screen to assess the need for additional support services, as required by their policy.
The facility failed to provide proper respiratory care for two residents, as surveyors found outdated oxygen tubing and improper storage of nebulizer equipment. One resident with COPD and respiratory failure had outdated oxygen tubing and an empty humidification bottle, while another resident with vascular dementia and pulmonary fibrosis had undated oxygen tubing. The Unit Manager confirmed the lapses in following professional standards for respiratory care.
A facility failed to limit the administration of PRN Ativan for a resident with mental health conditions to 14 days, as required by its policy. The resident received the medication multiple times without a stop date or reevaluation, which was confirmed by a Unit Manager during an interview.
Failure to Honor Resident’s Verbal Refusal of Care During ADL Assistance
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident was treated with respect and dignity by honoring the resident’s verbal refusals of care. The facility’s Resident Rights policy, revised 10/04/23, requires that each resident be treated with respect and dignity and that their rights be protected and promoted. On 02/28/26, after receiving care, Resident #1 repeatedly stated that a CNA had hurt her and referred to the CNA as “bad.” The resident was known to have unspecified dementia with psychotic disturbance, generalized anxiety disorder, and major depressive disorder, and a recent MDS dated 02/17/26 documented severe cognitive impairment (BIMS score of 3/15) and dependence on staff for ADLs such as dressing, bathing, and hygiene. On the morning of 02/28/26, CNA #1, who had been floated from another unit, entered Resident #1’s room to provide care. Nurse #1, who knew the resident well, went to the room to check on CNA #1 and observed CNA #1 trying to put a shirt on the resident in an abrupt manner, noting that the resident had an anxious facial expression. Nurse #1 intervened, took over dressing the resident, and was able to put the shirt on without issue. After briefly leaving to speak with another nurse and the Weekend Supervisor about her concerns regarding the interaction, Nurse #1 returned to the room and found the resident seated at the edge of the bed, appearing anxious and repeating the words “stop, don’t hurt me.” Nurse #1 and CNA #1 then assisted the resident into a wheelchair and brought the resident to the nurses’ station. Nurse #2, who also knew the resident well, reported that around this time CNA #1 wheeled the resident to the nurses’ station and parked the resident next to her medication cart. The resident repeatedly said “I hurt, I hurt” while hugging herself and was unable to clearly express what was upsetting her, consistent with her usual difficulty expressing herself and tendency to speak in “word salad.” The Weekend Supervisor later attempted to speak with the resident and observed the resident with arms crossed, appearing anxious, and saying something like “she hurt me.” During the subsequent interview with the DON and Weekend Supervisor, CNA #1 acknowledged that while providing care that morning the resident said “no” and “stop,” and that she did not stop providing care at that time. Multiple nursing staff stated that the expectation is that when a resident resists care or verbally says to stop, staff are to stop what they are doing, regardless of the resident’s dementia status.
Unsanitary Kitchen Conditions Due to Lapsed Cleaning Schedule
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in the main kitchen where resident food was prepared. During an observation, dried elbow noodles and food debris were found on the left side of the stove top, and there was built-up food debris and drippings on the stove. Additionally, the right side of the oven had dark grease markings and dried food debris. The dishwasher was observed to have large amounts of white lime build-up with drip-like markings on both sides. The Food Service Director (FSD) acknowledged these issues and mentioned that there was a cleaning schedule in place, but it had not been followed due to kitchen staff being affected by COVID. The FSD and Dietician confirmed that the cleaning schedule was not adhered to, as evidenced by the last documented cleaning log dated several months prior. They admitted that the kitchen should be cleaned every day, and staff should ensure their workspaces are clean and sanitary after each meal or when they are done in that work area. The lack of routine cleaning and sanitization led to the unsanitary conditions observed in the kitchen, which were not in compliance with professional standards for food preparation and safety.
Failure to Conduct PASRR After Significant Change in Condition
Penalty
Summary
The facility failed to notify the State Mental Health Authority for a resident review after a significant change in mental condition occurred for one resident. The resident, who was admitted with diagnoses including Schizoaffective Disorder and Dementia, experienced a significant change in condition marked by increased agitation and paranoia, leading to emergency mental health interventions. Despite these changes, the facility did not complete or request a Preadmission Screening and Resident Review Level II screen (PASRR), which is necessary to determine if the resident requires additional specialized support services. The facility's policy on Preadmission Screening and Resident Review (PASRR) requires a referral to the Department of Developmental Services or Department of Mental Health when a resident experiences a significant change in condition that may impact their PASRR disability status. However, the only PASRR completed for the resident was the initial one at admission, and no new assessment was conducted after the resident's condition worsened. Interviews with the social worker revealed that the team recognized the need for a new PASRR after the resident's significant change in condition, but it was not completed or submitted as required.
Failure to Provide Proper Respiratory Care
Penalty
Summary
The facility failed to provide appropriate respiratory care and services for two residents, as observed by surveyors. Resident #47, who was admitted with diagnoses including Chronic Obstructive Respiratory Disease and Respiratory Failure, was found with outdated oxygen tubing and an empty humidification bottle. The tubing, which should have been replaced every seven days, was not changed as per the physician's orders. Additionally, the nebulizer tubing was not dated or stored properly, as it was left on the bedside table without a bag. Nurse #1 acknowledged the oversight, noting that the tubing should have been changed by the night nurse. Resident #62, admitted with vascular dementia and pulmonary fibrosis, was also found with undated oxygen tubing. The nasal cannula and nebulizer tubing were observed to be dated incorrectly, indicating a failure to adhere to the seven-day replacement schedule. The Unit Manager confirmed that the oxygen tubing should have been labeled with the date it was opened and stored correctly. These deficiencies highlight lapses in following professional standards of practice for respiratory care, as outlined in the facility's policy.
Failure to Limit PRN Psychotropic Medication to 14 Days
Penalty
Summary
The facility failed to adhere to its policy regarding the administration of PRN psychotropic medications, specifically Ativan (Lorazepam), for a resident diagnosed with Anxiety, Depression, and Bipolar Disorder. The policy mandates that PRN psychotropic medications should have a 14-day order limit, and if continued beyond this period, a prescriber must document the rationale and anticipated duration. However, the resident was administered PRN Ativan multiple times in November 2024 without a stop date or reevaluation at the 14-day mark. This oversight was confirmed during an interview with a Unit Manager who acknowledged the absence of a stop date or reevaluation as required by the facility's policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Williamstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Adams Commons Nursing & Rehabilitation Cente | 4.3 mi | — | 0 | 0 |
| Bennington Health & Rehab | 11.6 mi | — | 6 | 0 |
| Crescent Manor Care Ctrs | 11.7 mi | — | 10 | 0 |
| Center For Living & Rehabilitation | 11.9 mi | — | 6 | 0 |
| Vermont Veterans' Home | 12.7 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.