North Adams Commons

    175 Franklin St, North Adams, MA, 01247
    2.9 · 10 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Caring staff, understaffed; advocate needed

    I'm grateful for the many professional, caring and diligent staff - great therapists, many kind nurses, and residents who felt like family; staff supported us through a death. The building was clean and felt like a positive community presence. However, it's understaffed, therapy time is limited, and I observed unskilled/rude nurses while some CNAs were better; I had concerns about medication management/robotic nursing, security, and difficulty getting dietary customization or advocacy for non-ambulatory residents. I'd recommend it with reservations - be prepared to advocate for care.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.90 · 10 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.8
    • Meals

      2.0
    • Amenities

      2.9
    • Value

      2.9

    Pros

    • skilled and respectful physical therapy
    • great therapists
    • great nurses (where present)
    • kind, decent, and caring staff
    • staff provided emotional support during death
    • residents were kind and felt like extended family
    • clean and sterile building
    • diligent and professional staff
    • supportive presence in the community
    • would recommend by some based on positive experiences

    Cons

    • inconsistent nursing skill — some unskilled or mean nurses
    • understaffing
    • limited therapy time due to staffing/constraints
    • concerns about medication management and 'robotic' nursing
    • security issues
    • difficulty with dietary customization
    • rights and accommodations for non-ambulatory patients not readily available
    • some CNAs less skilled or inconsistent performance
    • reports of rude, lazy, or unhelpful staff members
    • need for families/patients to advocate strongly for care

    Summary review

    Overall sentiment across the summaries is mixed but leans positive around therapy and interpersonal support, with repeated concerns about staffing consistency and specific operational issues. Several reviewers emphasize the high quality of therapy services and the compassion of many staff members, while others report serious variability in nursing and CNA performance. The result is a facility that can provide excellent care in some cases but also shows recurring operational and staffing gaps that affect patient experience.

    Care quality and clinical services: The strongest, most consistent positive theme is rehabilitation and therapy. Multiple reviewers describe "skilled physical therapy," "great therapists," and reference strong nursing care in many instances. However, care quality is uneven: while some nurses and CNAs are praised as respectful and skilled, others are characterized as unskilled, rude, lazy, or mean. Understaffing is highlighted as a cause of limited therapy time and inconsistent attention; reviewers advise advocating for care and note that patients or families sometimes must push for services. There are also specific concerns about medication management and the sense that some care is "robotic," which suggests processes or staffing models may be diminishing individualized clinical attention.

    Staff, culture, and emotional support: Several reviews describe a warm, family-like environment where staff and residents form close bonds. Phrases like "felt like extended family," "staff were kind and decent," and "supportive during a difficult time" recur. One prominent positive thread is the facility's emotional support for residents and families during end-of-life situations; reviewers explicitly thanked staff for compassion and support during a resident's death. At the same time, interpersonal issues exist: reports of individual staff members being rude or unhelpful indicate uneven hiring, training, or supervision. Overall, the cultural impression is of a caring place when the right staff are present, but with variability that can lead to markedly different experiences.

    Facilities, safety, and operations: The physical facility receives consistently positive remarks — it is described as clean and sterile. Despite that, operational concerns appear significant: security issues are mentioned without detail but enough to list as a recurring worry, and medication management problems were flagged by reviewers. Dietary services are another operational pain point; reviewers report difficulties getting dietary customization, implying limited flexibility for special diets or preferences. Additionally, several summaries mention that rights and accommodations for non-ambulatory patients are "not readily available," pointing to gaps in accessibility, policy implementation, or staff training for more dependent residents.

    Management, staffing patterns, and recommendations: Management appears to face ongoing staffing challenges that affect both nursing and therapy availability. Understaffing is cited multiple times and linked to reduced therapy duration and inconsistent care. The conflicting reports (some calling the staff "diligent and professional" while others detail rude or unskilled staff) suggest variability in staffing levels, shift coverage, or turnover. Reviewers indicate families often need to advocate for adequate care and attention. Positive reviewers say they would recommend the facility based on their experiences — especially for therapeutic services and compassionate moments — but the presence of several strong negative comments suggests prospective residents and families should tour the facility, ask specific questions about staffing ratios, medication management protocols, dietary accommodations, and security, and check how management addresses complaints or incidents.

    Notable patterns and final assessment: The most consistent strengths are therapy quality, moments of genuine compassion, and a clean environment. The most consistent weaknesses are inconsistent nursing/CNA performance, understaffing reducing service time, medication and security concerns, and limited dietary/custom accommodation flexibility. For those prioritizing rehabilitation and a potentially warm community with staff who will provide emotional support, North Adams Commons may be a good fit. For those who require consistently high-touch nursing care, complex medication management, strict dietary accommodations, or guaranteed accessibility for non-ambulatory residents, the reviews suggest carefully probing these areas before deciding. Families should plan to advocate actively and confirm current staffing and procedural improvements when evaluating this facility.

    Location

    Map showing location of North Adams Commons

    About North Adams Commons

    North Adams Commons Nursing and Rehabilitation Center sits in North Adams, Massachusetts, covering over 2.5 acres and serving Berkshire County and the nearby regions along the borders of New York and Vermont since 1981, and while it's Christian-affiliated, it welcomes people from all walks of life and backgrounds. The place has 119 certified beds, with about 90 residents each day, in more than 115 private and semi-private rooms that are fully furnished and have flat-screen TVs, free DIRECTV®, telephone service, and Wi-Fi, so folks get some comfort and connection, and there are accessible bathrooms for safety and ease. There's a beauty and barber shop on site, a big rehab gym open seven days a week, and private dining rooms if residents want to gather their families for birthdays or special holidays, and volunteers and pets can visit, which many long-timers seem to appreciate.

    The care covers many levels, with Independent Living, Assisted Living, Memory Care, Long-Term Care, Short-Term Rehab, Skilled Nursing, Respite Care, and even Hospice and Palliative Care. There's both short-term rehab for recoveries after surgery or health setbacks, and long-term skilled nursing for those who need round-the-clock support. The staff has expertise in pain management, wound care, diabetes education, cardiac monitoring, advanced pulmonary and heart failure care, complex neurological conditions such as Parkinson's, MS, and ALS, along with full stroke recovery plans, and residents who need respiratory therapy for problems like COPD or post-acute respiratory failure get help from specialized teams. Peritoneal dialysis and enteral therapy are available for those who need them. Psychiatric services are provided, along with support to reduce off-label use of antipsychotics and sepsis prevention programs, and a registered dietician is on staff to look after nutrition. Speech and language therapy, occupational therapy, and physical therapy are all available through on-site professionals, and there are programs for orthopedic rehab and specialized cardiac and pulmonary care, which means recovery and adapting to life's changes are priorities.

    The community includes many activities-exercise sessions, music, crafts, and planned outings-and recreational programs are scheduled to keep people engaged and encouraged, and families can take part in special celebrations. Staff members also help create personalized plans for care, always in coordination with healthcare professionals and visiting doctors. They focus on preventing falls and strive to improve quality of life by supporting social, health, and emotional needs. The nutrition program follows dietary guidance with regular input from the dietitian to try to keep residents well-fed and healthy.

    North Adams Commons belongs to the network of Integritus Healthcare, managed by Integritus Healthcare Management Services Inc, Willowood Extended Care Services Inc, Gabriel Naventi, and Robert Post, and has guidance from Berkshire Healthcare. It uses advocacy programs for resident and caregiver rights and has resources like newsletters and member updates, plus an online job platform to support staff training. Inspections have found a higher nurse turnover rate than average at 62.5%, with nurse hours per resident not listed, and there are documented deficiencies-19 in total-with three concerning infection control and one infection control violation, so policies have been put in place for vaccinations and better infection protocols, and the facility works on making sure care plans meet each resident's needs with specific timelines and actions required by regulations.

    Families considering North Adams Commons can access information about care options, amenities, and programs through an online brochure system, and local senior living advisors can offer help if folks aren't sure where to start. The facility keeps an active role in senior living efforts across the community, contributing to wellness and end-of-life care, providing care transitions, and always looking for ways to prevent avoidable hospital readmissions, but as with any care setting, it's important to check updated reports and ask questions when researching the best fit for a loved one.

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