CCN 225766 · Hampden County, Massachusetts
Agawam North Rehab and Nursing
55 Cooper Street, Agawam, MA 01001
Agawam North Rehab and Nursing is a 124-bed for-profit nursing home in Agawam, Massachusetts, first certified for Medicare or Medicaid in 2002. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 111.0 residents a day, about 90% of its certified beds. It has an active FHA-insured Section 232 loan: $15.7 million originally, at 5.89%, with $15.5 million outstanding as of September 30, 2026 and maturity in November 2060.
Facility facts
- Certified beds
- 124
- Average residents per day
- 111.0 (89.5% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Agawam North Rehab and Nursing LLC
- Certified since
- Dec 10, 2002
- Chain or affiliated group
- Stern Consultants (22 facilities, chain average 2.5 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Massachusetts median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 65 at 1, 68 at 2, 62 at 3, 72 at 4, 71 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.65 | 3.70 | 3.68 |
| RN hours per resident per day | 0.65 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.14 | ||
| Nursing staff turnover | 44.5% | 37.7% | 44.9% |
| Occupancy (residents / beds) | 89.5% | 86.9% | 85.7% |
| Fines reported by CMS | 1 totaling $86,130 | ||
| Health deficiencies, latest standard survey | 16 (Apr 9, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Agawam North Rehab and Nursing does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Friedman, ShanaIndividual | Direct Ownership Interest | 12% | 09/01/2023 |
| Com Family TrustOrganization | Indirect Ownership Interest | 10% | 10/16/2023 |
| Etn Family Holdings LLCOrganization | Operational / Managerial Control | n/a | 10/16/2023 |
| Stern Therapy Consultants LLCOrganization | Operational / Managerial Control | n/a | 10/16/2023 |
| Tlco Holdings LLCOrganization | Operational / Managerial Control | n/a | 10/16/2023 |
| Ashkar, RamiIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Beatty, BrittanyIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Erblich, AvrahamIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Friedman, BenjaminIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Millman, ChaimIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Newhouse, EricIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Plew, AndreaIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Sheps, BoruchIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Tazifor, RogerIndividual | Operational / Managerial Control | n/a | 11/27/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 16, 2023 | Agawam North Rehab and Nursing LLC | 55 Cooper Street Operations LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Oct 24, 2025 | 223(f) refinance or purchaseHUD project name: P0647 Agawam North Rehab and Nursing, 116 beds. Lender at endorsement: X-Caliber Capital LLC | $15,654,200 | Active: 5.89%, $15,538,986 balanceMatures Nov 1, 2060. Servicer: X-Caliber Capital LLC | 02322273 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.