Lowell, MA

Care One At Lowell

3-star overall rating with 3-star inspections with $19,055 in total fines with 9 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

19 Varnum Street, Lowell, MA

(978) 454-5644

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

152

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Careone

Operator or chain grouping

Approved since

1974-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.25

Registered nurse staffing

LPN hours / resident day

1.20

Licensed practical nurse staffing

Aide hours / resident day

2.18

Nurse aide staffing

Weekend hours

3.16

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

16%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
1.9
0.8 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.5
About the same
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 54.9%
92.2%
37.3 pts worse
93.4%
38.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4%
94.8%
4.6 pts better
95.5%
3.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.2%
3.5%
1.7 pts worse
3.3%
1.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.0%
12.0%
11 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.8%
5.2%
0.4 pts better
5.4%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 44.8%
19.2%
25.6 pts worse
19.6%
25.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 52.9%
22.5%
30.4 pts worse
16.7%
36.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.2%
0.1%
0.1 pts worse
0.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 6.4%
17.7%
11.3 pts better
16.3%
9.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.2%
17.6%
10.4 pts better
14.9%
7.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.0%
0.7 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.5%
2.0%
1.5 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 5.7%
21.7%
16 pts better
19.8%
14.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.8%
4.6%
2.8 pts better
5.1%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 8.8%
77.1%
68.3 pts worse
81.7%
72.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 6.3%
11.8%
5.5 pts better
12.0%
5.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.5%
25.8%
7.7 pts worse
23.9%
9.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-21 · Fire 2025-05-21

9 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

11 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2024-06-27 · Fire 2024-06-27

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-04-06 · Fire 2023-04-06

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-21

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-07-03

F · Potential for more than minimal harm 2025-05-21

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-07-03

F · Potential for more than minimal harm 2025-05-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-07-03

F · Potential for more than minimal harm 2025-05-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-03

F · Potential for more than minimal harm 2025-05-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-07-03

F · Potential for more than minimal harm 2025-05-21

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-07-03

F · Potential for more than minimal harm 2025-05-21

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-07-03

F · Potential for more than minimal harm 2025-05-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-07-03

E · Potential for more than minimal harm 2025-05-21

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-07-03

E · Potential for more than minimal harm 2025-05-21

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-07-03

E · Potential for more than minimal harm 2025-05-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-03

E · Potential for more than minimal harm 2024-06-27

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-22

E · Potential for more than minimal harm 2024-06-27

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-08-22

E · Potential for more than minimal harm 2024-06-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-06-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-06-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-22

F · Potential for more than minimal harm 2023-04-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-29

F · Potential for more than minimal harm 2023-04-06

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2023-05-29

D · Potential for more than minimal harm 2023-04-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-29

D · Potential for more than minimal harm 2023-04-06

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-05-29

C · Minimal harm 2023-04-06

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-05-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-21

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2025-06-27

E · Potential for more than minimal harm 2025-05-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-21

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-21

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-21

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-21

F779 · Administration Deficiencies

Health

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

Corrected 2025-06-27

C · Minimal harm 2025-05-21

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-06-27

D · Potential for more than minimal harm 2024-07-09

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-06-27

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-08-04

D · Potential for more than minimal harm 2024-06-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-04

D · Potential for more than minimal harm 2024-06-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-04

D · Potential for more than minimal harm 2024-06-27

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-08-04

D · Potential for more than minimal harm 2024-06-27

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-08-04

D · Potential for more than minimal harm 2024-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-04

B · Minimal harm 2024-06-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-04

G · Actual harm 2023-04-06

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-01

Penalties and ownership

What sits behind the stars

$19,055 2023-04-06

Fine

Fine · fine $19,055

Fine

Ownership

Baruch, David

Corporate Officer · Individual

0% 37 facilities 2021-12-01
Baruch, David

W-2 Managing Employee · Individual

0% 37 facilities 2021-12-01
Care Realty, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2002-04-30
Des 2009 Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 18 facilities 2021-12-01
Healthbridge Management LLC

Operational/Managerial Control · Organization

0% 35 facilities 2003-07-01
Straus, Daniel

5% Or Greater Indirect Ownership Interest · Individual

0% 37 facilities 2003-07-01
Thci Of Massachusetts, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 15 facilities 2003-07-01

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