Cycle 1
Health 2025-07-25 · Fire 2025-07-25
0 health deficiencies
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Lowell, MA
D'youville Care For Advanced Therapy
5-star overall rating with 5-star inspections with 7 fire-safety deficiencies in the latest cycle
1071 Varnum Avenue, Lowell, MA
(978) 569-1071
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
33
Certified beds
Average residents
28
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Carmelite Sisters For The Aged And Infirmed
Operator or chain grouping
Approved since
2012-03-29
CMS approved date
Coverage
Medicare
Participation flags
Staffing
Hours and turnover
RN hours / resident day
0.81
Registered nurse staffing
LPN hours / resident day
2.02
Licensed practical nurse staffing
Aide hours / resident day
2.47
Nurse aide staffing
Weekend hours
4.95
Weekend nurse staffing
RN turnover
62%
Annual RN turnover
Total nurse turnover
52%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
77.1%
21.9 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
11.8%
3 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.3%
0.9 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
77.7%
18.3 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.7% |
25.8%
5.9 pts worse
|
23.9%
7.8 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-21 · Fire 2024-08-21
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-08-23 · Fire 2023-08-23
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-25
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-09-15
F · Potential for more than minimal harm
2025-07-25
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-09-15
F · Potential for more than minimal harm
2025-07-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-15
F · Potential for more than minimal harm
2025-07-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-15
F · Potential for more than minimal harm
2025-07-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-15
F · Potential for more than minimal harm
2025-07-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-15
E · Potential for more than minimal harm
2025-07-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-15
E · Potential for more than minimal harm
2024-08-21
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-10-11
E · Potential for more than minimal harm
2024-08-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-14
E · Potential for more than minimal harm
2024-08-21
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-10-30
E · Potential for more than minimal harm
2024-08-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-08-21
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-21
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-21
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-21
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-21
K344 · Smoke Deficiencies
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-08-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-21
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-18
E · Potential for more than minimal harm
2023-08-23
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-04-09
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 2024-05-23
D · Potential for more than minimal harm
2024-04-09
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 2024-05-23
D · Potential for more than minimal harm
2023-10-16
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-11-23
D · Potential for more than minimal harm
2023-08-23
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-20
D · Potential for more than minimal harm
2023-08-23
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-20
Penalties and ownership
What sits behind the stars
Ownership
Altenweg, Mark
Operational/Managerial Control · Individual
Altenweg, Mark
Corporate Officer · Individual
Altenweg, Mark
W-2 Managing Employee · Individual
Archambault, Jeanne
Operational/Managerial Control · Individual
Bresnick, Louis
Operational/Managerial Control · Individual
Brown, Thomas
Operational/Managerial Control · Individual
Carmelite Sisters For The Aged And Infirm, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Cochran, Mark
Operational/Managerial Control · Individual
D'youville Leadership Solutions, Inc
Operational/Managerial Control · Organization
Frechette, Gerard
Operational/Managerial Control · Individual
Gori, Peter
Operational/Managerial Control · Individual
Heery, Mary
Corporate Director · Individual
Hoey, Amy
Operational/Managerial Control · Individual
Howard, Carol
Operational/Managerial Control · Individual
Knight, Margaret
Operational/Managerial Control · Individual
Larochelle, Steven
Operational/Managerial Control · Individual
Leblanc, Pauline
Operational/Managerial Control · Individual
Malo, Prescille
Operational/Managerial Control · Individual
Prendergast, Naomi
Operational/Managerial Control · Individual
Prendergast, Naomi
Corporate Officer · Individual
Prendergast, Naomi
W-2 Managing Employee · Individual
Ramirez, Judith
Operational/Managerial Control · Individual
Rawdon, Patricia
Corporate Director · Individual
Sutcliffe, Arthur
Operational/Managerial Control · Individual
The Carmelite System Inc
5% Or Greater Indirect Ownership Interest · Organization
Young, Robert
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Northwood Rehabilitation & Healthcare Center
Lowell, MA
1-star overall rating with 1-star inspections with $165,780 in total fines with 22 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#2
D'Youville Senior Care
Lowell, MA
2-star overall rating with 2-star inspections with $10,517 in total fines with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Fairhaven Healthcare Center
Lowell, MA
2-star overall rating with 2-star inspections with $15,030 in total fines with 13 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
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