Haverhill, MA

Haverhill Rehabilitation And Healthcare Center

1-star overall rating with 1-star inspections with $29,749 in total fines with 15 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

126 Monument Street, Haverhill, MA

(978) 373-1747

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

114

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Atlas Healthcare

Operator or chain grouping

Approved since

1986-11-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing

LPN hours / resident day

1.03

Licensed practical nurse staffing

Aide hours / resident day

2.01

Nurse aide staffing

Weekend hours

3.12

Weekend nurse staffing

RN turnover

78%

Annual RN turnover

Total nurse turnover

58%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
1.9
0.8 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.5
0.2 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.7%
92.2%
16.5 pts worse
93.4%
17.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
94.8%
0.4 pts better
95.5%
0.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.4%
3.5%
2.9 pts worse
3.3%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 27.1%
12.0%
15.1 pts worse
11.4%
15.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.3%
5.2%
0.1 pts worse
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.6%
19.2%
2.6 pts better
19.6%
3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.2%
22.5%
1.3 pts better
16.7%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 24.1%
17.7%
6.4 pts worse
16.3%
7.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.1%
17.6%
1.5 pts worse
14.9%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8%
1.0%
0.8 pts worse
1.0%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.0%
2.0%
2 pts worse
1.7%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.7%
21.7%
1 pts worse
19.8%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.1%
4.6%
0.5 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.4%
77.1%
1.7 pts worse
81.7%
6.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.2%
11.8%
4.4 pts worse
12.0%
4.2 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.3%
0.3 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79.8%
77.7%
2.1 pts better
79.7%
0.1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.0%
25.8%
1.2 pts worse
23.9%
3.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

15 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-05-30 · Fire 2024-05-30

27 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-13 · Fire 2023-04-13

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-24

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-06-15

F · Potential for more than minimal harm 2025-04-24

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-24

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-06-15

F · Potential for more than minimal harm 2025-04-24

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-15

F · Potential for more than minimal harm 2025-04-24

K531 · Services Deficiencies

Fire Safety

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

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-04-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-15

F · Potential for more than minimal harm 2025-04-24

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-04-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-05-23

D · Potential for more than minimal harm 2023-04-13

K531 · Services Deficiencies

Fire Safety

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

Corrected 2023-06-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-24

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-04-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-04-24

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-04-24

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 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F699 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-24

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2025-05-28

G · Actual harm 2025-02-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-02-06

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-02-24

G · Actual harm 2024-05-30

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 2024-06-28

E · Potential for more than minimal harm 2024-05-30

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-07-14

E · Potential for more than minimal harm 2024-05-30

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-07-14

E · Potential for more than minimal harm 2024-05-30

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-07-14

E · Potential for more than minimal harm 2024-05-30

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-07-14

E · Potential for more than minimal harm 2024-05-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

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 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

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 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

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 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

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 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-05-30

F948 · Nursing and Physician Services Deficiencies

Health

Ensure that paid feeding assistants have the training they need.

Corrected 2024-07-14

B · Minimal harm 2024-05-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-07-14

D · Potential for more than minimal harm 2024-01-22

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-12-31

E · Potential for more than minimal harm 2023-04-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-05-26

E · Potential for more than minimal harm 2023-04-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

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 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-04-13

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 2023-05-26

D · Potential for more than minimal harm 2023-04-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-26

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

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-12

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

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-05-12

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

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-05-12

Penalties and ownership

What sits behind the stars

$12,948 2025-02-06

Fine

Fine · fine $12,948

Fine

$16,801 2024-05-30

Fine

Fine · fine $16,801

Fine

Ownership

Bak, Pinchos

Corporate Officer · Individual

0% 25 facilities 2025-02-28
Fearing, Kristina

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-28
Glen Oak 11, LLC

Limited Partnership Interest · Organization

0% 6 facilities 2025-02-28
Jmh Family LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-02-28
Jmh Family LLC

Limited Partnership Interest · Organization

0% 19 facilities 2025-02-28
Jmh Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-02-28
Jmh Family Trust

Limited Partnership Interest · Organization

0% 19 facilities 2025-02-28
Malt Family Trust

Limited Partnership Interest · Organization

0% 21 facilities 2025-02-28
Miller, Nachum

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2025-02-28
Miller, Nachum

Limited Partnership Interest · Individual

0% 7 facilities 2025-02-28
Miller, Nachum

Operational/Managerial Control · Individual

0% 7 facilities 2025-02-28
Mls Family LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-02-28
Mls Family LLC

Limited Partnership Interest · Organization

0% 19 facilities 2025-02-28
Mls Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-02-28
Mls Family Trust

Limited Partnership Interest · Organization

0% 19 facilities 2025-02-28
Ngomba, Jasper

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-28
Sgs 2010 Family Trust

Limited Partnership Interest · Organization

0% 21 facilities 2025-02-28
Sgs Family LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-02-28
Sgs Family LLC

Limited Partnership Interest · Organization

0% 19 facilities 2025-02-28
Sgs Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-02-28
Sgs Family Trust

Limited Partnership Interest · Organization

0% 19 facilities 2025-02-28
Tyh 2017 Trust

Limited Partnership Interest · Organization

0% 21 facilities 2025-02-28
Whittier 6 Operations Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2025-02-28
Whittier 6 Operations Holdings LLC

Limited Partnership Interest · Organization

0% 6 facilities 2025-02-28
Whittier Mop Operations Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

0% 4 facilities 2025-02-28
Whittier Nsh Operations Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

0% 3 facilities 2025-02-28
Whittier Opco Manager LLC

Operational/Managerial Control · Organization

0% 6 facilities 2025-02-28
Wood, Patrick

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-28

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