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)
Haverhill, MA
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
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
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
Chain footprint
28 facilities
Chain averages 4 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.47
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.51
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.01
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
78%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Program rank
11,071
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.67% · Performance 22.79% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.11
Baseline 7.91% · Performance 7.21% · Measure score 2.11 · Achievement 2.11 · Improvement 1.92
Total nurse turnover
2.5
Baseline 48.33% · Performance 53.46% · Measure score 2.5 · Achievement 2.5 · Improvement 0
Adjusted total nurse staffing
2.65
Baseline 3.68 hours · Performance 3.83 hours · Measure score 2.65 · Achievement 2.65 · Improvement 0.20
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.05% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 360 · Observed rate 14.72% · Lower 95% interval 10.62% |
| Discharge to community | 58.13% |
50.57%
7.6 pts better
|
Better than the National Rate · Eligible stays 330 · Observed rate 51.52% · Lower 95% interval 52.95% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.7% |
95.27%
1.4 pts better
|
Numerator 205 · Denominator 212 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 212 |
| Discharge self-care score | 47.56% |
53.69%
6.1 pts worse
|
Numerator 78 · Denominator 164 |
| Discharge mobility score | 51.22% |
50.94%
0.3 pts better
|
Numerator 84 · Denominator 164 |
| Pressure ulcers or injuries, new or worsened | 1.42% |
2.29%
0.9 pts better
|
Numerator 3 · Denominator 212 · Adjusted rate 1.32% |
| Healthcare-associated infections requiring hospitalization | 7.2% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 213 · Observed rate 7.04% · Lower 95% interval 4.55% |
| Staff COVID-19 vaccination coverage | 4.46% |
8.2%
3.7 pts worse
|
Numerator 7 · Denominator 157 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 57.32% |
56.45%
0.9 pts better
|
Numerator 94 · Denominator 164 |
| Transfer of health information to provider | 87.5% |
95.95%
8.5 pts worse
|
Numerator 35 · Denominator 40 |
| Transfer of health information to patient | 90.16% |
96.28%
6.1 pts worse
|
Numerator 110 · Denominator 122 |
| Resident COVID-19 vaccinations up to date | 22.34% |
25.2%
2.9 pts worse
|
Numerator 21 · Denominator 94 |
Quality measures
| 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 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| 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 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| 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 · Q1 77.0% · Q2 80.4% · Q3 71.3% · Q4 73.6% · 4Q avg 75.7% |
| 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 · 4Q avg 95.2% |
| 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 · Q1 8.0% · Q2 8.2% · Q3 5.7% · Q4 3.3% · 4Q avg 6.4% · Used in QM five-star |
| 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 · Q1 10.0% · Q2 27.4% · Q3 29.1% · Q4 42.5% · 4Q avg 27.1% |
| 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 · Q1 4.9% · Q2 3.8% · Q3 7.7% · Q4 4.9% · 4Q avg 5.3% |
| 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 · Q1 15.9% · Q2 13.8% · Q3 18.8% · Q4 18.1% · 4Q avg 16.6% |
| 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 · Q1 23.8% · Q2 19.5% · Q3 19.7% · Q4 21.2% · 4Q avg 21.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 · Q1 23.5% · Q2 30.5% · Q3 16.1% · Q4 25.4% · 4Q avg 24.1% · Used in QM five-star |
| 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 · Q1 23.1% · Q2 23.7% · Q3 18.3% · Q4 10.8% · 4Q avg 19.1% · Used in QM five-star |
| 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 · Q1 2.1% · Q2 1.4% · Q3 1.7% · Q4 2.2% · 4Q avg 1.8% · Used in QM five-star |
| 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 · Q1 7.0% · Q2 4.1% · Q3 1.2% · Q4 3.4% · 4Q avg 4.0% · Used in QM five-star |
| 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 · Q1 18.3% · Q2 27.1% · Q3 18.0% · Q4 27.2% · 4Q avg 22.7% |
| 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 · Q1 4.7% · Q2 3.0% · Q3 3.3% · Q4 5.2% · 4Q avg 4.1% · Used in QM five-star |
| 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 · Q1 75.9% · Q2 76.5% · Q3 76.8% · Q4 72.2% · 4Q avg 75.4% |
| 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 · Adjusted 16.2% · Observed 16.2% · Expected 11.2% · Used in QM five-star |
| 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 · Q1 1.7% · Q2 1.8% · Q3 1.0% · Q4 1.9% · 4Q avg 1.6% · Used in QM five-star |
| 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 · 4Q avg 79.8% |
| 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 · Adjusted 27.0% · Observed 27.9% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-06-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-15
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-06-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-15
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-05-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-15
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-23
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-06-03
Inspection history
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-05-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-28
Health
Implement a program that monitors antibiotic use.
Corrected 2025-05-28
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
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-05-28
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-28
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-05-28
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-05-28
Health
Provide appropriate foot care.
Corrected 2025-05-28
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-28
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-05-28
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
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-24
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-02-24
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
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-14
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
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
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-14
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
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-07-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-14
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-14
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
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
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-14
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
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
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-07-14
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
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-07-14
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-14
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-14
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
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-07-14
Health
Ensure that paid feeding assistants have the training they need.
Corrected 2024-07-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-26
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
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
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-26
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
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
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-05-26
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-12
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-05-12
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
Fine · fine $12,948
Fine
Fine · fine $16,801
Fine
Corporate Officer · Individual
Operational/Managerial Control · Individual
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Haverhill, MA
1-star overall rating with 1-star inspections with abuse icon flag with $277,601 in total fines with 15 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Haverhill, MA
2-star overall rating with 1-star inspections with abuse icon flag with $134,274 in total fines with 23 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Bradford, MA
5-star overall rating with 5-star inspections with 8 fire-safety deficiencies in the latest cycle
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