Federal inspection record · CMS data as of October 1, 2026

Northwood Rehabilitation & Health Care Center

1010 Varnum Avenue, Lowell, MA · (978) 458-8773

CMS overall rating

1 of 5

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Certified beds
123
Residents per day
114
Ownership
For-Profit
Chain
Athena Healthcare Systems
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 17, 1987

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Massachusetts homes

Northwood Rehabilitation & Health Care Center carries 112.5 inspection points. That is fewer than 7% of Massachusetts's 339 rated homes.

5★4★3★2★1★+11 homes above 148.505102550100inspection points → fewer is better on the leftThis home · 112.5 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–6 pts
  • 4★ 6–24 pts
  • 3★ 24–41 pts
  • 2★ 41–76 pts
  • 1★ over 76 pts

Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

55 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 44 4 pts
E 7 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 29, 2024 · Standard inspection · Quality of Life and Care · F686 · Corrected September 27, 2024

  2. G

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    August 29, 2024 · Standard inspection · Quality of Life and Care · F740 · Corrected September 27, 2024

  3. G

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

    August 10, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected September 8, 2023

Everything else, by area of care

Quality of Life and Care20E
  1. E

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

    August 15, 2025 · Standard · F677 · Corrected September 11, 2025

  2. D

    Provide activities to meet all resident's needs.

    August 15, 2025 · Standard · F679 · Corrected September 11, 2025

  3. D

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

    August 15, 2025 · Standard · F684 · Corrected September 11, 2025

  4. D

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

    August 15, 2025 · Standard · F689 · Corrected September 11, 2025

  5. D

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

    August 15, 2025 · Standard · F690 · Corrected September 11, 2025

  6. D

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

    August 15, 2025 · Standard · F692 · Corrected September 12, 2025

  7. D

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

    August 15, 2025 · Standard · F694 · Corrected September 11, 2025

  8. D

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

    August 15, 2025 · Standard · F698 · Corrected September 11, 2025

  9. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    August 15, 2025 · Standard · F740 · Corrected September 11, 2025

  10. D

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

    August 29, 2024 · Standard · F677 · Corrected September 27, 2024

  11. D

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

    August 29, 2024 · Standard · F684 · Corrected September 27, 2024

  12. D

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

    August 29, 2024 · Standard · F692 · Corrected September 27, 2024

  13. D

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

    August 29, 2024 · Standard · F695 · Corrected September 27, 2024

  14. D

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

    August 29, 2024 · Standard · F698 · Corrected September 27, 2024

  15. D

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

    August 29, 2024 · Standard · F699 · Corrected September 27, 2024

  16. E

    Provide or obtain dental services for each resident.

    August 10, 2023 · Standard · F791 · Corrected September 19, 2023

  17. D

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

    August 10, 2023 · Standard · F677 · Corrected September 8, 2023

  18. D

    Provide activities to meet all resident's needs.

    August 10, 2023 · Standard · F679 · Corrected September 8, 2023

  19. D

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

    August 10, 2023 · Standard · F695 · Corrected September 8, 2023

  20. D

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

    August 10, 2023 · Standard · F699 · Corrected September 8, 2023

Resident Assessment and Care Planning9E
  1. D

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

    August 15, 2025 · Standard · F656 · Corrected September 11, 2025

  2. D

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

    August 15, 2025 · Standard · F658 · Corrected September 11, 2025

  3. D

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

    August 15, 2025 · Standard · F842 · Corrected September 11, 2025

  4. B

    Ensure each resident receives an accurate assessment.

    August 15, 2025 · Standard · F641 · Corrected September 11, 2025

  5. E

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

    August 29, 2024 · Standard · F842 · Corrected September 27, 2024

  6. D

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

    August 29, 2024 · Standard · F656 · Corrected October 4, 2024

  7. D

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

    June 5, 2024 · Complaint · F842 · Corrected June 28, 2024

  8. E

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

    August 10, 2023 · Standard · F656 · Corrected September 8, 2023

  9. D

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

    August 10, 2023 · Standard · F842 · Corrected September 8, 2023

Resident Rights6E
  1. E

    Reasonably accommodate the needs and preferences of each resident.

    August 15, 2025 · Standard · F558 · Corrected September 11, 2025

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 15, 2025 · Standard · F580 · Corrected September 11, 2025

  3. D

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

    August 29, 2024 · Standard · F552 · Corrected September 27, 2024

  4. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 29, 2024 · Standard · F580 · Corrected September 27, 2024

  5. D

    Keep residents' personal and medical records private and confidential.

    August 29, 2024 · Standard · F583 · Corrected September 27, 2024

  6. D

    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.

    August 29, 2024 · Standard · F584 · Corrected September 27, 2024

Freedom from Abuse, Neglect, and Exploitation5D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 15, 2025 · Standard · F600 · Corrected September 11, 2025

  2. D

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

    August 15, 2025 · Standard · F604 · Corrected September 11, 2025

  3. D

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

    August 15, 2025 · Standard · F607 · Corrected September 11, 2025

  4. D

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

    August 10, 2023 · Standard · F609 · Corrected September 8, 2023

  5. D

    Respond appropriately to all alleged violations.

    August 10, 2023 · Standard · F610 · Corrected September 8, 2023

Pharmacy Service5E
  1. D

    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.

    August 15, 2025 · Standard · F761 · Corrected September 11, 2025

  2. D

    Ensure medication error rates are not 5 percent or greater.

    August 29, 2024 · Standard · F759 · Corrected October 4, 2024

  3. D

    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.

    August 29, 2024 · Standard · F761 · Corrected October 4, 2024

  4. E

    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.

    August 10, 2023 · Standard · F758 · Corrected September 8, 2023

  5. D

    Ensure medication error rates are not 5 percent or greater.

    August 10, 2023 · Standard · F759 · Corrected September 8, 2023

Nursing and Physician Services4E
  1. D

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

    August 15, 2025 · Standard · F712 · Corrected September 11, 2025

  2. D

    Observe each nurse aide's job performance and give regular training.

    August 15, 2025 · Standard · F730 · Corrected September 11, 2025

  3. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 29, 2024 · Standard · F725 · Corrected September 27, 2024

  4. D

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

    August 10, 2023 · Standard · F712 · Corrected September 8, 2023

Administration1D
  1. D

    Help the resident make transportation arrangements to and from radiology services.

    August 15, 2025 · Standard · F778 · Corrected September 11, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    August 29, 2024 · Standard · F880 · Corrected September 27, 2024

Nutrition and Dietary1D
  1. D

    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.

    August 10, 2023 · Standard · F808 · Corrected September 8, 2023

Inspection history

  1. 2025-08-15

    22 health deficiencies · 14 fire-safety deficiencies

    Top issue: Quality of Life and Care (9 deficiencies)

  2. 2024-08-29

    18 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

  3. 2023-08-10

    15 health deficiencies · 4 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 2 h 50 min of nursing staff time a day, 26 min of it from a registered nurse.

This home

2 h 50 min

Massachusetts average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 26% of nursing staff and 39% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$85,178 in federal fines on record over the past three years.

DatePenaltyAmount
2024-08-29Fine$85,178

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts worse2.21.81.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse2.51.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.8 pts worse80.1%92.9%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.3 pts worse83.2%93.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better3.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better15.1%17.4%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts better3.8%5.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.9 pts worse35.4%19.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication21.3 pts worse42.8%21.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.9 pts better10.0%13.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better11.6%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse1.9%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts worse1.9%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts worse23.0%20.4%18.3%
Percentage of long-stay residents with pressure ulcers3.2 pts better1.0%4.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28 pts worse50.9%78.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.1 pts worse14.9%11.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse2.6%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.5 pts worse46.6%78.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts worse26.3%25.7%23.4%

·

Who owns and runs it

9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Athena Health Care Systems Ma R LLC5% Or Greater Direct Ownership Interest · Organization100%6 facilities
Santilli, Lawrence5% Or Greater Indirect Ownership Interest · Individual74%16 facilities
Mosier, Michael5% Or Greater Indirect Ownership Interest · Individual6%16 facilities
Chakalos-Santilli, Valerie5% Or Greater Indirect Ownership Interest · Individual5%8 facilities
Athena Health Care Associates, Inc.Operational/Managerial Control · Organization0%16 facilities
Curtis, Diane5% Or Greater Indirect Ownership Interest · Individual0%8 facilities
Mosier, MichaelW-2 Managing Employee · Individual0%16 facilities
Rezendes, Lorrie5% Or Greater Indirect Ownership Interest · Individual0%9 facilities
Santilli, LawrenceCorporate Officer · Individual0%16 facilities

·

Fire safety

24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. F

    Have an enclosure around a vertical opening shaft.

    August 15, 2025 · K311 · Corrected October 5, 2025

  2. F

    Provide properly protected cooking facilities.

    August 15, 2025 · K324 · Corrected October 5, 2025

  3. F

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

    August 15, 2025 · K345 · Corrected January 30, 2026

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 15, 2025 · K353 · Corrected October 5, 2025

  5. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 15, 2025 · K355 · Corrected October 5, 2025

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 29, 2024 · K353 · Corrected October 7, 2024

  7. D

    Provide properly protected cooking facilities.

    August 29, 2024 · K324 · Corrected October 7, 2024

  8. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 10, 2023 · K321 · Corrected September 7, 2023

  9. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 10, 2023 · K353 · Corrected September 7, 2023

Emergency Preparedness5F
  1. F

    Establish staff and initial training requirements.

    August 15, 2025 · E37 · Corrected October 5, 2025

  2. F

    Implement emergency and standby power systems.

    August 15, 2025 · E41 · Corrected October 5, 2025

  3. E

    Implement emergency and standby power systems.

    August 29, 2024 · E41 · Corrected October 7, 2024

  4. D

    Conduct testing and exercise requirements.

    August 29, 2024 · E39 · Corrected October 7, 2024

  5. F

    Implement emergency and standby power systems.

    August 10, 2023 · E41 · Corrected September 7, 2023

Gas, Vacuum, and Electrical Systems4F
  1. F

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

    August 15, 2025 · K914 · Corrected October 5, 2025

  2. F

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

    August 15, 2025 · K918 · Corrected February 4, 2026

  3. E

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

    August 29, 2024 · K918 · Corrected October 7, 2024

  4. F

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

    August 10, 2023 · K918 · Corrected September 7, 2023

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    August 15, 2025 · K712 · Corrected October 5, 2025

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 15, 2025 · K761 · Corrected October 5, 2025

  3. E

    Have simulated fire drills held at unexpected times.

    August 29, 2024 · K712 · Corrected October 7, 2024

Egress2F
  1. F

    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.

    August 15, 2025 · K222 · Corrected October 5, 2025

  2. E

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

    August 15, 2025 · K211 · Corrected October 5, 2025

Services1F
  1. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    August 15, 2025 · K521 · Corrected January 23, 2026

·

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