Federal inspection record · CMS data as of October 1, 2026
Penacook Place, Inc
150 Water Street, Haverhill, MA · (978) 374-0707
- Certified beds
- 160
- Residents per day
- 110
- Ownership
- Non-Profit
- Chain
- Covenant Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1990
1
How this home got 4 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Penacook Place, Inc carries 12 inspection points. That is fewer than 82% of Massachusetts's 339 rated homes.
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
9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2026-05-06
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-06-04
1 health deficiencies · 17 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-05-08
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 35 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 31% 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
$10,868 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-29 | Fine | $10,868 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts worse | 3.0 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.3 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts worse | 92.3% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts better | 99.1% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 6.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.1 pts better | 1.3% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 2.7% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.5 pts worse | 32.0% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9 pts worse | 30.5% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.8 pts worse | 17.7% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better | 14.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.1% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.3% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts worse | 24.3% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.8% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts worse | 65.5% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts worse | 15.0% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts worse | 3.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 79.5% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts better | 22.5% | 25.7% | 23.4% |
·
Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bell, Michael | Corporate Director · Individual | 0% | 2 facilities |
| Castillo, Nicole | W-2 Managing Employee · Individual | 0% | 7 facilities |
| Delaney, John | Corporate Officer · Individual | 0% | 1 facilities |
| Masys, Caitlin | Corporate Officer · Individual | 0% | 1 facilities |
| Mortimer, Thomas | Corporate Officer · Individual | 0% | 1 facilities |
| Riopelle, Judithann | Corporate Officer · Individual | 0% | 1 facilities |
| Sarro, John | Corporate Officer · Individual | 0% | 1 facilities |
| Shaw, Gregory | Corporate Officer · Individual | 0% | 1 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness6F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Create arrangements with other facilities to receive patients.
- F
List the names and contact information of those in the facility.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Smoke5F
- F
Have an enclosure around a vertical opening shaft.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Services1E
- E
Have elevators that firefighters can control in the event of a fire.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Baker-Katz Skilled Nursing And Rehabilitation Ctr
Haverhill, MA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 32 min
- Fines
- $0
-
Oxford Rehabilitation & Health Care Center
Haverhill, MA · Athena Healthcare Systems
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 6 min
- Fines
- $265,351
-
Lakeview House Skld Nrsg And Residential Care Fac
Haverhill, MA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 33 min
- Fines
- $0