{"schema_version":"1.0.0","facility":{"id":"cms-225777","ccn":"225777","name":"D'youville Care for Advanced Therapy","source_name":"D'YOUVILLE CARE FOR ADVANCED THERAPY","facility_types":["skilled_nursing_facility"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MA","address":{"line1":"1071 Varnum Avenue","city":"Lowell","state":"MA","zip":"01854","county_name":"Middlesex County","county_fips":"25017","county_method":"name_match","ssa_county_code":"090","urban":true},"location":{"lat":42.6451,"lon":-71.369,"method":"cms_published_coordinates"},"phone":"9785691071","certification":{"authority":"CMS","ccn":"225777","program":"Medicare","medicare":true,"medicaid":false,"first_approved":"2012-03-29","certified_beds":33,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/225777"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":33,"avg_residents_per_day":28.1},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"DYOUVILLE TRANSITIONAL CARE INC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"None","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":5},"quality_measures":{"value":3},"long_stay_qm":{"footnote":"2"},"short_stay_qm":{"value":3},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.43252,"lpn_hprd":2.08486,"rn_hprd":1.00084,"licensed_hprd":3.08571,"total_nurse_hprd":5.51823,"weekend_total_nurse_hprd":5.24196,"weekend_rn_hprd":0.47622,"pt_hprd":0.11514,"nursing_turnover_pct":45,"rn_turnover_pct":60,"administrators_left":0,"case_mix_index":1.61872,"case_mix_index_ratio":1.14783,"case_mix_total_nurse_hprd":4.4775,"adjusted_total_nurse_hprd":4.76982,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-07-25","cycle1_deficiencies":0,"cycle1_score":0,"cycle2_date":"2024-08-21","cycle23_deficiencies":3,"cycle23_score":12,"total_weighted_score":3},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-115","cms_chain_id":"115","name":"CARMELITE SISTERS FOR THE AGED AND INFIRMED"},"operator_id":"op-dyouville-transitional-care-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/225777","provenance":[{"source_id":"cms_provider_info","source_record_id":"225777","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"225777","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":8,"health_count":5,"fire_count":3,"complaint_count":2,"latest_date":"2025-07-25","latest_standard_health":"2025-07-25","earliest_date":"2023-08-23","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":26,"health_count":5,"fire_count":21,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":3,"by_severity":{"potential":26},"by_scope_severity":{"F":6,"E":6,"D":14},"by_concept":{"emergency_preparedness":4,"environment_life_safety":17,"clinical_care":3,"resident_rights":1,"medication":1},"type_ids":["cms-e0006","cms-k0311","cms-k0324","cms-k0345","cms-k0372","cms-k0712","cms-k0918","cms-k0131","cms-k0211","cms-k0300","cms-e0004","cms-e0030","cms-e0031","cms-k0293","cms-k0344","cms-k0355","cms-k0761","cms-f0677","cms-f0842","cms-f0694","cms-k0351","cms-f0554","cms-f0759"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":26,"organizations":3,"individuals":23,"not_available":false}},"row":{"id":"cms-225777","ccn":"225777","name":"D'youville Care for Advanced Therapy","types":["skilled_nursing_facility"],"status":"active","state":"MA","city":"Lowell","zip":"01854","county_fips":"25017","county_name":"Middlesex County","address":"1071 Varnum Avenue","beds":33,"residents":28.1,"ownership":"non_profit","operator_id":"op-dyouville-transitional-care-inc","operator_name":"Dyouville Transitional Care Inc","chain_id":"cms-chain-115","chain_name":"Carmelite Sisters for the Aged and Infirmed","lat":42.6451,"lon":-71.369,"overall":5,"health_rating":5,"staffing_rating":4,"qm_rating":3,"nurse_hprd":5.52,"turnover":45,"inspections":8,"last_inspection":"2025-07-25","deficiencies":26,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-e0006","cms-k0311","cms-k0324","cms-k0345","cms-k0372","cms-k0712","cms-k0918","cms-k0131","cms-k0211","cms-k0300","cms-e0004","cms-e0030","cms-e0031","cms-k0293","cms-k0344","cms-k0355","cms-k0761","cms-f0677","cms-f0842","cms-f0694","cms-k0351","cms-f0554","cms-f0759"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-dyouville-transitional-care-inc","name":"Dyouville Transitional Care Inc","legal_name":"DYOUVILLE TRANSITIONAL CARE INC","facility_count":1,"states":["MA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-115","name":"Carmelite Sisters for the Aged and Infirmed","cms_chain_id":"115","facility_count":3,"states":["MA","NY"],"cms_reported":{"facility_count":3,"avg_overall_rating":3.7,"avg_health_inspection_rating":3.7,"avg_staffing_rating":4,"avg_qm_rating":3}},"ownership":[{"owner_id":"org-carmelite-sisters-for-the-aged-and-infirm-inc","owner_type":"organization","owner_name":"Carmelite Sisters for the Aged and Infirm, Inc","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2020-07-07"},{"owner_id":"org-the-carmelite-system-inc","owner_type":"organization","owner_name":"The Carmelite System Inc","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2020-07-07"},{"owner_id":"org-d-youville-leadership-solutions-inc","owner_type":"organization","owner_name":"D'youville Leadership Solutions, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05"},{"owner_type":"individual","owner_name":"Mark Altenweg","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"ALTENWEG, MARK"},{"owner_type":"individual","owner_name":"Jeanne Archambault","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"ARCHAMBAULT, JEANNE"},{"owner_type":"individual","owner_name":"Louis Bresnick","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2017-11-08","owner_name_raw":"BRESNICK, LOUIS"},{"owner_type":"individual","owner_name":"Thomas Brown","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"BROWN, THOMAS"},{"owner_type":"individual","owner_name":"Mark Cochran","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"COCHRAN, MARK"},{"owner_type":"individual","owner_name":"Gerard Frechette","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-02-28","owner_name_raw":"FRECHETTE, GERARD"},{"owner_type":"individual","owner_name":"Peter Gori","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-03-25","owner_name_raw":"GORI, PETER"},{"owner_type":"individual","owner_name":"Amy Hoey","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-02-29","owner_name_raw":"HOEY, AMY"},{"owner_type":"individual","owner_name":"Carol Howard","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-23","owner_name_raw":"HOWARD, CAROL"},{"owner_type":"individual","owner_name":"Margaret Knight","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"KNIGHT, MARGARET"},{"owner_type":"individual","owner_name":"Steven Larochelle","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-02-28","owner_name_raw":"LAROCHELLE, STEVEN"},{"owner_type":"individual","owner_name":"Pauline Leblanc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-02-28","owner_name_raw":"LEBLANC, PAULINE"},{"owner_type":"individual","owner_name":"Prescille Malo","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"MALO, PRESCILLE"},{"owner_type":"individual","owner_name":"Naomi Prendergast","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"PRENDERGAST, NAOMI"},{"owner_type":"individual","owner_name":"Judith Ramirez","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-02-28","owner_name_raw":"RAMIREZ, JUDITH"},{"owner_type":"individual","owner_name":"Arthur Sutcliffe","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-02-28","owner_name_raw":"SUTCLIFFE, ARTHUR"},{"owner_type":"individual","owner_name":"Robert Young","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"YOUNG, ROBERT"},{"owner_type":"individual","owner_name":"Mary Heery","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-07","owner_name_raw":"HEERY, MARY"},{"owner_type":"individual","owner_name":"Patricia Rawdon","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-07-07","owner_name_raw":"RAWDON, PATRICIA"},{"owner_type":"individual","owner_name":"Mark Altenweg","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"ALTENWEG, MARK"},{"owner_type":"individual","owner_name":"Naomi Prendergast","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"PRENDERGAST, NAOMI"},{"owner_type":"individual","owner_name":"Mark Altenweg","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"ALTENWEG, MARK"},{"owner_type":"individual","owner_name":"Naomi Prendergast","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2012-03-05","owner_name_raw":"PRENDERGAST, NAOMI"}],"inspections":[{"id":"cms-225777-20250725-fire","ccn":"225777","date":"2025-07-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0006","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-15","std":1,"tv":"New"},{"t":"cms-k0311","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-15","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-15","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-15","std":1,"tv":"New"},{"t":"cms-k0372","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-15","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-15","std":1,"tv":"New"},{"t":"cms-k0918","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-15","std":1,"tv":"New"}]},{"id":"cms-225777-20250725-health","ccn":"225777","date":"2025-07-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-225777-20240821-fire","ccn":"225777","date":"2024-08-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"},{"t":"cms-e0030","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"},{"t":"cms-e0031","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"},{"t":"cms-k0131","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-11","std":1,"tv":"New"},{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-14","std":1,"tv":"New"},{"t":"cms-k0293","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"},{"t":"cms-k0300","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-30","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-30","std":1,"tv":"New"},{"t":"cms-k0344","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1,"tv":"New"},{"t":"cms-k0355","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"},{"t":"cms-k0372","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"},{"t":"cms-k0712","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1,"tv":"New"}]},{"id":"cms-225777-20240821-health","ccn":"225777","date":"2024-08-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-225777-20240409-health","ccn":"225777","date":"2024-04-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-23","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-23","cmp":1}]},{"id":"cms-225777-20231016-health","ccn":"225777","date":"2023-10-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-23","cmp":1}]},{"id":"cms-225777-20230823-fire","ccn":"225777","date":"2023-08-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-16","std":1,"tv":"New"}]},{"id":"cms-225777-20230823-health","ccn":"225777","date":"2023-08-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-20","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-20","std":1}]}],"deficiency_types":{"cms-e0006":{"code":"E-0006","title":"Conduct risk assessment and an All-Hazards approach.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0311":{"code":"K-0311","title":"Have an enclosure around a vertical opening shaft.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0131":{"code":"K-0131","title":"Meet requirements for sections of health care facilities separated by fire resistive construction.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0300":{"code":"K-0300","title":"Meet other general requirements that are deficient.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0030":{"code":"E-0030","title":"List the names and contact information of those in the facility.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0031":{"code":"E-0031","title":"Provide emergency officials' contact information.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0344":{"code":"K-0344","title":"Have an alternate power supply for its alarm system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225777&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MA","overall_rating":3.1,"health_inspection_rating":3,"qm_rating":3.3,"staffing_rating":3.1,"avg_residents_per_day":97.6,"cycle1_health_deficiencies":6.4,"cycle1_fire_deficiencies":3.9,"nurse_aide_hprd":2.31,"lpn_hprd":0.97,"rn_hprd":0.65518,"licensed_hprd":1.63,"total_nurse_hprd":3.93743,"weekend_total_nurse_hprd":3.5165,"weekend_rn_hprd":0.46,"pt_hprd":0.08,"nursing_turnover_pct":37.6,"rn_turnover_pct":42.7,"administrators_left":0.4,"case_mix_index":1.40112,"fines":0.7,"fine_amount":33030,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MA","name":"Massachusetts"},"county":{"fips":"25017","name":"Middlesex County"},"zip":"01854","city":"Lowell"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-225581","ccn":"225581","name":"Mount Carmel Care Center","address":"320 Pittsfield Road","city":"Lenox","state":"MA","zip":"01240","beds":69,"overall":3,"inspections":6,"last_inspection":"2025-04-23","deficiencies":25,"serious":1,"ij":0,"open":0,"fines_total":46410,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":2,"same_site_review":[],"nearby":[{"id":"cms-225298","ccn":"225298","name":"Northwood Rehabilitation & Health Care Center","address":"1010 Varnum Avenue","city":"Lowell","state":"MA","zip":"01854","beds":123,"overall":1,"inspections":7,"last_inspection":"2025-08-15","deficiencies":79,"serious":3,"ij":0,"open":0,"fines_total":85178,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.3},{"id":"cms-225515","ccn":"225515","name":"D'youville Senior Care","address":"981 Varnum Avenue","city":"Lowell","state":"MA","zip":"01854","beds":208,"overall":1,"inspections":11,"last_inspection":"2026-06-29","deficiencies":54,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.4},{"id":"cms-225458","ccn":"225458","name":"Fairhaven Healthcare Center","address":"476 Varnum Avenue","city":"Lowell","state":"MA","zip":"01854","beds":169,"overall":2,"inspections":10,"last_inspection":"2026-06-15","deficiencies":98,"serious":1,"ij":0,"open":0,"fines_total":15030,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.8},{"id":"cms-225508","ccn":"225508","name":"Palm Springs Post Acute","address":"40 Parkhurst Road","city":"Chelmsford","state":"MA","zip":"01824","beds":124,"overall":2,"inspections":8,"last_inspection":"2026-03-26","deficiencies":38,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.2},{"id":"cms-225511","ccn":"225511","name":"Regalcare at Lowell","address":"30 Princeton Boulevard","city":"Lowell","state":"MA","zip":"01851","beds":90,"overall":1,"inspections":7,"last_inspection":"2026-03-10","deficiencies":50,"serious":2,"ij":2,"open":0,"fines_total":91558,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.2},{"id":"cms-225224","ccn":"225224","name":"Care One at Lowell","address":"19 Varnum Street","city":"Lowell","state":"MA","zip":"01850","beds":160,"overall":4,"inspections":7,"last_inspection":"2026-05-14","deficiencies":40,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.7},{"id":"cms-225494","ccn":"225494","name":"Sunny Acres Skilled Nursing and Rehabilitation Ctr","address":"254 Billerica Road","city":"Chelmsford","state":"MA","zip":"01824","beds":93,"overall":4,"inspections":6,"last_inspection":"2025-05-06","deficiencies":42,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.5},{"id":"cms-225489","ccn":"225489","name":"Vantage at Lowell LLC","address":"500 Wentworth Avenue","city":"Lowell","state":"MA","zip":"01852","beds":115,"overall":2,"inspections":8,"last_inspection":"2026-06-04","deficiencies":49,"serious":2,"ij":0,"open":0,"fines_total":27877,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.1}]}}