ElderGrade
B

73/100

Above average

Penacook Place, Inc

150 Water Street, Haverhill, MA 01830

CMS 4/5 stars #20 of 45 in Essex County (978) 374-0707
Certified beds
160
Occupancy
64%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $33,677 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

21/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.11 total nurse hours per resident per day (national median 3.77)
  • 0.64 RN hours per resident per day
  • Weekend staffing holds steady

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 39% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $33,677 in federal fines across 4 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.76 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.64 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.63 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 39.00%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 26 citations

Last standard health inspection: June 4, 2025 (1 year ago).

D Jan 20, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 20, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

G Apr 29, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Actual harm to a resident

D May 8, 2024 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 8, 2024 F0677

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D May 8, 2024 F0684

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D May 8, 2024 F0695

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D May 8, 2024 F0698

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of COVENANT HEALTH, which operates 11 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CASTILLO, NICOLE Individual W-2 MANAGING EMPLOYEE
BELL, MICHAEL Individual CORPORATE DIRECTOR
DELANEY, JOHN Individual CORPORATE OFFICER
MASYS, CAITLIN Individual CORPORATE OFFICER
MORTIMER, THOMAS Individual CORPORATE OFFICER
RIOPELLE, JUDITHANN Individual CORPORATE OFFICER
SARRO, JOHN Individual CORPORATE OFFICER
SHAW, GREGORY Individual CORPORATE OFFICER

What families say

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Common questions about Penacook Place, Inc

What is the ElderGrade for Penacook Place, Inc? +

Penacook Place, Inc holds an ElderGrade of B (73 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Penacook Place, Inc? +

Residents receive an average of 3.76 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Penacook Place, Inc been cited for harming residents? +

Yes. 1 of the 26 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Penacook Place, Inc accept Medicaid? +

Yes, Penacook Place, Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.