Care One at Lowell
19 Varnum Street · Lowell, MA · 01850 · 9784545644
160 certified beds For profit - Limited Liability company Chain: Careone
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.44 | ≈ weekday level |
| Nursing turnover / year | 20% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · D May 21, 2025
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.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · D May 21, 2025
Assess the resident when there is a significant change in condition
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 21, 2025
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 June 27, 2025 · Quality of Life and Care
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Potential for harm · D May 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · E May 21, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected June 27, 2025 · Nursing and Physician Services
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Potential for harm · D May 21, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 27, 2025 · Pharmacy Service
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Potential for harm · D May 21, 2025
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
Corrected June 27, 2025 · Administration
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Potential for harm · E May 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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No harm found · C May 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · D July 9, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 4, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected August 4, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Provide and implement an infection prevention and control program.
Corrected August 4, 2024 · Infection Control
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No harm found · B June 27, 2024
Ensure each resident receives an accurate assessment.
Corrected August 4, 2024 · Resident Assessment and Care Planning
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Actual harm · G April 6, 2023
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 May 1, 2023 · Quality of Life and Care
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Potential for harm · D April 6, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 1, 2023 · Resident Rights
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Potential for harm · D April 6, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 6, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 1, 2023 · Quality of Life and Care
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Potential for harm · D April 6, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected May 1, 2023 · Quality of Life and Care
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Potential for harm · D April 6, 2023
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 May 1, 2023 · Quality of Life and Care
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Potential for harm · D April 6, 2023
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 1, 2023 · Nursing and Physician Services
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Potential for harm · D April 6, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected May 1, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225224 · certified since December 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.