Care One at Lowell
19 Varnum Street, Lowell, MA 01850 · Middlesex County · 160 certified beds · avg 152 residents/day · certified since Dec 1, 1974
Part of chain: CAREONE (37 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 6, 2023 · F-0688
The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 1, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2025 | E · Potential for harm, repeated | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| May 21, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| May 21, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 21, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not keep signed and dated reports of x-rays and other diagnostic tests in residents' records. |
| May 21, 2025 | C · Minimal risk, facility-wide | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jul 9, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 27, 2024 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 6, 2023 | ▲ G · Actual harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Apr 6, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 1 | G ▲ |
| 2024 | 8 | 0 | D |
| 2025 | 9 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Massachusetts avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.25 | 3.89 | 3.95 | top 7% in Massachusetts; top 10% in the U.S. |
| Registered Nurse hours | 0.36 | 0.65 | 0.69 | bottom 9% in Massachusetts; bottom 16% in the U.S. |
| Weekend total nurse staffing | 4.79 | 3.51 | 3.50 | top 6% in Massachusetts; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.46 | 0.48 | bottom 1% in Massachusetts; bottom 3% in the U.S. |
| Total nursing staff turnover (%) | 20.7 | 38.2 | 45.8 | top 4% in Massachusetts; top 3% in the U.S. |
| RN turnover (%) | 14.3 | 42.6 | 42.9 | top 5% in Massachusetts; top 7% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.68, RN 0.25, weekend 3.36. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Care Realty, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/30/2002 |
| Des-I 2016 Grat | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2021 |
| Straus, Daniel | Individual | 5% or Greater Indirect Ownership Interest | — | 07/01/2003 |
| Thci of Massachusetts, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 07/01/2003 |
| Baruch, David | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/01/2021 |
| Baruch, David | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Healthbridge Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2003 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Vantage at Lowell LLC | 1.6 mi | Lowell, MA | ★★☆☆☆ | 2/5 | |
| Regalcare at Lowell | 2.0 mi | Lowell, MA | ★☆☆☆☆ | 1/5 | |
| Fairhaven Healthcare Center | 2.4 mi | Lowell, MA | ★★☆☆☆ | 2/5 | |
| D'youville Senior Care | 3.3 mi | Lowell, MA | ★☆☆☆☆ | 1/5 | |
| Northwood Rehabilitation & Healthcare Center | 3.4 mi | Lowell, MA | ★☆☆☆☆ | 1/5 | |
| D'youville Care for Advanced Therapy | 3.5 mi | Lowell, MA | ★★★★★ | 5/5 | |
| Blaire House of Tewksbury | 4.0 mi | Tewksbury, MA | ★☆☆☆☆ | 1/5 | SFF |
| Sunny Acres Skilled Nursing and Rehabilitation Ctr | 4.0 mi | Chelmsford, MA | ★★★★☆ | 4/5 | |
| Palm Springs Post Acute | 4.0 mi | Chelmsford, MA | ★★☆☆☆ | 2/5 | |
| New England Pediatric Care | 4.1 mi | North Billerica, MA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225224.