Lakeview House SKLD Nrsg and Residential Care Fac

Name: Lakeview House SKLD Nrsg and Residential Care Fac
Address: 87 SHATTUCK STREET, Haverhill, MA, 01830, US
Telephone: 9783721081

87 Shattuck Street, Haverhill, MA 01830 · Essex County · 91 certified beds · avg 23 residents/day · certified since Jul 1, 1990

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.06

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (12)

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
Jul 30, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 30, 2025	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.
Jul 30, 2025	B · Minimal risk, repeated	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.
Aug 7, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 7, 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.
Aug 7, 2024	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Jul 13, 2023	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.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 13, 2023	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.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 4).

Year	Citations	Worst severity that year
2023	5	D
2024	3	D
2025	4	D

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)	5.06	3.89	3.95	top 8% in Massachusetts; top 12% in the U.S.
Registered Nurse hours	0.63	0.65	0.69	top 42% in Massachusetts; top 44% in the U.S.
Weekend total nurse staffing	4.08	3.51	3.50	top 15% in Massachusetts; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.46	0.48	bottom 45% in Massachusetts; top 49% in the U.S.
Total nursing staff turnover (%)	20.8	38.2	45.8	top 5% in Massachusetts; top 3% in the U.S.
RN turnover (%)	0.0	42.6	42.9	—

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 4.19, RN 0.52, weekend 3.38. 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 - Corporation

Owner / manager	Type	Role	Stake	Since
Gaurino, Kathleen	Individual	Direct Ownership Interest	NOT APPLICABLE	07/01/1983
Guarino, Jon	Individual	Direct Ownership Interest	NOT APPLICABLE	07/01/1983
Gaurino, Kathleen	Individual	ADP of the SNF	NOT APPLICABLE	07/01/1983
Grimes, William	Individual	Operational/Managerial Control	NOT APPLICABLE	12/09/2019
Grimes, William	Individual	ADP of the SNF	NOT APPLICABLE	12/09/2019
Guarino, Jon	Individual	Corporate Officer	NOT APPLICABLE	07/01/1983
Guarino, Jon	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/1983
Guarino, Jon	Individual	ADP of the SNF	NOT APPLICABLE	07/01/1983
Romatelli, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	12/09/2019
Romatelli, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	12/09/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Aspen Hill Rehabiliation & Healthcare Center	1.6 mi	Haverhill, MA	★★★☆☆	2/5
Oxford Rehabilitation & Health Care Center	1.7 mi	Haverhill, MA	★☆☆☆☆	1/5
Baker-Katz Skilled Nursing and Rehabilitation Ctr	1.8 mi	Haverhill, MA	★★★★☆	4/5
Penacook Place, INC	1.9 mi	Haverhill, MA	★★★★☆	4/5
Haverhill Rehabilitation and Healthcare Center	3.0 mi	Haverhill, MA	★★☆☆☆	3/5
Whittier Bradford Transitional Care Unit	4.1 mi	Bradford, MA	★★★★★	5/5
Mill Town Health and Rehabilitation	6.9 mi	Amesbury, MA	★☆☆☆☆	1/5	SFF
Maplewood Center	7.1 mi	Amesbury, MA	★☆☆☆☆	1/5	SFF
Prescott House	7.2 mi	North Andover, MA	★★☆☆☆	2/5
Meadows, the	7.2 mi	North Andover, MA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Haverhill →

Facility data as of CMS processing date 2026-08-01. CCN 225401.

The Care File

Visit checklist — Lakeview House SKLD Nrsg and Residential Care Fac

87 Shattuck Street, Haverhill, MA 01830 · 9783721081

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225401 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)