Penacook Place, Inc

150 Water Street · Haverhill, MA · 01830 · 9783740707

160 certified beds Non profit - Church related Chain: Covenant Health

Why this verdict

  • Federal penalties on record: $10,868 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 70
Serious harm & abuse 20% 78
Staffing 20% 74
Federal penalties 15% 36
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.713.48 min · 4.1 strong
RN hours / resident-day0.680.55–0.75
Weekend hours / resident-day3.45≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)4 · $33,677

Inspection citations (30 in the current record)

  • Potential for harm · D January 20, 2026 · found via complaint

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

    Corrected February 14, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 20, 2026 · found via complaint

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

    Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G April 29, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 20, 2025 · Pharmacy Service

  • Potential for harm · D May 8, 2024

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

    Corrected May 24, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2024

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

    Corrected May 24, 2024 · Quality of Life and Care

  • Potential for harm · D May 8, 2024

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

    Corrected May 24, 2024 · Quality of Life and Care

  • Potential for harm · D May 8, 2024

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

    Corrected May 24, 2024 · Quality of Life and Care

  • Potential for harm · D May 8, 2024

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

    Corrected May 24, 2024 · Quality of Life and Care

  • Potential for harm · D December 12, 2023 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected December 11, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G June 14, 2023 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected July 31, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 14, 2023 · found via complaint

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

    Corrected July 31, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 14, 2023 · found via complaint

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

    Corrected July 31, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 14, 2023 · found via complaint

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

    Corrected July 31, 2023 · Quality of Life and Care

  • Potential for harm · E March 20, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 12, 2023 · Resident Rights

  • Potential for harm · D March 20, 2023

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected April 30, 2023 · Resident Rights

  • Potential for harm · D March 20, 2023

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

    Corrected April 30, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 20, 2023

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

    Corrected April 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2023

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

    Corrected May 12, 2023 · Quality of Life and Care

  • Potential for harm · D March 20, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 30, 2023 · Quality of Life and Care

  • Potential for harm · D March 20, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 30, 2023 · Quality of Life and Care

  • Potential for harm · D March 20, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 30, 2023 · Quality of Life and Care

  • Potential for harm · D March 20, 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 April 30, 2023 · Quality of Life and Care

  • Potential for harm · D March 20, 2023

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

    Corrected May 12, 2023 · Quality of Life and Care

  • Potential for harm · D March 20, 2023

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected April 30, 2023 · Quality of Life and Care

  • Potential for harm · E March 20, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 12, 2023 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 29, 2025Fine$10,868
August 14, 2023Fine$4,587
August 7, 2023Fine$4,587
July 17, 2023Fine$13,635

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 225376 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.