Home / Massachusetts / Haverhill
Lakeview House Skld Nrsg and Residential Care Fac
87 Shattuck Street, Haverhill, MA 01830 · Essex County · (978) 372-1081
91 certified beds, about 23 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225401 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 30, 2025, inspectors cited 4 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
None of its 12 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.19 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
20.8% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
July 30, 2025Standard inspection · 4 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify the physician of a significant change in status for one Resident (#2) out of a total sample of 14 residents. Specifically, after the worsening of a pressure wound on the sacrum of Resident #2.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview the facility failed to review and revise the care plan by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for 2 Residents (#7 and #21) out of a total sample of 14 residents. Specifically:For resident #7 the facility failed to review and/or revise the care plan after the completion of a quarterly MDS dated [DATE]. For Resident #21 the facility failed to review and/or revise the care plan after the completion of a comprehensive MDS dated [DATE].
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interview and record review the facility failed to ensure that one Resident (#8), out of a total sample of 14 residents, received proper treatment to maintain vision ability. Specifically, the facility failed to review and implement the optometrist's recommendation for a follow-up appointment and initiation of artificial tears (lubricating eye drops used to relieve dryness and irritation in the eyes).
- B Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and interview the facility failed to complete a significant change Minimum Data Set (MDS) assessment for one Resident (#7) out of a total sample of 14 residents. Specifically, the facility failed to complete a significant change MDS when Resident #7 signed on to hospice.
August 7, 2024Standard inspection · 3 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to ensure staff alerted the physician when one Resident (#18) had a change in condition, out of a total of eight sampled residents.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, record review and interview, the facility failed to identify and assess the use of a geri-chair (a high back chair on wheels with the ability to recline) as a restraint for one Resident (#8) out of a total of eight sampled Residents.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the correct diet texture was implemented for one Resident (#10) out of a total sample of eight residents. Specifically, the facility failed to ensure that Resident #10 received a ground textured diet as ordered by the physician.
July 13, 2023Standard inspection · 5 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, record review and interviews the facility failed to follow physician orders for the use of heel protection booties for 1 Resident (#3) out of a total sample of 12 Residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to develop a person centered falls care plan for 2 Residents (#12 and #10) out of a total sample of 12 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, record review and interviews, the facility failed to assess and investigate a bruise of unknown origin for 1 Resident (#11) out of a total sample of 12 residents.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on record review and interview the facility failed to ensure a plan of care was developed for Trauma-Informed Care for one Resident (#10), who has the diagnosis of Post-Traumatic Stress Disorder, out of a total 12 sampled Residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to follow proper sanitation and food handling practices during meal service to prevent the risk of foodborne illness.
Fire safety inspections
22 fire safety citations on file: 5 on July 30, 2025, 17 on August 7, 2024.
Every fire safety citation22 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- E Have generator or other power source capable of supplying service within 10 seconds.
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Implement emergency and standby power systems.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Address subsistence needs for staff and patients.
- D Establish roles under a Waiver declared by secretary.
- D Establish emergency prep training and testing.
- D Establish staff and initial training requirements.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Provide properly protected cooking facilities.
- D Provide a written emergency evacuation plan.
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.19 | 3.86 | 3.86 |
| Registered nurses | 0.52 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.48 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 1.41 | ||
| Nursing staff turnover (share who left in a year) | 20.8% | 38.2% | 45.8% |
| Registered nurse turnover | not reported | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.52 on weekdays and 3.38 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.21 in April to June 2025 to 4.19 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.19 | 0.52 | 4.52 | 3.38 | 4.8% | 0 of 90 | 23 |
| Oct to Dec 2025 | 4.46 | 0.50 | 4.74 | 3.75 | 4.7% | 1 of 92 | 22 |
| Jul to Sep 2025 | 4.55 | 0.54 | 4.85 | 3.78 | 6.7% | 1 of 92 | 22 |
| Apr to Jun 2025 | 4.21 | 0.48 | 4.56 | 3.34 | 6.3% | 1 of 91 | 23 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Massachusetts
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.3 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.4 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 66.7 | 21.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Lakeview House Skld Nrsg and Residential Care Fac's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: LAKEVIEW HOUSE INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gaurino, Kathleen | Direct ownership interest | Individual | 07/01/1983 | |
| Guarino, Jon | Direct ownership interest | Individual | 07/01/1983 | |
| Guarino, Jon | Corporate officer | Individual | 07/01/1983 | |
| Grimes, William | Operational/managerial control | Individual | 12/09/2019 | |
| Guarino, Jon | Operational/managerial control | Individual | 07/01/1983 | |
| Romatelli, Joseph | Operational/managerial control | Individual | 12/09/2019 | |
| Gaurino, Kathleen | Adp of the SNF | Individual | 07/01/1983 | |
| Grimes, William | Adp of the SNF | Individual | 12/09/2019 | |
| Guarino, Jon | Adp of the SNF | Individual | 07/01/1983 | |
| Romatelli, Joseph | Adp of the SNF | Individual | 12/09/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 30, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 30, 2025: "Assist a resident in gaining access to vision and hearing services."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 30, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 7, 2024: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.38 hours per resident per day, below the Massachusetts average of 3.48.
Other nursing homes nearby
- Aspen Hill Rehabiliation & Healthcare Center Haverhill, 1.6 mi · 3 of 5 stars · 51 citations
- Oxford Rehabilitation & Health Care Center Haverhill, 1.7 mi · 1 of 5 stars · 41 citations
- Baker-Katz Skilled Nursing and Rehabilitation Ctr Haverhill, 1.8 mi · 4 of 5 stars · 17 citations
- Penacook Place, Inc Haverhill, 1.9 mi · 4 of 5 stars · 26 citations
- Haverhill Rehabilitation and Healthcare Center Haverhill, 3 mi · 2 of 5 stars · 43 citations
- Whittier Bradford Transitional Care Unit Bradford, 4.1 mi · 5 of 5 stars · 0 citations
- Mill Town Health and Rehabilitation Amesbury, 6.9 mi · 1 of 5 stars · 61 citations
- Maplewood Center Amesbury, 7.1 mi · 1 of 5 stars · 61 citations
Common questions
- What is Lakeview House Skld Nrsg and Residential Care Fac's Medicare star rating?
- CMS rates Lakeview House Skld Nrsg and Residential Care Fac 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lakeview House Skld Nrsg and Residential Care Fac get at its last inspection?
- 4 health deficiencies at the standard inspection on July 30, 2025. The Massachusetts average is 6.8.
- Has Lakeview House Skld Nrsg and Residential Care Fac been fined?
- CMS lists no fines in the last three years.
- Does Lakeview House Skld Nrsg and Residential Care Fac accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Lakeview House Skld Nrsg and Residential Care Fac?
- CMS lists 10 owners and managers. Legal business name: LAKEVIEW HOUSE INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.