The nursing home failed to ensure residents were free from significant medication errors. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
PENACOOK PLACE, INC
HAVERHILL, MA · Medicare-certified · 160 beds
Needs attention
Non-profitChain member
4 of 5 overall
PENACOOK PLACE, INC in Haverhill, MA has a 4 out of 5 overall rating, with 4-star health inspection and staffing scores and a 3-star quality rating. Reported nurse staffing is 3.71 hours per resident per day, below the 4.1 federal benchmark, and the facility has had $10,868 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.709 hrs/resident/day
Quality measures
Last inspection: January 20, 2026Penalties, last 24 months: $10,868recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.709.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.27
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
25.1%Worsening
Residents with a fall causing major injury
3.6%Worsening
Residents with pressure ulcers (bedsores)
2.4%Improving
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
1.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.8%Steady
Residents whose ability to walk got worse
20.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
29.4%Worsening
Short-stay residents newly given an antipsychotic
3.3%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
24.5%Improving
Residents with depressive symptoms
0.5%Improving
Long-stay residents given the seasonal flu vaccine
99.2%Steady
Long-stay residents given the pneumonia vaccine
82.9%Improving
Short-stay residents given the seasonal flu vaccine
53.7%Steady
Short-stay residents given the pneumonia vaccine
59.7%Improving
What the inspectors found
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2023 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2023 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,868 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 5 fines · $48,707 in total fines.
- $10,868
Federal fine
Apr 29, 2025
- $4,587
Federal fine
Aug 14, 2023
- $4,587
Federal fine
Aug 7, 2023
- $13,635
Federal fine
Jul 17, 2023
- $15,030
Federal fine
Jun 14, 2023
Operator & ownership
- Ownership
- Non profit - Church related
- Chain
- Part of COVENANT HEALTH · 11 homes · 3.2 stars avg
- Occupancy
- 105.9 residents on an average day (66% of 160 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.