Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Aspen Hill Rehabilitation & Healthcare Center
HAVERHILL, MA
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 8, 2026 cited 5 deficiencies.
View inspection evidenceCMS-published records list 74 ownership or control parties.
CMS records show an ownership change effective June 2022.
View ownership evidenceCMS groups this facility with a chain covering 89 facilities across 9 states or territories.
View chain evidenceCMS records show a $10,868 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
79 currently connected nursing homes share this CMS organization identity with UAK 2020 IRRV TR.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 30, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 5, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 24, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 5, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 28, 2022
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 22, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 31, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 22, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 22, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 5, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 5, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2022
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 78.6%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 45 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 49 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 21.8%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 77 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 21.8%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 77 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.2%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 48 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 56.8%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 49 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 78 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.2%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 49 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 28.4%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 48 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 75%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 135 across CA, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 75%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 135 across CA, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 30, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
Other facilities connected through this exact CMS organization identity: 72 across MA, MD, NH, NJ, PA, RI, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 77 across FL, MA, MD, NH, NJ, PA, RI, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 45 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 70 across MA, MD, NH, NJ, PA, RI, VA, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 5, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 77 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 48 across FL, MA, MD, NH, NJ, PA, RI, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 24, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 49 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 78 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 49 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 49 across FL, MA, MD, NH, NJ, PA, RI, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 48 across FL, MA, MD, NH, NJ, PA, RI, VA.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 5, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 28, 2022
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.4%
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 24 across FL, MA, MD, NH, NJ, PA, RI, VA.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 5, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2022
Other facilities connected through this exact CMS organization identity: 72 across MA, MD, NH, NJ, PA, RI, VA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2022
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 70 across MA, MD, NH, NJ, PA, RI, VA, WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 5, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 28, 2022
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 336 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 89 | 3.1 | 2.3 |
| Mon Jun | 88 | 3 | 2.5 |
| Fri May | 88 | 3 | 2.5 |
| Wed Apr | 84 | 3.1 | 2.5 |
| Sun Mar | 81 | 3 | 2.3 |
| Sun Feb | 80 | 2.9 | 2.3 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
Provide or obtain dental services for each resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 31, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 31, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Respond appropriately to all alleged violations.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide care or services that was trauma informed and/or culturally competent.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide routine and 24-hour emergency dental care for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide or obtain dental services for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 27, 2025)
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Dispose of garbage and refuse properly.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Implement a program that monitors antibiotic use.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 5, 2024)
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 27, 2023)
Penalties & enforcement
Published fine amount: $10,868.00
Published fine amount: $17,345.00
Published fine amount: $106,061.00
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.67 to 3.42 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.67 → 3.42
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $10,868 civil monetary penalty.
CMS · Recorded event date · View related evidence
21 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $17,345 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $106,061 civil monetary penalty.
CMS · Recorded event date · View related evidence
22 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: ASPEN HILL OPERATOR LLC.
WHC HAVERHILL INC → ASPEN HILL OPERATOR LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.873 | 3.066 |
| RN categories | 0.691 | 0.242 |
Contract staff accounted for 0.5% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.017 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.667 | 0.623 | 1.049 | 1.995 | 1.9% | 91 |
| 2025Q3 | 3.424 | 0.561 | 0.928 | 1.935 | 0.2% | 92 |
| 2025Q4 | 3.585 | 0.544 | 1.03 | 2.011 | 0.6% | 92 |
| 2026Q1 | 3.64 | 0.561 | 1.002 | 2.077 | 0.5% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
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