Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

FAIRHAVEN HEALTHCARE CENTER

LOWELL, MA · 169 certified beds · Last Life Safety survey September 26, 2025

CMS Certification Number 225458 · first certified July 1990

Ownership

Operated by LME FAMILY HOLDINGS · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MA

54 citations — more than 100% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 23 citations; the earlier surveys in the window averaged 15.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to December 2026. This facility’s last Life Safety survey was September 2025. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about FAIRHAVEN HEALTHCARE CENTER

One email when it happens. No account; stop it any time with one click.

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

21 of the 54 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 54 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	54
Median facility in MA	11
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 15, 2023	13
October 23, 2024	18
September 26, 2025	23

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2025-09-26
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	3	2025-09-26
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-09-26
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-09-26
K-0711	Provide a written emergency evacuation plan.	3	2025-09-26
E-0029	Develop a communication plan.	2	2025-09-26
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	2	2025-09-26
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	2	2025-09-26

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 21
Smoke Deficiencies 10
Miscellaneous Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 5
Other 9

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	21
Smoke Deficiencies	10
Miscellaneous Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	5
Egress Deficiencies	4
Services Deficiencies	3
Construction Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 26, 2025 — 23 citations

Citations issued on September 26, 2025
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (February 10, 2026)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 10, 2026)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (December 8, 2025)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (February 6, 2026)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (February 10, 2026)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (February 10, 2026)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (February 10, 2026)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (February 10, 2026)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (February 10, 2026)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (December 8, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 6, 2026)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (February 10, 2026)
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	Deficient, Provider has date of correction (February 6, 2026)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (December 8, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (December 8, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 8, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 10, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 6, 2026)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (February 6, 2026)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (February 6, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 8, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (February 10, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 8, 2025)

October 23, 2024 — 18 citations

Citations issued on October 23, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 22, 2024)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (December 22, 2024)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (December 22, 2024)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (December 22, 2024)
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	Deficient, Provider has date of correction (January 10, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (January 10, 2025)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (January 10, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (January 10, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 10, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 10, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (January 10, 2025)
K-0522	Have an externally vented heating system.	Deficient, Provider has date of correction (January 10, 2025)
K-0711	Provide a written emergency evacuation plan.	Waiver has been granted (January 16, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 10, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Waiver has been granted (January 16, 2025)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (January 10, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 10, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 10, 2025)

November 15, 2023 — 13 citations

Citations issued on November 15, 2023
Tag	What the surveyor checks	Status
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (December 22, 2023)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (December 22, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (December 22, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 22, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (December 22, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (December 22, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (December 22, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 22, 2023)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (December 22, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (December 22, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 22, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (December 22, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 22, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.