2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Palm Center is a nursing home ideal for residents who seek to relax and recover. Specializing in short-term rehabilitation and long-term care, the multi-awarded community provides professional and compassionate service for its residents. The nursing home cultivates the holistic needs of its residents in a home-like setting.
The services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, mobility improvement; colostomy care, dementia care, pain management, wound care; and medical professionals are on-call– medical directors, nurse practitioners, and physicians.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 20th out of 93 homes in Massachusetts for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 34m per day | ▼ 13% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 6% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 8m per day | ▼ 6% State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 14m per day | ▼ 6% State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 47% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▼ 25% State avg: 28m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% fewer staff per resident than Massachusetts average
0% compared with Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
29 total: 10 full-time employees and 19 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
30 total: 29 full-time employees and 1 contractor.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 64 CNA Staff are full-time employees. No contractors work on this role.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,114 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 21,373 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 29 | 1 | 30 | 9,075 | 92 | 100% | 8.9 |
| Registered Nurse | 10 | 19 | 29 | 4,203 | 92 | 100% | 7.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,267 | 67 | 73% | 8.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,112 | 79 | 86% | 7.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,032 | 70 | 76% | 7.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,010 | 92 | 100% | 6.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,008 | 66 | 72% | 8 |
| Dietitian | 2 | 0 | 2 | 928 | 68 | 74% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 892 | 85 | 92% | 7.9 |
| Dental Services Staff | 2 | 0 | 2 | 641 | 62 | 67% | 9.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 512 | 71 | 77% | 6.7 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 358 | 75 | 82% | 4.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 42 | 15 | 16% | 2.6 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
88% lower than Massachusetts averageMassachusetts average: $72K
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Massachusetts averageMassachusetts average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 12, 2023 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 12, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
29% worse than Massachusetts averageMassachusetts average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.1
26% worse than Massachusetts averageMassachusetts average: 20.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
27.3%
46% worse than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
19.7%
In line with Massachusetts averageMassachusetts average: 19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
28% worse than Massachusetts averageMassachusetts average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
72% worse than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.3%
13% worse than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.6%
71% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
7.5%
45% worse than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
0.7%
94% better than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
17.2%
15% better than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
8% better than Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.3%
7% worse than Massachusetts averageMassachusetts average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
2.52
35% worse than Massachusetts averageMassachusetts average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.56
In line with Massachusetts averageMassachusetts average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
25% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
55% worse than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
71.0%
9% worse than Massachusetts averageMassachusetts average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.1%
13% worse than Massachusetts averageMassachusetts average: 25.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.3%
30% better than Massachusetts averageMassachusetts average: 11.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Massachusetts averageMassachusetts average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
38.9%
28% worse than Massachusetts averageMassachusetts average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.8%
18% better than Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
37% of new residents, usually for short-term rehab.
62% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
102Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Palm Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 11/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #62 / 96Payroll — State benchmarkedThis home is ranked 62nd out of 96 homes in Massachusetts. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #54 / 96Payroll % — State benchmarkedThis home is ranked 54th out of 96 homes in Massachusetts. Shows payroll as a percentage of revenue versus the Massachusetts average. Well-run Massachusetts facilities typically land around 54–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (62% of admissions), and a typical private pay stay runs around 21 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.0 miles from city center
Estimated distance in miles from Chelmsford's city center to Palm Center's address, calculated via Google Maps.
— 10.46 miles to nearest hospital (St. Joseph Hospital)
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The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
| CareOne at Lowell | NH | Lowell (Centralville) | 160
Facility
160
MA AVG
94
Rank
#22 / 280 |
95.1%
Facility
95.1%
MA AVG
82%
Rank
#13 / 96 | +16% | 5.04
Facility
5.04
MA AVG
3.93
Rank
#9 / 93 | -75% | +28% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 94 | 27
Facility
27
MA AVG
32.7
Rank
#47 / 93 | 6.8
Facility
6.8
MA AVG
7.2
Rank
#55 / 93 | 1 | 150 | - |
77
Facility
77
MA AVG
53
Rank
#141 / 499 | Thci Of Massachusetts, LLC | $25.0M
Facility
$25.0M
MA AVG
$17.4M
Rank
#10 / 96 | $14.3M
Facility
$14.3M
MA AVG
$6.5M
Rank
#10 / 96 | 57.3%
Facility
57.3%
MA AVG
43.6%
Rank
#66 / 96 | 225224 | ||||
| Palm Center | NH HC NC PC RC | Chelmsford (North Chelmsford) | 124
Facility
124
MA AVG
94
Rank
#50 / 280 |
81.2%
Facility
81.2%
MA AVG
82%
Rank
#57 / 96 | -1% | 4.27
Facility
4.27
MA AVG
3.93
Rank
#20 / 93 | +44% | +9% | $8.6k
Facility
$8.6k
MA AVG
$76.6k
Rank
#56 / 94 | 21
Facility
21
MA AVG
32.7
Rank
#32 / 93 | 4.2
Facility
4.2
MA AVG
7.2
Rank
#22 / 93 | 1 | 109 | - |
78
Facility
78
MA AVG
53
Rank
#133 / 499 | Dimitre Sirakov | $10.8M
Facility
$10.8M
MA AVG
$17.4M
Rank
#58 / 96 | $6.8M
Facility
$6.8M
MA AVG
$6.5M
Rank
#62 / 96 | 62.8%
Facility
62.8%
MA AVG
43.6%
Rank
#54 / 96 | 225508 | ||||
| Fairhaven Healthcare Center for Rehabilitation and Nursing | NH HC MC RC | Lowell (Pawtucketville) | 169
Facility
169
MA AVG
94
Rank
#14 / 280 |
61.4%
Facility
61.4%
MA AVG
82%
Rank
#84 / 96 | -25% | 4.23
Facility
4.23
MA AVG
3.93
Rank
#24 / 93 | -42% | +8% | $15.0k
Facility
$15.0k
MA AVG
$76.6k
Rank
#68 / 94 | 41
Facility
41
MA AVG
32.7
Rank
#71 / 93 | 6.8
Facility
6.8
MA AVG
7.2
Rank
#55 / 93 | 1 | 125 | A+ |
40
Facility
40
MA AVG
53
Rank
#313 / 499 | Michael Takesian | $12.6M
Facility
$12.6M
MA AVG
$17.4M
Rank
#72 / 96 | $6.7M
Facility
$6.7M
MA AVG
$6.5M
Rank
#70 / 96 | 53.6%
Facility
53.6%
MA AVG
43.6%
Rank
#23 / 96 | 225458 | ||||
| D‘Youville Life and Wellness Community | NH AL HC IL MC NC | Lowell (Pawtucketville) | 208
Facility
208
MA AVG
94
Rank
#6 / 280 |
95.2%
Facility
95.2%
MA AVG
82%
Rank
#12 / 96 | +16% | 3.68
Facility
3.68
MA AVG
3.93
Rank
#58 / 93 | -44% | -6% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 94 | 29
Facility
29
MA AVG
32.7
Rank
#52 / 93 | 5.8
Facility
5.8
MA AVG
7.2
Rank
#45 / 93 | 1 | 198 | - |
19
Facility
19
MA AVG
53
Rank
#426 / 499 | D'youville Leadership Solutions, Inc | $24.2M
Facility
$24.2M
MA AVG
$17.4M
Rank
#9 / 96 | $15.5M
Facility
$15.5M
MA AVG
$6.5M
Rank
#6 / 96 | 64.2%
Facility
64.2%
MA AVG
43.6%
Rank
#19 / 96 | 225515 | ||||
| RegalCare at Lowell | NH | Lowell (Highlands) | 90
Facility
90
MA AVG
94
Rank
#126 / 280 |
70.7%
Facility
70.7%
MA AVG
82%
Rank
#75 / 96 | -14% | 3.53
Facility
3.53
MA AVG
3.93
Rank
#72 / 93 | -15% | -10% | $30.5k
Facility
$30.5k
MA AVG
$76.6k
Rank
#76 / 94 | 44
Facility
44
MA AVG
32.7
Rank
#77 / 93 | 8.8
Facility
8.8
MA AVG
7.2
Rank
#71 / 93 | 3 | 61 | - |
69
Facility
69
MA AVG
53
Rank
#177 / 499 | - | $6.7M
Facility
$6.7M
MA AVG
$17.4M
Rank
#94 / 96 | $4.1M
Facility
$4.1M
MA AVG
$6.5M
Rank
#88 / 96 | 60.5%
Facility
60.5%
MA AVG
43.6%
Rank
#3 / 96 | 225511 |
Palm Center is located in Chelmsford, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Palm Center is in the North Chelmsford neighborhood.
Palm Center has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Palm Center's occupancy is 81.2%.
Palm Center is registered as a for-profit.
Yes — there are 28 photos of Palm Center in the photo gallery on this page.
Palm Center is located at 40 Parkhurst Rd, Chelmsford, MA 01824.
(978) 256-3151 will put you in contact with the team at Palm Center.
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