1/5
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.
1/5
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.
Regalcare at Lowell, a 90-bed nursing home at 30 Princeton Boulevard in Lowell (Middlesex County), Massachusetts, earned a 1-star overall CMS rating. The driving factor is a 1-star health inspection score, placing the facility well below state performance levels. Quality measures run 5.6% below the Massachusetts average.
While reported nursing hours exceed the state average by 33%, the actual staff-to-resident ratio is 1.21:1 and falls 27% short of the state benchmark. This discrepancy reflects an imbalanced staffing model. Critically, certified nursing aide hours, which provide most direct resident assistance, run 22% below the state average of 2 hours 16 minutes per resident per day. CNA shifts average just 6.9 hours, among the shortest in the state.
In March 2025, the facility incurred a $71,000 federal civil money penalty.
Long-stay quality metrics reveal vulnerabilities. Pressure ulcer rates in high-risk residents reach 7.3%, nearly 60% above the state average. Functional decline in activities of daily living affects 24.4% of residents, 31% worse than state norms. Hospital readmission and emergency department utilization both run above state averages, signaling either care management challenges or acuity-driven clinical needs.
Short-stay rehabilitation outcomes perform better than average, with strong discharge self-care outcomes and minimal antipsychotic medication initiation. Urinary tract infection and depression rates are favorable. Occupancy stands at 70.7%, below the Massachusetts average. The facility admits 41% Medicare (short-stay rehab) and 33% Medicaid (long-term), though current resident census is 77% Medicaid.
RegalCare serves a shifting population: historically mixed short-term and long-term, now predominantly long-term Medicaid-supported residents requiring extended skilled care.
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 72nd 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.
| 32m per day | ▼ 18% 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 7m per day | ▲ 16% 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.
| 1h 44m per day | ▼ 24% 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 5m per day | ▼ 11% 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.
| 6m per day | ▲ 53% 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.
| 24m per day | ▼ 14% 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.
27% fewer staff per resident than Massachusetts average
6% worse than Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,068 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 9,674 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 17 | 0 | 17 | 6,266 | 92 | 100% | 8 |
| Registered Nurse | 8 | 0 | 8 | 2,227 | 92 | 100% | 8.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 781 | 85 | 92% | 6.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 571 | 76 | 83% | 7.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 472 | 65 | 71% | 7.3 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 383 | 51 | 55% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 353 | 45 | 49% | 7.8 |
| Dietitian | 1 | 0 | 1 | 260 | 34 | 37% | 7.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 192 | 36 | 39% | 5.3 |
| Qualified Social Worker | 0 | 1 | 1 | 25 | 11 | 12% | 2.3 |
| RN Director of Nursing | 1 | 0 | 1 | 2 | 1 | 1% | 1.5 |
Includes penalties issued in 2025
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)
41% higher than Massachusetts averageMassachusetts average: $72K
17% more 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
Mar 31, 2025 · $71K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 31, 2025Last 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.
12.2
19% worse than Massachusetts averageMassachusetts average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
12% 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
24.4%
31% worse than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
20.5%
6% worse than Massachusetts averageMassachusetts average: 19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.3%
In line with Massachusetts averageMassachusetts average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
58% better than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.3%
56% worse than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.5%
75% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
7.1%
37% worse than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
17.7%
13% better than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with Massachusetts averageMassachusetts average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
2.68
44% worse than Massachusetts averageMassachusetts average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
14% worse than 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
71.7%
6% worse than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
11% better than Massachusetts averageMassachusetts average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.1%
In line with Massachusetts averageMassachusetts average: 25.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
29% 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.
60.7%
13% better than Massachusetts averageMassachusetts average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
52.3%
In line with Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
61Residents 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 RegalCare at Lowell from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #88 / 96Payroll — State benchmarkedThis home is ranked 88th 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 #3 / 96Payroll % — State benchmarkedThis home is ranked 3rd 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).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.1 miles from city center
Estimated distance in miles from Lowell's city center to RegalCare at Lowell's address, calculated via Google Maps.
— 10.53 miles to nearest hospital (Merrimack Health Lawrence 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 |
RegalCare at Lowell is located in Lowell, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
RegalCare at Lowell is in the Highlands neighborhood.
RegalCare at Lowell has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
RegalCare at Lowell's occupancy is 70.7%.
RegalCare at Lowell is registered as a for-profit.
Yes — there are 4 photos of RegalCare at Lowell in the photo gallery on this page.
RegalCare at Lowell is located at 30 Princeton Blvd, Lowell, MA 01851.
(978) 454-8086 will put you in contact with the team at RegalCare at Lowell.
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