Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at New England Pediatric Care during CMS and state inspections, most recent first.
Surveyors identified widespread environmental deficiencies, including damaged walls, stained ceiling tiles, chipped and dirty furniture, and broken fixtures in multiple resident rooms. Despite a process for reporting maintenance concerns, these issues were not documented or addressed, resulting in a failure to provide a safe, clean, and homelike environment for residents.
A resident with severe cognitive impairment and high risk for pressure ulcers did not have physician-ordered Heelbos elbow protectors applied as required. The care plan and physician orders specified continuous use, but the order was not documented on the treatment record, and the resident was observed without the protectors on multiple occasions. Staff interviews confirmed the omission.
A facility failed to follow the care plan for a resident with PICA, resulting in the resident coughing on a piece of a foam toy. The resident, who requires substantial assistance with mobility, was found with the toy despite measures to prevent access to small objects. Staff interviews revealed uncertainty about how the resident obtained the toy, and the incident report lacked witness statements.
A resident with PICA choked on a foam toy due to inadequate supervision. The resident, who requires substantial assistance, was able to cough up the toy piece without intervention. Staff interviews revealed inconsistencies in how the toy was obtained, and the incident report lacked witness statements, indicating a lapse in supervision and adherence to the care plan.
Failure to Maintain Homelike and Safe Resident Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for residents on both the first and second floors, as evidenced by multiple observations of environmental deficiencies. Surveyors noted gouges in walls with exposed plaster, peeling wallpaper and paint, stained ceiling tiles, chipped and damaged furniture, rusty laundry hampers, and broken or missing furniture components such as knobs and window shade mechanisms. These issues were observed in numerous resident rooms across both the A and B wings during environmental rounds. Despite the presence of a maintenance logbook on the units, none of the observed environmental concerns were documented in the maintenance logs for the relevant period. Interviews with nursing staff confirmed that there is a process in place for reporting maintenance issues via binders at the nurse's stations, but the observed deficiencies had not been reported or addressed. The Director of Nursing and Director of Social Services acknowledged the need for furniture replacement and confirmed that staff are expected to report such issues, but the deficiencies persisted at the time of the survey. The facility's policy emphasizes the importance of providing a homelike environment and encourages personalization of resident living areas, yet the observed conditions did not align with these standards. The environmental deficiencies were widespread and included both structural and furniture-related issues, directly impacting the quality and comfort of the residents' living spaces.
Failure to Follow Physician Order for Elbow Protectors
Penalty
Summary
The facility failed to follow a physician's order for the use of elbow protectors (Heelbos) for one resident with cerebral palsy, neuromuscular scoliosis, severely impaired cognition, and total dependence on staff for activities of daily living. The resident was identified as being at risk for pressure ulcers, and both the care plan and physician orders specified that Heelbos should be applied to the resident's elbows at all times. However, review of the Treatment Administration Record for March 2025 showed that the order was not carried over, and direct observations on two separate occasions found the resident without the required elbow protectors while seated in a wheelchair. Staff interviews confirmed that the protectors were not applied as ordered, with one staff member stating they were likely forgotten during morning care.
Failure to Follow Care Plan for Resident with PICA
Penalty
Summary
The facility failed to follow the care plan for a resident diagnosed with PICA, resulting in the resident coughing on a piece of a foam toy. The resident, who is severely impaired and requires substantial assistance with mobility, was admitted with a care plan that included measures to prevent access to small objects due to the risk of aspiration and choking. Despite these precautions, the resident was found coughing on a piece of a foam toy, which they were able to expel without requiring the Heimlich maneuver or other intervention. Interviews with staff revealed that the resident returned to their unit from an educational session with the foam toy, although it was unclear how the resident obtained it. The educator responsible for the resident stated that only approved toys are given to the resident, and the Director of Nursing confirmed that the resident should not have access to toys that can be bitten into. The incident report did not include witness statements or details on how the toy was acquired, indicating a lapse in supervision and adherence to the care plan.
Choking Incident Due to Inadequate Supervision
Penalty
Summary
The facility failed to prevent a choking incident for a resident diagnosed with PICA, a condition where individuals eat non-food items. The resident, who is severely impaired and requires substantial assistance, choked on a piece of foam toy. The care plan for the resident indicated that they should be closely supervised and kept away from small objects that could pose a choking hazard. However, the resident returned to their unit with a foam toy and, unwitnessed, bit off a piece and began choking. The resident was able to cough up the piece of foam toy without requiring the Heimlich maneuver or other intervention from staff. Interviews with staff revealed inconsistencies in how the resident obtained the foam toy. The educator stated that the resident only leaves with approved toys, while a CNA reported seeing the resident coughing in the hallway and alerted a nurse. The Director of Nursing confirmed that the resident should not have had access to the foam toy and that the educator was aware of the restrictions. The incident report lacked witness statements and did not clarify how the resident obtained the foam toy, indicating a lapse in supervision and adherence to the care plan.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near North Billerica
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Merrimack Valley | 0 mi | — | 5 | 0 |
| Sunny Acres Skilled Nursing And Rehabilitation Ctr | 1.4 mi | — | 0 | 0 |
| Vantage At Lowell Llc | 2.7 mi | — | 3 | 0 |
| Blaire House Of Tewksbury | 3.1 mi | — | 40 | 0 |
| Regalcare At Lowell | 3.4 mi | — | 21 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.