Massachusetts › Essex County › Danvers
Twin Oaks Center
63 Locust Street, Danvers, MA 01923
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Twin Oaks Center is a For-profit, limited liability company nursing home in Danvers, Massachusetts, certified for 101 beds and caring for about 75 residents a day.
CMS gives it 1 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 58 health deficiencies across the three most recent survey cycles (19, 3, 36 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 57.4 per 100 beds, more than the state median of 21.7.
CMS lists 1 penalty in the period covered: fines totalling $2K.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 44.3%.
Compared with county, state and nation
| Measure | This facility | Essex Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 58 | 25 | 27 | 28.7 |
| Citations per 100 beds | 57.4 | 22.1 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.2 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 44.3% | 39.0% | 37.7% | 45.8% |
| Fines listed | $2,186 | $8,824 | $0 | — |
County and state figures are medians across facilities (45 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Jun 2025, 11 Jul 2024.
Severity mix: G ×3 H ×1 D ×32 E ×8 F ×14
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0761 | 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. | E | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 24 Jul 2025 |
| 18 Jun 2025 | F0887 | 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. | D | Standard survey | 24 Jul 2025 |
| 11 Jul 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 11 Jul 2024 |
| 11 Jul 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | G | Standard survey | 11 Jul 2024 |
| 11 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 11 Jul 2024 |
| 12 Dec 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint investigation | 15 Jan 2024 |
| 3 May 2023 | F0760 | Ensure that residents are free from significant medication errors. | H | Standard survey | 3 May 2023 |
| 3 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 4 May 2023 |
| 3 May 2023 | F0584 | 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. | F | Standard survey | 8 May 2023 |
| 3 May 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | F | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 16 Jun 2023 |
| 3 May 2023 | F0761 | 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. | F | Standard survey | 27 Jun 2023 |
| 3 May 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 9 May 2023 |
| 3 May 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 2 Jun 2023 |
| 3 May 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 2 Jun 2023 |
| 3 May 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 15 May 2023 |
| 3 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Jun 2023 |
| 3 May 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 16 Jun 2023 |
| 3 May 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 2 Jun 2023 |
| 3 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 May 2023 |
| 3 May 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 16 Jun 2023 |
| 3 May 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 3 May 2023 |
| 3 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 12 Jun 2023 |
| 3 May 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 16 Jun 2023 |
| 3 May 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 9 Jun 2023 |
| 3 May 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 5 May 2023 |
| 3 May 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 9 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Jul 2024 | Fine | $2,186 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 44.3%, RNs 66.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.3% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 41.7% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Locust Street Operations Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ma SNF Holdings LLC | 5% or greater direct ownership interest | 100% | 03/15/2024 |
| Celtic Bank Corporation | 5% or greater mortgage interest | NOT APPLICABLE | 09/03/2024 |
| Zenith Care LLC | Operational/managerial control | NOT APPLICABLE | 09/03/2024 |
| Ma SNF Holdings LLC | Adp of the snf | NOT APPLICABLE | 12/03/2024 |
| Zenith Care LLC | Adp of the snf | NOT APPLICABLE | 12/03/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Essex County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Care One At Peabody | Peabody | 150 | 5 | 5 | 3 | 16 | 10.7 | — | 27 Mar 2025 |
| Cedar View Rehabilitation and Healthcare Center | Methuen | 106 | 5 | 5 | 2 | 9 | 8.5 | — | 24 Jan 2025 |
| Jeffrey & Susan Brudnick Center For Living | Peabody | 180 | 5 | 4 | 4 | 19 | 10.6 | $10K | 8 Apr 2026 |
| Lafayette Rehabilitation & Skilled Nursing | Marblehead | 65 | 5 | 5 | 4 | 9 | 13.8 | — | 28 Aug 2024 |
| Life Care Center of the North Shore | Lynn | 123 | 5 | 4 | 4 | 14 | 11.4 | — | 19 Mar 2026 |
| Meadows, The | North Andover | 60 | 5 | 5 | 4 | 0 | 0.0 | — | — |
| Oceanside Rehabilitation and Nursing Center | Rockport | 76 | 5 | 4 | 3 | 30 | 39.5 | — | 10 Jun 2025 |
| Whittier Bradford Transitional Care Unit | Bradford | 20 | 5 | 5 | 4 | 0 | 0.0 | — | — |
All 45 facilities in Essex County
Questions and answers
How many deficiencies has Twin Oaks Center been cited for?
58 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Twin Oaks Center been fined?
Yes. CMS lists fines totalling $2K in the period covered.
How does staffing at Twin Oaks Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Twin Oaks Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ma SNF Holdings LLC and Zenith Care LLC. Individual owners and managers are not listed on this site.
When was Twin Oaks Center last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2025; the most recent standard health survey was 18 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.