Federal inspection record · CMS data as of October 1, 2026
Twin Oaks Center
63 Locust Street, Danvers, MA · (978) 777-0011
- Certified beds
- 101
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 30, 1970
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Twin Oaks Center carries 127 inspection points. That is fewer than 5% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
58 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
-
H
Ensure that residents are free from significant medication errors.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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
Provide enough food/fluids to maintain a resident's health.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide activities to meet all resident's needs.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate foot care.
- D
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
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning10F
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- F
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Administration7F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
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
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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
Implement a program that monitors antibiotic use.
Resident Rights5F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- F
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
Pharmacy Service4F
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- F
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
Ensure medication error rates are not 5 percent or greater.
Nursing and Physician Services4F
- F
Observe each nurse aide's job performance and give regular training.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
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
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-06-18
19 health deficiencies · 14 fire-safety deficiencies
Top issue: Administration (4 deficiencies)
2024-07-11
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2023-05-03
36 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 59 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
2 h 59 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 82% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$2,186 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-11 | Fine | $2,186 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.4 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse | 89.1% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.2 pts better | 98.7% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better | 0.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.7 pts worse | 45.1% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.8 pts worse | 8.8% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts worse | 23.4% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.9 pts worse | 39.4% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 10.9% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better | 14.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 1.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse | 22.0% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 4.5% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts worse | 69.0% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts better | 6.7% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.8 pts worse | 4.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.9 pts better | 100.0% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6 pts better | 19.7% | 25.7% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ma SNF Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Levine, Yisroel | 5% Or Greater Indirect Ownership Interest · Individual | 55% | 4 facilities |
| Ishakis, Yochanan | 5% Or Greater Indirect Ownership Interest · Individual | 45% | 4 facilities |
| Aweh, Nelson | Adp Of The SNF · Individual | 0% | 8 facilities |
| Bastien, Reginald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bastien, Reginald | Adp Of The SNF · Individual | 0% | 1 facilities |
| Celtic Bank Corporation | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Ishakis, Yochanan | Adp Of The SNF · Individual | 0% | 4 facilities |
| Levine, Yisroel | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Levine, Yisroel | Adp Of The SNF · Individual | 0% | 4 facilities |
| Ma SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Zenith Care LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Zenith Care LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness8F
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- D
Address subsistence needs for staff and patients.
- D
Establish roles under a Waiver declared by secretary.
- D
Establish emergency prep training and testing.
- D
Establish staff and initial training requirements.
Smoke6F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress3F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Hunt Nursing & Rehab Center
Danvers, MA · Integritus Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 48 min
- Fines
- $10,517
-
Brentwood Rehabilitation And Healthcare Ctr (The)
Danvers, MA · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
Care One At Peabody
Peabody, MA · Careone
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0