Overview

Address
63 LOCUST STREET, DANVERS, MA 01923
Phone
9787770011
Certified beds
101
Avg daily residents
74 (73% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1970-06-30
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 24.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
2.99 3.88 2.97 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.24 0.68 0.23 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.93 0.86 0.92
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.82 2.34 1.81
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.17
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.75
hrs / resident / day
RN (weekend)
0.10
hrs / resident / day
Total nurse (adjusted, weekend)
2.74
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
54.8%
annual
RN turnover
90.9%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.00
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-18 19 19 0 152 1 152
Cycle 2/3 (prior) 2024-07-11 4 3 1 52 1 52
Total weighted health score
127.0
lower is better

Deficiencies (58)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

54 D/E/F Actual harm — potential for minor
4 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-06-18 2025-07-24
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-06-18 2025-07-24
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-06-18 2025-07-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-06-18 2025-07-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-06-18 2025-07-24
0688 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 2025-06-18 2025-07-24
0692 Provide enough food/fluids to maintain a resident's health. D 2025-06-18 2025-07-24
0699 Provide care or services that was trauma informed and/or culturally competent. D 2025-06-18 2025-07-24
0759 Ensure medication error rates are not 5 percent or greater. D 2025-06-18 2025-07-24
0761 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 2025-06-18 2025-07-24
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. F 2025-06-18 2025-07-24
0837 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 2025-06-18 2025-07-24
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-06-18 2025-07-24
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2025-06-18 2025-07-24
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 2025-06-18 2025-07-24
0880 Provide and implement an infection prevention and control program. F 2025-06-18 2025-07-24
0881 Implement a program that monitors antibiotic use. F 2025-06-18 2025-07-24
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-06-18 2025-07-24
0887 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 2025-06-18 2025-07-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-07-11 2024-07-11
0692 Provide enough food/fluids to maintain a resident's health. G 2024-07-11 2024-07-11
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. G 2024-07-11 2024-07-11
0568 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. D 2023-12-12 2024-01-15
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2023-05-03 2023-06-16
0584 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 2023-05-03 2023-05-08
0585 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 2023-05-03 2023-06-09
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-05-03 2023-06-09
0610 Respond appropriately to all alleged violations. D 2023-05-03 2023-06-09
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F 2023-05-03 2023-06-09
0638 Assure that each resident’s assessment is updated at least once every 3 months. D 2023-05-03 2023-06-09
0641 Ensure each resident receives an accurate assessment. D 2023-05-03 2023-06-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-05-03 2023-06-27
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-05-03 2023-06-09
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2023-05-03 2023-06-09
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-05-03 2023-06-09
0679 Provide activities to meet all resident's needs. E 2023-05-03 2023-06-09
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-05-03 2023-06-09
0687 Provide appropriate foot care. D 2023-05-03 2023-06-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-05-03 2023-05-04
0693 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 2023-05-03 2023-05-03
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-05-03 2023-06-09
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-05-03 2023-06-09
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2023-05-03 2023-06-12
0726 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 2023-05-03 2023-06-16
0730 Observe each nurse aide's job performance and give regular training. F 2023-05-03 2023-06-16
0759 Ensure medication error rates are not 5 percent or greater. E 2023-05-03 2023-06-16
0760 Ensure that residents are free from significant medication errors. H 2023-05-03 2023-05-03
0761 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 2023-05-03 2023-06-27
0791 Provide or obtain dental services for each resident. D 2023-05-03 2023-06-09
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2023-05-03 2023-06-02

Showing 50 most recent of 58. See the All Data CSV for the full list.

Penalties (2)

Fines issued
2
last 3 years
Total fines
$141,733
Date Type Fine amount
2024-07-11 Fine $2,186
2023-05-03 Fine $139,547

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 11.1% Medicaid 72.3% Other 16.6%

Operating performance

Operating Margin
-8.3%
Total Margin
6.8%
Occupancy Rate
77.3%
Cost per Resident Day
$33

Revenue & costs

Net Patient Revenue
$8.9M
Total Costs
$934K
Net Income
$707K

Balance sheet

Total Assets
$3.6M
Total Liabilities
$2.2M
Fund Balance
$1.4M
Current Ratio
2.04

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (3)

Organization Role Association
MA SNF HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/15/2024
ZENITH CARE LLC OPERATIONAL/MANAGERIAL CONTROL since 09/03/2024
CELTIC BANK CORPORATION 5% OR GREATER MORTGAGE INTEREST since 09/03/2024

Owner / manager individuals (4)

Name Role Association
ISHAKIS, YOCHANAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/15/2024
LEVINE, YISROEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/15/2024
BASTIEN, REGINALD OPERATIONAL/MANAGERIAL CONTROL since 09/03/2024
LEVINE, YISROEL OPERATIONAL/MANAGERIAL CONTROL since 12/03/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $33 metrics.cost_per_resident_day
Cost Report Current Ratio 2.04 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 72.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 11.1% metrics.medicare_day_share
Cost Report Net Income ($) $707,443 metrics.net_income
Cost Report Net Patient Revenue ($) $8,888,202 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 77.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -8.3% metrics.operating_margin
Cost Report Total Assets ($) $3,603,497 metrics.total_assets
Cost Report Total Costs ($) $933,816 metrics.total_costs
Cost Report Total Fund Balances ($) $1,366,787 metrics.fund_balance
Cost Report Total Liabilities ($) $2,236,710 metrics.total_liabilities
Cost Report Total Margin (%) 6.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.92414 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.81042 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.23466 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.96921 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.73508 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 73.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.86174 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.34201 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.67924 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.88298 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.42244 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating Chain Average QM Rating
Provider Information Chain Average Staffing Rating Chain Average Staffing Rating
Provider Information Chain ID Chain ID
Provider Information Chain Name Chain Name
Provider Information City/Town DANVERS City/Town
Provider Information CMS Certification Number (CCN) 225198 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Essex County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1970-06-30 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 42.5728 Latitude
Provider Information Legal Business Name LOCUST STREET OPERATIONS LLC Legal Business Name
Provider Information Location 63 LOCUST STREET,DANVERS,MA,01923 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -70.937 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 101 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.37557 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.99849 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 63 LOCUST STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name TWIN OAKS CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 040 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 152 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 19 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-18 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 152 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 19 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 3 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-07-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 52 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 1 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 52 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 4 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.10178 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 90.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.16542 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.92941 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.82076 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00814 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.23600 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.98617 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote 24 Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 9787770011 Telephone Number
Provider Information Total Amount of Fines in Dollars 141733.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.75070 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 54.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 127.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 01923 ZIP Code