TWIN OAKS CENTER
CCN: 225198 · DANVERS, MA 01923 · Essex County
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
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.
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
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
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 |
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).
| 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)
| 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)
Operating performance
Revenue & costs
Balance sheet
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
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
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 |