SNF
HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER
CCN: 225449 · DANVERS, MA 01923 · Essex County
Overview
- Address
- 15 KIRKBRIDE DRIVE, DANVERS, MA 01923
- Phone
- 9787163600
- Certified beds
- 120
- Avg daily residents
- 107 (89% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1990-07-01
- Setting
- Urban
4 /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.
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 | 3.80 | 4.60 | 3.19 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.65 | 0.80 | 0.55 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.09 | 1.02 | 0.91 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.06 | 2.77 | 1.73 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.74 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
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)
3.44
hrs / resident / day
RN (weekend)
0.45
hrs / resident / day
Total nurse (adjusted, weekend)
2.89
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
47.5%
annual
RN turnover
40.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.63
higher acuity than avg
Case-Mix Index Ratio
1.18
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) | 2025-12-04 | 3 | 3 | 0 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2024-12-05 | 4 | 4 | 0 | 16 | 1 | 16 |
Total weighted health score
13.0
lower is better
Deficiencies (29)
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).
23 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
3 J/K/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 | 2025-12-04 | 2025-12-17 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-12-04 | 2025-12-17 |
| 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 | 2025-12-04 | 2025-12-17 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-12-05 | 2024-12-31 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-05 | 2024-12-31 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-12-05 | 2024-02-16 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-05 | 2024-12-31 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-15 | 2024-01-10 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-12-15 | 2024-01-10 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-12-15 | 2024-01-10 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | G | 2023-12-15 | 2024-01-10 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-15 | 2024-01-10 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-15 | 2024-01-10 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2023-12-15 | 2024-01-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-12-15 | 2024-01-10 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-12-15 | 2024-01-10 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2023-12-15 | 2024-01-10 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-12-15 | 2024-01-10 |
| 0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-12-15 | 2024-01-10 |
| 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. | J | 2023-12-15 | 2024-01-26 |
| 0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | 2023-12-15 | 2024-01-10 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-12-15 | 2024-01-10 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-12-15 | 2024-01-10 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-12-15 | 2024-01-26 |
| 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 | 2023-12-15 | 2024-01-26 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-12-15 | 2024-01-10 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | 2023-12-15 | 2024-01-10 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-15 | 2024-01-26 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2023-12-15 | 2024-01-10 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$242,785
| Date | Type | Fine amount |
|---|---|---|
| 2023-12-15 | Fine | $242,785 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 27.6% Medicaid 45.1% Other 27.2%
Operating performance
Operating Margin
-1.7%
Total Margin
-1.1%
Occupancy Rate
93.5%
Cost per Resident Day
$63
Revenue & costs
Net Patient Revenue
$18.4M
Total Costs
$2.6M
Net Income
-$213K
Balance sheet
Total Assets
-$8.9M
Total Liabilities
-$8.7M
Fund Balance
-$213K
Current Ratio
0.87
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: ATLAS HEALTHCARE
- Chain ID
598- Facilities in chain
- 28
- Legal business name
- HATHORNE SNF OPERATIONS LLC
Chain-average star ratings (for peer context)
Overall
3.8
Health
3.3
Staffing
2.4
QM
4.4
Owner / manager organizations (8)
| Organization | Role | Association |
|---|---|---|
| HATHORNE OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| JMH FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| JMH FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| MLS FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| MLS FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| SGS FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| SGS FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| TAFKAR LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| LEVY, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/01/2024 |
| HERNANDEZ, AMANDA | CONTRACTED MANAGING EMPLOYEE | since 08/01/2024 |
| SHEA, ARLINE | W-2 MANAGING EMPLOYEE | since 08/01/2024 |
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
- 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 ($) | $63 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.87 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 45.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 27.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-213,378 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $18,416,959 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 93.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $-8,887,740 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,574,346 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-213,378 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $-8,674,362 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -1.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.91223 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.72844 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.54946 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.19013 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.88578 | 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 | 106.6 | 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 | 1.02077 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.77423 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.80459 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.59959 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.05405 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 598 | Chain ID |
| Provider Information | Chain Name | ATLAS HEALTHCARE | Chain Name |
| Provider Information | City/Town | DANVERS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 225449 | 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 | 1990-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.5795 | Latitude |
| Provider Information | Legal Business Name | HATHORNE SNF OPERATIONS LLC | Legal Business Name |
| Provider Information | Location | 15 KIRKBRIDE DRIVE,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 | -70.973 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | 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 | 28 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.62943 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.18276 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | 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 | 15 KIRKBRIDE DRIVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HATHORNE HILL REHABILITATION AND HEALTHCARE 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 | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 12 | 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 | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-12-04 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-12-05 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 16 | 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 | 0 | 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 | 16 | 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 | 0.45037 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 40.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.74134 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.08675 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.05912 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.06147 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.65458 | 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 | 3.80046 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MA | State |
| Provider Information | Telephone Number | 9787163600 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 242785.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.43788 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 47.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 13.000 | 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 |