Twin Oaks Center has received an F grade based on CMS data, with a score of 3/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this Danvers facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Twin Oaks Center, with 2.99 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 58 deficiencies at Twin Oaks Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.99 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.24 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.93 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.82 | 2.4 | Below Average |
| Weekend Total Nursing | 2.75 | 3.8 | Below Average |
| Weekend RN Hours | 0.10 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0835 Severity FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Jun 17, 2025 · Administration Deficiencies
- Tag 0837 Severity FEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appointsJun 17, 2025 · Administration Deficiencies
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.Jun 17, 2025 · Administration Deficiencies
- Tag 0867 Severity FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Jun 17, 2025 · Administration Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Jun 17, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.2% | 4.5% | Average |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 42.5% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 15.7% | 14.0% | Worse |
| Excessive weight loss | 3.3% | 7.5% | Better |
| New/worsened incontinence | 25.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $141,733
How This Grade Was Calculated
This facility's grade of F is based on a score of 3 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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