D

HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER

15 KIRKBRIDE DRIVE, DANVERS, MA 01923
Score: 54 / 100

Hathorne Hill Rehabilitation And Healthcare Center faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 51th percentile among Massachusetts nursing homes, suggesting significant room for improvement.

Staffing at Hathorne Hill Rehabilitation And Healthcare Center is near the national average, with 3.80 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 29 deficiencies at Hathorne Hill Rehabilitation And Healthcare Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.80 3.8 Average
Registered Nurses (RN) 0.65 0.7 Average
Licensed Practical Nurses (LPN) 1.09 0.7 Above Average
Certified Nursing Assistants (CNA) 2.06 2.4 Below Average
Weekend Total Nursing 3.44 3.8 Average
Weekend RN Hours 0.45 0.7 Below Average

🔍 Inspection & Deficiency History

29
Total Deficiencies
Dec 3, 2025
Most Recent Inspection
🟠 26 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Dec 3, 2025 · Resident Rights Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Dec 3, 2025 · Quality of Life and Care Deficiencies
  • Tag 0887 Severity D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document
    Dec 3, 2025 · Infection Control Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Dec 4, 2024 · Quality of Life and Care Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Dec 4, 2024 · Quality of Life and Care 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 8.1% 4.5% Worse
Falls with major injury 3.3% 3.0% Worse
On antipsychotic medication 21.2% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 18.1% 14.0% Worse
Excessive weight loss 7.8% 7.5% Average
New/worsened incontinence 36.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $242,785

How This Grade Was Calculated

This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 3, 2025
Deficiencies (Cycle 1)
3