BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) – Nursing Home, DANVERS, Massachusetts
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
3 substantiated complaints
Last cited survey: 13 March 2025 · 84 health and 30 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in DANVERS. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE)
Address
56 LIBERTY STREET, DANVERS, MA 01923
Federal Provider Number
225223
Phone
(978) 777-2700
Ownership Type
For profit - Limited Liability company
Certified Beds
159
Residents in Certified Beds
134.6
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
BRENTWOOD OPERATOR LLC
Date of First Medicare/Medicaid Approval
1982-10-29
Continuing Care Retirement Community
Data current as of
31 May 2026
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Location
56 LIBERTY STREET
DANVERS, MA 01923
Phone: (978) 777-2700
Compare to MA average
See how this facility compares to the MA state average among rated nursing homes (372 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | MA average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 3 | 3.05 | 4 |
| Health inspection | 3 | 2.92 | 4 |
| Staffing | 3 | 3.08 | 5 |
| Quality measures | 4 | 3.3 | 3 |
| Certified beds | 159 | 118.4 | — |
| Citations on file (health + fire) | 114 | ~8.6 health* | — |
- HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER — 4★ overall
- HUNT NURSING & REHAB CENTER — 3★ overall
- New England Homes for the Deaf, Inc — 4★ overall
- TWIN OAKS CENTER — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| QUINTO GUARDIAN LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 90.00 | 10/01/2014 |
| UKR CONSULTING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10.00 | 06/17/2013 |
| YR 2013 INVESTMENT TRUST U/A/D 3/25/13 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 22.50 | 12/31/2021 |
| TRYKO GUARDIAN HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 67.50 | 10/01/2014 |
| POSEN, MINDEE | CORPORATE OFFICER | Individual | - | 05/12/2014 |
| KOHN FAM TR GST EXEMPT UAD 3-25-13 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 22.50 | 12/31/2021 |
| RSBRMK HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 22.50 | 12/31/2021 |
| DOYLE, STEPHEN M | CORPORATE DIRECTOR | Individual | - | 02/01/2021 |
| DOYLE, STEPHEN M | W-2 MANAGING EMPLOYEE | Individual | - | 02/01/2021 |
| NFR 2020 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 22.50 | 12/31/2021 |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | Organization | - | 06/17/2013 |
| SK 2013 INVESTMENT TR UA 03252013 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 22.50 | 12/31/2021 |
| UAK 2020 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 9.90 | 12/31/2021 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
114 citations on file · Latest survey: 13 March 2025 · 84 health · 30 fire safety
D: 81
E: 27
B: 3
F: 3
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-03-13 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-03-13 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-03-13 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-03-13 | F842 | E — Minimal harm, pattern | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-03-13 | F842 | E — Minimal harm, pattern | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-03-13 | F842 | E — Minimal harm, pattern | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2025-03-13 | F812 | D — Minimal harm, isolated | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-03-13 | F812 | D — Minimal harm, isolated | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-03-13 | F812 | D — Minimal harm, isolated | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-03-13 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-03-13 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-03-13 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-03-13 | F759 | E — Minimal harm, pattern | Health | Ensure medication error rates are not 5 percent or greater. |
| 2025-03-13 | F759 | E — Minimal harm, pattern | Health | Ensure medication error rates are not 5 percent or greater. |
| 2025-03-13 | F759 | E — Minimal harm, pattern | Health | Ensure medication error rates are not 5 percent or greater. |
| 2025-03-13 | F694 | D — Minimal harm, isolated | Health | Provide for the safe, appropriate administration of IV fluids for a resident when needed. |
| 2025-03-13 | F694 | D — Minimal harm, isolated | Health | Provide for the safe, appropriate administration of IV fluids for a resident when needed. |
| 2025-03-13 | F694 | D — Minimal harm, isolated | Health | Provide for the safe, appropriate administration of IV fluids for a resident when needed. |
| 2025-03-13 | F692 | D — Minimal harm, isolated | Health | Provide enough food/fluids to maintain a resident's health. |
| 2025-03-13 | F692 | D — Minimal harm, isolated | Health | Provide enough food/fluids to maintain a resident's health. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-03-13 | K222 | F — Minimal harm, widespread | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2025-03-13 | K222 | F — Minimal harm, widespread | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2025-03-13 | K222 | F — Minimal harm, widespread | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2023-01-12 | K311 | D — Minimal harm, isolated | Fire Safety | Have an enclosure around a vertical opening shaft. |
| 2023-01-12 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2023-01-12 | K331 | D — Minimal harm, isolated | Fire Safety | Construct fire resistant interior walls. |
| 2023-01-12 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2023-01-12 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2023-01-12 | K741 | D — Minimal harm, isolated | Fire Safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
| 2023-01-12 | K751 | D — Minimal harm, isolated | Fire Safety | Have restrictions on the use of flammable curtains. |
| 2023-01-12 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2023-01-12 | K222 | D — Minimal harm, isolated | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2023-01-12 | K311 | D — Minimal harm, isolated | Fire Safety | Have an enclosure around a vertical opening shaft. |
| 2023-01-12 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2023-01-12 | K331 | D — Minimal harm, isolated | Fire Safety | Construct fire resistant interior walls. |
| 2023-01-12 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2023-01-12 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2023-01-12 | K741 | D — Minimal harm, isolated | Fire Safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
| 2023-01-12 | K751 | D — Minimal harm, isolated | Fire Safety | Have restrictions on the use of flammable curtains. |
| 2023-01-12 | K211 | E — Minimal harm, pattern | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
Additional information
Get more details on BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE), including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 4 |
| Quality of Resident Care Rating (Short Stay) | 3 |
| Staffing Rating | 3 |
| RN Staffing Rating | 1 |
| Reported CNA Staffing Hours per Resident per Day | 1.72967 |
| Reported LPN Staffing Hours per Resident per Day | 1.00567 |
| Reported RN Staffing Hours per Resident per Day | 0.50299 |
| Reported Licensed Staffing Hours per Resident per Day | 1.50866 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.58702 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.04977 |
| Casemix CNA Staffing Hours per Resident per Day | 1.98982 |
| Casemix LPN Staffing Hours per Resident per Day | 0.72347 |
| Casemix RN Staffing Hours per Resident per Day | 0.63312 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.34641 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.79452 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.95159 |
| Adjusted RN Staffing Hours per Resident per Day | 0.47594 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.39414 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-06-11 |
Date of Standard Health Survey (Cycle 2) | 2018-07-24 |
Total Number of Health Deficiencies (Cycle 1) | 16 |
Number of Standard Health Deficiencies (Cycle 1) | 13 |
Number of Complaint Health Deficiencies (Cycle 1) | 3 |
Health Deficiency Score (Cycle 1) | 120 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 120 |
Total Number of Health Deficiencies (Cycle 2) | 20 |
Number of Standard Health Deficiencies (Cycle 2) | 12 |
Number of Complaint Health Deficiencies (Cycle 2) | 8 |
Health Deficiency Score (Cycle 2) | 136 |
Number of Health Revisits (Cycle 2) | 2 |
Health Revisit Score (Cycle 2) | 68 |
Total Health Score (Cycle 2) | 204 |
Date of Standard Health Survey (Cycle 3) | 2017-04-19 |
Total Number of Health Deficiencies (Cycle 3) | 13 |
Number of Standard Health Deficiencies (Cycle 3) | 8 |
Number of Complaint Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 100 |
Total Health Score (Cycle 3) | 100 |
Total Weighted Health Survey Score | 53 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Substantiated Complaints | 3 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Both |
Automatic Sprinkler Systems in All Required Areas | Yes |
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