HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER – Nursing Home, DANVERS, Massachusetts

CMS quality ratings

Overall

Health inspection

Quality of care

Staffing

RN staffing

1 substantiated complaint

Last cited survey: 4 December 2025 · 89 health and 22 fire safety citations on file

Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.

Explore nursing home HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER 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
HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER
Address
15 KIRKBRIDE DRIVE, DANVERS, MA 01923
Federal Provider Number
225449
Phone
(978) 716-3600
Ownership Type
For profit - Corporation
Certified Beds
120
Residents in Certified Beds
110.5
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
HATHORNE SNF OPERATIONS LLC
Date of First Medicare/Medicaid Approval
1990-07-01
Continuing Care Retirement Community
Data current as of
31 May 2026

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Location
  • 15 KIRKBRIDE DRIVE

    DANVERS, MA 01923

    Phone: (978) 716-3600

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.

MetricThis facilityMA averagePeer best (city)
Overall CMS stars43.054
Health inspection42.923
Staffing23.085
Quality measures33.34
Certified beds120118.4
Citations on file (health + fire)111~8.6 health*

* State deficiency average uses CMS rating-cycle health deficiency counts.

Owners information

NameRole DescriptionTypeOwnership PercentageAssociation Date
HCCF MANAGEMENT GROUP XI LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2012
SHERMAN, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2012
SUNDANCE REHABILITATION HOLDCO, INC.5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/02/2016
GENESIS HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/02/2015
KHI LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 04/20/2007
STEVENSON, SEANOFFICERIndividualNOT APPLICABLEsince 02/02/2016
HARBORSIDE HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 04/20/2007
DAVIS, KEITHMANAGING EMPLOYEEIndividualNOT APPLICABLEsince 03/02/2015
FISHMAN, STEVEN5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 12/01/2012
GENESIS HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/2012
HARBORSIDE HEALTHCARE LIMITED PARTNERSHIP5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 02/01/2007
SUNBRIDGE HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 04/20/2007
GEN OPERATIONS II, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2012
BERG, MICHAELOFFICERIndividualNOT APPLICABLEsince 12/01/2012
YOUNG, STEVEOFFICERIndividualNOT APPLICABLEsince 12/01/2012
GEN OPERATIONS I, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2012
BERG, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2012
ZAC PROPERTIES XI LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2012
HARBORSIDE HEALTHCARE ADVISORS LIMITED PARTNERSHIP5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 04/20/2007
CULLEROT, KENOFFICERIndividualNOT APPLICABLEsince 03/02/2015
SUN HEALTHCARE GROUP, INC.5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/02/2015
WELLTOWER INC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/02/2016
GENESIS HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2012
DAVIS, KEITHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/02/2015
FC-GEN OPERATIONS INVESTMENT LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2012
SENIOR CARE GENESIS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 12/01/2012
SHERMAN, MICHAELOFFICERIndividualNOT APPLICABLEsince 12/01/2012

Inspections & deficiencies

CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.

111 citations on file · Latest survey: 4 December 2025 · 89 health · 22 fire safety

D: 62
F: 22
E: 9
G: 9
J: 6
K: 3

Health deficiencies

DateTagSeverityTypeDescription
2025-12-04F887
DMinimal harm, isolated
HealthEducate 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.
2025-12-04F887
DMinimal harm, isolated
HealthEducate 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.
2025-12-04F677
DMinimal harm, isolated
HealthProvide care and assistance to perform activities of daily living for any resident who is unable.
2025-12-04F677
DMinimal harm, isolated
HealthProvide care and assistance to perform activities of daily living for any resident who is unable.
2025-12-04F550
DMinimal harm, isolated
HealthHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-12-04F550
DMinimal harm, isolated
HealthHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-12-05F842
DMinimal harm, isolated
HealthSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-12-05F842
DMinimal harm, isolated
HealthSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-12-05F842
DMinimal harm, isolated
HealthSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-12-05F805
DMinimal harm, isolated
HealthEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2024-12-05F805
DMinimal harm, isolated
HealthEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2024-12-05F805
DMinimal harm, isolated
HealthEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2024-12-05F695
DMinimal harm, isolated
HealthProvide safe and appropriate respiratory care for a resident when needed.
2024-12-05F695
DMinimal harm, isolated
HealthProvide safe and appropriate respiratory care for a resident when needed.
2024-12-05F695
DMinimal harm, isolated
HealthProvide safe and appropriate respiratory care for a resident when needed.
2024-12-05F686
DMinimal harm, isolated
HealthProvide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-12-05F686
DMinimal harm, isolated
HealthProvide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-12-05F686
DMinimal harm, isolated
HealthProvide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-12-15F880
EMinimal harm, pattern
HealthProvide and implement an infection prevention and control program.
2023-12-15F880
EMinimal harm, pattern
HealthProvide and implement an infection prevention and control program.

Fire safety deficiencies

DateTagSeverityTypeDescription
2025-12-04E4
FMinimal harm, widespread
Fire SafetyDevelop and maintain an Emergency Preparedness Program (EP).
2025-12-04E13
FMinimal harm, widespread
Fire SafetyDevelop Emergency Preparedness policies and procedures.
2025-12-04E29
FMinimal harm, widespread
Fire SafetyDevelop a communication plan.
2025-12-04E36
FMinimal harm, widespread
Fire SafetyEstablish emergency prep training and testing.
2025-12-04K223
FMinimal harm, widespread
Fire SafetyProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
2025-12-04K293
FMinimal harm, widespread
Fire SafetyHave properly located and lighted "Exit" signs.
2025-12-04K324
FMinimal harm, widespread
Fire SafetyProvide properly protected cooking facilities.
2025-12-04K345
FMinimal harm, widespread
Fire SafetyHave approved installation, maintenance and testing program for fire alarm systems.
2025-12-04K363
FMinimal harm, widespread
Fire SafetyInstall corridor and hallway doors that block smoke.
2025-12-04K372
FMinimal harm, widespread
Fire SafetyEnsure smoke barriers are constructed to a 1 hour fire resistance rating.
2025-12-04K712
FMinimal harm, widespread
Fire SafetyHave simulated fire drills held at unexpected times.
2025-12-04E4
FMinimal harm, widespread
Fire SafetyDevelop and maintain an Emergency Preparedness Program (EP).
2025-12-04E13
FMinimal harm, widespread
Fire SafetyDevelop Emergency Preparedness policies and procedures.
2025-12-04E29
FMinimal harm, widespread
Fire SafetyDevelop a communication plan.
2025-12-04E36
FMinimal harm, widespread
Fire SafetyEstablish emergency prep training and testing.
2025-12-04K223
FMinimal harm, widespread
Fire SafetyProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
2025-12-04K293
FMinimal harm, widespread
Fire SafetyHave properly located and lighted "Exit" signs.
2025-12-04K324
FMinimal harm, widespread
Fire SafetyProvide properly protected cooking facilities.
2025-12-04K345
FMinimal harm, widespread
Fire SafetyHave approved installation, maintenance and testing program for fire alarm systems.
2025-12-04K363
FMinimal harm, widespread
Fire SafetyInstall corridor and hallway doors that block smoke.

Additional information

Get more details on HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER, 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

NameValue
Overall Rating4
Health Inspection Rating4
Quality of Resident Care Rating3
Quality of Resident Care Rating (Long Stay)5
Quality of Resident Care Rating (Short Stay)3
Staffing Rating2
RN Staffing Rating5
Reported CNA Staffing Hours per Resident per Day2.77894
Reported LPN Staffing Hours per Resident per Day1.06569
Reported RN Staffing Hours per Resident per Day0.5416
Reported Licensed Staffing Hours per Resident per Day1.60729
Reported Total Nurse Staffing Hours per Resident per Day3.61393
Reported Physical Therapist Staffing Hours per Resident per Day0.05872
Casemix CNA Staffing Hours per Resident per Day2.14954
Casemix LPN Staffing Hours per Resident per Day0.69406
Casemix RN Staffing Hours per Resident per Day0.34458
Casemix Total Nurse Staffing Hours per Resident per Day3.18818
Adjusted CNA Staffing Hours per Resident per Day2.6689
Adjusted LPN Staffing Hours per Resident per Day0.91898
Adjusted RN Staffing Hours per Resident per Day0.46704
Adjusted Total Nurse Staffing Hours per Resident per Day3.1164

Health Inspection and Deficiency Ratings

NameValue
Date of Standard Health Survey (Cycle 1)
2020-01-17
Date of Standard Health Survey (Cycle 2)
2019-02-07
Total Number of Health Deficiencies (Cycle 1)
12
Number of Standard Health Deficiencies (Cycle 1)
11
Number of Complaint Health Deficiencies (Cycle 1)
1
Health Deficiency Score (Cycle 1)
64
Number of Health Revisits (Cycle 1)
1
Health Revisit Score (Cycle 1)
0
Total Health Score (Cycle 1)
64
Total Number of Health Deficiencies (Cycle 2)
4
Number of Standard Health Deficiencies (Cycle 2)
4
Health Deficiency Score (Cycle 2)
24
Number of Health Revisits (Cycle 2)
1
Total Health Score (Cycle 2)
24
Date of Standard Health Survey (Cycle 3)
2017-10-20
Total Number of Health Deficiencies (Cycle 3)
7
Number of Standard Health Deficiencies (Cycle 3)
7
Number of Health Revisits (Cycle 3)
1
Health Deficiency Score (Cycle 3)
40
Total Health Score (Cycle 3)
40
Total Weighted Health Survey Score
13

Complaints, Fines, and Penalties

NameValue
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
242785
Total Number of Penalties
1
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

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