HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER – Nursing Home, DANVERS, Massachusetts
Medicare and Medicaid
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.
Main info
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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.
| Metric | This facility | MA average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 4 | 3.05 | 4 |
| Health inspection | 4 | 2.92 | 3 |
| Staffing | 2 | 3.08 | 5 |
| Quality measures | 3 | 3.3 | 4 |
| Certified beds | 120 | 118.4 | — |
| Citations on file (health + fire) | 111 | ~8.6 health* | — |
- BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) — 3★ 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 |
|---|---|---|---|---|
| HCCF MANAGEMENT GROUP XI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| SHERMAN, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2012 |
| SUNDANCE REHABILITATION HOLDCO, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2016 |
| GENESIS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| KHI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/20/2007 |
| STEVENSON, SEAN | OFFICER | Individual | NOT APPLICABLE | since 02/02/2016 |
| HARBORSIDE HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/20/2007 |
| DAVIS, KEITH | MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/02/2015 |
| FISHMAN, STEVEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| GENESIS HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2012 |
| HARBORSIDE HEALTHCARE LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/01/2007 |
| SUNBRIDGE HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/20/2007 |
| GEN OPERATIONS II, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| BERG, MICHAEL | OFFICER | Individual | NOT APPLICABLE | since 12/01/2012 |
| YOUNG, STEVE | OFFICER | Individual | NOT APPLICABLE | since 12/01/2012 |
| GEN OPERATIONS I, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| BERG, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2012 |
| ZAC PROPERTIES XI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| HARBORSIDE HEALTHCARE ADVISORS LIMITED PARTNERSHIP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/20/2007 |
| CULLEROT, KEN | OFFICER | Individual | NOT APPLICABLE | since 03/02/2015 |
| SUN HEALTHCARE GROUP, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| WELLTOWER INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2016 |
| GENESIS HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| DAVIS, KEITH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/02/2015 |
| FC-GEN OPERATIONS INVESTMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| SENIOR CARE GENESIS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 12/01/2012 |
| SHERMAN, MICHAEL | OFFICER | Individual | NOT APPLICABLE | since 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
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-12-04 | F887 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-04 | F887 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-04 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2025-12-04 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2025-12-04 | F550 | D — Minimal harm, isolated | Health | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2025-12-04 | F550 | D — Minimal harm, isolated | Health | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2024-12-05 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-12-05 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-12-05 | F842 | D — Minimal harm, isolated | Health | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2024-12-05 | F805 | D — Minimal harm, isolated | Health | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| 2024-12-05 | F805 | D — Minimal harm, isolated | Health | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| 2024-12-05 | F805 | D — Minimal harm, isolated | Health | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| 2024-12-05 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2024-12-05 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2024-12-05 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2024-12-05 | F686 | D — Minimal harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2024-12-05 | F686 | D — Minimal harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2024-12-05 | F686 | D — Minimal harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2023-12-15 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2023-12-15 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-12-04 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2025-12-04 | E13 | F — Minimal harm, widespread | Fire Safety | Develop Emergency Preparedness policies and procedures. |
| 2025-12-04 | E29 | F — Minimal harm, widespread | Fire Safety | Develop a communication plan. |
| 2025-12-04 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2025-12-04 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2025-12-04 | K293 | F — Minimal harm, widespread | Fire Safety | Have properly located and lighted "Exit" signs. |
| 2025-12-04 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-12-04 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-12-04 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2025-12-04 | K372 | F — Minimal harm, widespread | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2025-12-04 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-12-04 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2025-12-04 | E13 | F — Minimal harm, widespread | Fire Safety | Develop Emergency Preparedness policies and procedures. |
| 2025-12-04 | E29 | F — Minimal harm, widespread | Fire Safety | Develop a communication plan. |
| 2025-12-04 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2025-12-04 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2025-12-04 | K293 | F — Minimal harm, widespread | Fire Safety | Have properly located and lighted "Exit" signs. |
| 2025-12-04 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-12-04 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-12-04 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 3 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 3 |
| Staffing Rating | 2 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.77894 |
| Reported LPN Staffing Hours per Resident per Day | 1.06569 |
| Reported RN Staffing Hours per Resident per Day | 0.5416 |
| Reported Licensed Staffing Hours per Resident per Day | 1.60729 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.61393 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.05872 |
| Casemix CNA Staffing Hours per Resident per Day | 2.14954 |
| Casemix LPN Staffing Hours per Resident per Day | 0.69406 |
| Casemix RN Staffing Hours per Resident per Day | 0.34458 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.18818 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.6689 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.91898 |
| Adjusted RN Staffing Hours per Resident per Day | 0.46704 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.1164 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
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
| Name | Value |
|---|---|
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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