New England Homes for the Deaf, Inc – Nursing Home, DANVERS, Massachusetts
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 19 March 2025 · 66 health and 36 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
154 WATER STREET
DANVERS, MA 01923
Phone: (978) 774-0445
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 | 3 | 2.92 | 4 |
| Staffing | 5 | 3.08 | 3 |
| Quality measures | 2 | 3.3 | 4 |
| Certified beds | 81 | 118.4 | — |
| Citations on file (health + fire) | 102 | ~8.6 health* | — |
- BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) — 3★ overall
- HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER — 4★ overall
- HUNT NURSING & REHAB CENTER — 3★ 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 |
|---|---|---|---|---|
| IKOMI, EMMANUEL | W-2 MANAGING EMPLOYEE | Individual | 100.00 | 04/26/2010 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
102 citations on file · Latest survey: 19 March 2025 · 66 health · 36 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-03-19 | F812 | E — Minimal harm, pattern | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-03-19 | F812 | E — Minimal harm, pattern | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-03-19 | F812 | E — Minimal harm, pattern | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-03-19 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-03-19 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-03-19 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-03-19 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-03-19 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-03-19 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-03-19 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-03-19 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-03-19 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-03-19 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2025-03-19 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2025-03-19 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2025-03-19 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-03-19 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-03-19 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-03-19 | F604 | D — Minimal harm, isolated | Health | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| 2025-03-19 | F604 | D — Minimal harm, isolated | Health | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-03-19 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2025-03-19 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2025-03-19 | E13 | F — Minimal harm, widespread | Fire Safety | Develop Emergency Preparedness policies and procedures. |
| 2025-03-19 | E29 | F — Minimal harm, widespread | Fire Safety | Develop a communication plan. |
| 2025-03-19 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2025-03-19 | E39 | F — Minimal harm, widespread | Fire Safety | Conduct testing and exercise requirements. |
| 2025-03-19 | K225 | F — Minimal harm, widespread | Fire Safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. |
| 2025-03-19 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-03-19 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-03-19 | K916 | F — Minimal harm, widespread | Fire Safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. |
| 2025-03-19 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-03-19 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-03-19 | K916 | F — Minimal harm, widespread | Fire Safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. |
| 2025-03-19 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-03-19 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2025-03-19 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2025-03-19 | E13 | F — Minimal harm, widespread | Fire Safety | Develop Emergency Preparedness policies and procedures. |
| 2025-03-19 | E29 | F — Minimal harm, widespread | Fire Safety | Develop a communication plan. |
| 2025-03-19 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2025-03-19 | E39 | F — Minimal harm, widespread | Fire Safety | Conduct testing and exercise requirements. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 1 |
| Staffing Rating | 5 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 4.13892 |
| Reported LPN Staffing Hours per Resident per Day | 1.14173 |
| Reported RN Staffing Hours per Resident per Day | 0.83779 |
| Reported Licensed Staffing Hours per Resident per Day | 1.97952 |
| Reported Total Nurse Staffing Hours per Resident per Day | 5.20328 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.18301 |
| Casemix CNA Staffing Hours per Resident per Day | 2.25282 |
| Casemix LPN Staffing Hours per Resident per Day | 0.62867 |
| Casemix RN Staffing Hours per Resident per Day | 0.31448 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.19596 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.7928 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.3849 |
| Adjusted RN Staffing Hours per Resident per Day | 1.01622 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 6.31146 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-11-01 |
Date of Standard Health Survey (Cycle 2) | 2018-09-10 |
Total Number of Health Deficiencies (Cycle 1) | 3 |
Number of Standard Health Deficiencies (Cycle 1) | 3 |
Health Deficiency Score (Cycle 1) | 12 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 12 |
Total Number of Health Deficiencies (Cycle 2) | 5 |
Number of Standard Health Deficiencies (Cycle 2) | 5 |
Health Deficiency Score (Cycle 2) | 20 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 20 |
Date of Standard Health Survey (Cycle 3) | 2017-05-22 |
Total Number of Health Deficiencies (Cycle 3) | 4 |
Number of Standard Health Deficiencies (Cycle 3) | 2 |
Number of Complaint Health Deficiencies (Cycle 3) | 2 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 16 |
Total Health Score (Cycle 3) | 16 |
Total Weighted Health Survey Score | 39 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Fines | 1 |
Total Amount of Fines in Dollars | 3174 |
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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