TWIN OAKS CENTER – Nursing Home, DANVERS, Massachusetts
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 18 June 2025 · 100 health and 72 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
63 LOCUST STREET
DANVERS, MA 01923
Phone: (978) 777-0011
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 | 1 | 3.05 | 4 |
| Health inspection | 1 | 2.92 | 4 |
| Staffing | 1 | 3.08 | 5 |
| Quality measures | 2 | 3.3 | 4 |
| Certified beds | 101 | 118.4 | — |
| Citations on file (health + fire) | 247 | ~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
- New England Homes for the Deaf, Inc — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| MIRLIS, ELIYAHU | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 40% | since 04/01/2018 |
| RUBIN, EITAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 40% | since 04/01/2018 |
| TSM OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2018 |
| MIRLIS, ELIYAHU | MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/01/2018 |
| KARITI, YOTVAT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 18% | since 04/01/2018 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
172 citations on file · Latest survey: 18 June 2025 · 100 health · 72 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-06-18 | 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. |
| 2025-06-18 | 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. |
| 2025-06-18 | 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. |
| 2025-06-18 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2025-06-18 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2025-06-18 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2025-06-18 | F881 | F — Minimal harm, widespread | Health | Implement a program that monitors antibiotic use. |
| 2025-06-18 | F881 | F — Minimal harm, widespread | Health | Implement a program that monitors antibiotic use. |
| 2025-06-18 | F881 | F — Minimal harm, widespread | Health | Implement a program that monitors antibiotic use. |
| 2025-06-18 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2025-06-18 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2025-06-18 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2025-06-18 | F867 | F — Minimal harm, widespread | Health | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| 2025-06-18 | F867 | F — Minimal harm, widespread | Health | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| 2025-06-18 | F867 | F — Minimal harm, widespread | Health | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| 2025-06-18 | F865 | F — Minimal harm, widespread | Health | Have a plan that describes the process for conducting QAPI and QAA activities. |
| 2025-06-18 | F865 | F — Minimal harm, widespread | Health | Have a plan that describes the process for conducting QAPI and QAA activities. |
| 2025-06-18 | F865 | F — Minimal harm, widespread | Health | Have a plan that describes the process for conducting QAPI and QAA activities. |
| 2025-06-18 | 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. |
| 2025-06-18 | 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. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-06-18 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2025-06-18 | E13 | F — Minimal harm, widespread | Fire Safety | Develop Emergency Preparedness policies and procedures. |
| 2025-06-18 | E29 | F — Minimal harm, widespread | Fire Safety | Develop a communication plan. |
| 2025-06-18 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2025-06-18 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-06-18 | 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. |
| 2025-06-18 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2025-06-18 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-06-18 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-06-18 | K521 | F — Minimal harm, widespread | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2025-06-18 | K531 | F — Minimal harm, widespread | Fire Safety | Have elevators that firefighters can control in the event of a fire. |
| 2025-06-18 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-06-18 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2025-06-18 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-06-18 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2025-06-18 | E13 | F — Minimal harm, widespread | Fire Safety | Develop Emergency Preparedness policies and procedures. |
| 2025-06-18 | E29 | F — Minimal harm, widespread | Fire Safety | Develop a communication plan. |
| 2025-06-18 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2025-06-18 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-06-18 | 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. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 2 |
| Quality of Resident Care Rating (Short Stay) | 2 |
| Staffing Rating | 1 |
| RN Staffing Rating | 2 |
| Reported CNA Staffing Hours per Resident per Day | 1.72394 |
| Reported LPN Staffing Hours per Resident per Day | 0.82845 |
| Reported RN Staffing Hours per Resident per Day | 0.28825 |
| Reported Licensed Staffing Hours per Resident per Day | 1.1167 |
| Reported Total Nurse Staffing Hours per Resident per Day | 2.88838 |
| Casemix CNA Staffing Hours per Resident per Day | 2.06326 |
| Casemix LPN Staffing Hours per Resident per Day | 0.6681 |
| Casemix RN Staffing Hours per Resident per Day | 0.31482 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.04618 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.72491 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.81321 |
| Adjusted RN Staffing Hours per Resident per Day | 0.28294 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 2.83525 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-06-04 |
Date of Standard Health Survey (Cycle 2) | 2018-07-18 |
Total Number of Health Deficiencies (Cycle 1) | 29 |
Number of Standard Health Deficiencies (Cycle 1) | 29 |
Health Deficiency Score (Cycle 1) | 164 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 164 |
Total Number of Health Deficiencies (Cycle 2) | 11 |
Number of Standard Health Deficiencies (Cycle 2) | 11 |
Health Deficiency Score (Cycle 2) | 68 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 68 |
Date of Standard Health Survey (Cycle 3) | 2017-04-28 |
Total Number of Health Deficiencies (Cycle 3) | 8 |
Number of Standard Health Deficiencies (Cycle 3) | 8 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 36 |
Total Health Score (Cycle 3) | 36 |
Total Weighted Health Survey Score | 127 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Fines | 1 |
Total Amount of Fines in Dollars | 2186 |
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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