Home›Massachusetts›Essex County›TWIN OAKS CENTER
F
Critical

TWIN OAKS CENTER

63 LOCUST STREET · DANVERS, MA 01923

9787770011 · For profit - Limited Liability company

101 beds73.6 residents70 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TWIN OAKS CENTER receives an overall staffing grade of F (Critical). With 2.987 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.236 HPRD, below the recommended 0.75. It is 0.91 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.68% compared to weekdays. The facility has low agency staff usage (4.44% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Had 7 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.987 HPRD — needs 0.49 more hours per resident per day.
⚠️RN staffing (0.236 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Low agency staff usage (4.44%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.987hrs/resident/day▼ 0.91
CMS benchmark: 3.48
RN HPRD
0.236hrs/resident/day▼ 0.45
Recommended: 0.75
Weekend Drop-off
10.68%
3.08 weekday → 2.7512 weekend
Agency Staff
4.44%
0% of RN hours from contractors
Days with Zero RN
7days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.8213hrs/resident/day
Direct care aides
LPN HPRD
0.9297hrs/resident/day
Licensed practical nurses
Consistency
0.1962std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Essex County Average-0.79 HPRD
3.77
02.99 HPRD
vs. Massachusetts State Average-0.89 HPRD
3.87
02.99 HPRD
vs. National Average-0.91 HPRD
3.90
02.99 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TWIN OAKS CENTER ★
DANVERS · This facility
—
F
2.9870.236★☆☆☆☆
BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE)
DANVERS
1 mi
C
3.48280.4608★★★☆☆
CARE ONE AT PEABODY
PEABODY
1.8 mi
C
3.68290.4099★★★★☆
HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER
DANVERS
1.9 mi
B
3.80280.6543★☆☆☆☆
LEDGEWOOD REHABILITATION AND NURSING CENTER
BEVERLY
3.1 mi
B
3.90590.565★★★★★
PILGRIM REHABILITATION & SKILLED NURSING CENTER
PEABODY
3.2 mi
A
4.23430.9352★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
59
Total Deficiencies
$141,733
Fines Assessed
Jun 18, 2025Health
19 deficiencies cited
▼
Jul 11, 2024Health
3 deficiencies cited· Includes actual harm
▼
Dec 12, 2023Health
1 deficiency cited
▼
May 3, 2023Health
35 deficiencies cited· Includes actual harm
▼
Feb 1, 2023Health
1 deficiency cited
▼

Penalty History

Jul 11, 2024Fine
$2,186
May 3, 2023Fine
$139,547
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.