nursing home in Danvers, MA

Hathorne Hill Rehabilitation and Healthcare Center

15 Kirkbride Drive, Danvers, MA 01923 · (978) 716-3600

★★★★★4
Above average
CMS overall star rating
  • Health inspections★★★★★4
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Hathorne Hill Rehabilitation and Healthcare Center at a glance

Hathorne Hill Rehabilitation and Healthcare Center is a 120-bed for-profit nursing home in Danvers, Massachusetts (Essex County).

CMS gives it 4 out of 5 stars on its overall star rating, better than the Massachusetts average of 3.

Residents receive about 3.7 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.

Its most recent standard health inspection (December 4, 2025) found 3 health citations. The Massachusetts average is 6.8.

Federal regulators fined it 1 time in the past three years, totaling $242,785.

Nursing staff turnover is 54% per year (state average 38.2%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
120
Certified for
Medicare and Medicaid
Chain / affiliated entity
Atlas Healthcare
Medicare-certified since
July 1, 1990
Resident/family council
Resident
County
Essex County
CMS Certification Number
225449

Ratings

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)4 / 53 / 53 / 5Better
Health inspection rating ⓘ (higher is better)4 / 53 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)2 / 53.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.3 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 53.4 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)3 / 53 / 53.3 / 5Average

Staffing

This facility3.67 hrsMassachusetts average3.86 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.67 hrs3.86 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.58 hrs0.65 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.95 hrs2.25 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.31 hrs3.48 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)54%38.2%45.8%Worse
Registered nurse turnover (yearly) (lower is better)59.1%42.6%42.9%Worse
Administrators who left in the past year (lower is better)001Better

Inspections

This facility3Massachusetts average7U.S. average9
Health citations in the most recent inspection: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)379Better
Citations from complaint investigations (latest cycle) (lower is better)013Better
Weighted health inspection score ⓘ (lower is better)1351.880.6Better

Penalties

This facility1Massachusetts average1U.S. average1
Fines in the past 3 years: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$242,785$34,265$30,972Worse
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Certified beds120120107
Average residents per day1159986
Occupancy95.7%82.1%80.9%

Long-stay residents

This facility6.3%Massachusetts average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)6.3%3.4%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)4.9%4.2%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)28.8%21.4%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.7%1.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)1.2%0.8%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)10.7%16.4%13.9%Better
Long-stay residents whose walking worsened (lower is better)15.1%15.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.6%5.1%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)79.9%15.5%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)15.6%19.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)36.1%21.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)72.9%94.8%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)79.3%92.6%93.6%Worse

Short-stay residents

This facility1.4%Massachusetts average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.4%1.4%1.6%Better
Short-stay residents given a flu vaccine (higher is better)68%77.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)64%78.3%82%Worse

Inspection citations

State inspectors cited this home for 29 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 3 rated "immediate jeopardy".

DateCitationSeverityStatus
December 4, 2025
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies · Tag E0013
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Develop a communication plan.
Emergency Preparedness Deficiencies · Tag E0029
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies · Tag E0036
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
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.
Egress Deficiencies · Tag K0223
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected January 23, 2026
December 4, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected January 6, 2026
December 4, 2025
Standard
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.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected December 17, 2025
December 4, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected December 17, 2025
December 4, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected December 17, 2025
December 5, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected December 31, 2024
December 5, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected December 31, 2024
December 5, 2024
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
D
Potential harm, isolated
Corrected February 16, 2024
December 5, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected December 31, 2024
December 15, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
K
Immediate jeopardy, pattern
Corrected January 10, 2024
December 15, 2023
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
J
Immediate jeopardy, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
J
Immediate jeopardy, isolated
Corrected January 26, 2024
December 15, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
G
Actual harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · Tag F0742
G
Actual harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected January 26, 2024
December 15, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected January 10, 2024
December 15, 2023
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
E
Potential harm, pattern
Corrected January 10, 2024
December 15, 2023
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected January 26, 2024
December 15, 2023
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected January 26, 2024
December 15, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected January 10, 2024
December 15, 2023
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected January 10, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $242,785 in fines.

DatePenaltyAmount / length
December 15, 2023Fine$242,785

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
HATHORNE OPERATIONS HOLDINGS LLC
Organization
5% or greater direct ownership interest100%08/01/2024
JMH FAMILY LLC
Organization
5% or greater indirect ownership interest—08/01/2024
JMH FAMILY TRUST
Organization
5% or greater indirect ownership interest—08/01/2024
LEVY, MICHAEL
Individual
5% or greater indirect ownership interest—08/01/2024
MLS FAMILY LLC
Organization
5% or greater indirect ownership interest—08/01/2024
MLS FAMILY TRUST
Organization
5% or greater indirect ownership interest—08/01/2024
SGS FAMILY LLC
Organization
5% or greater indirect ownership interest—08/01/2024
SGS FAMILY TRUST
Organization
5% or greater indirect ownership interest—08/01/2024
TAFKAR LLC
Organization
5% or greater indirect ownership interest—08/01/2024
HERNANDEZ, AMANDA
Individual
contracted managing employeeNOT APPLICABLE08/01/2024
SHEA, ARLINE
Individual
w-2 managing employeeNOT APPLICABLE08/01/2024

Other nursing homes near Hathorne Hill Rehabilitation and Healthcare Center

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    ★★★★★4Above average
  2. Twin Oaks Center

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    ★★★★★1Much below average
  3. Continuing Care at Brooksby Village

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    ★★★★★4Above average
  4. Care One at Peabody

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    • CMS high performer
    ★★★★★5Much above average
  5. Alliance Health at Rosewood

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    Non-profit · 135 beds · Part of Alliance Health & Human Services

    ★★★★★3Average
  6. Brentwood Rehabilitation and Healthcare Ctr (the)

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    ★★★★★4Above average

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Frequently asked questions

What is Hathorne Hill Rehabilitation and Healthcare Center's rating?

Hathorne Hill Rehabilitation and Healthcare Center has 4 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.

How many inspection citations did Hathorne Hill Rehabilitation and Healthcare Center receive?

Its most recent standard health inspection found 3 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.

Does Hathorne Hill Rehabilitation and Healthcare Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Hathorne Hill Rehabilitation and Healthcare Center?

It is for profit - corporation and part of Atlas Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Hathorne Hill Rehabilitation and Healthcare Center and how do I contact it?

Hathorne Hill Rehabilitation and Healthcare Center is at 15 Kirkbride Drive, Danvers, MA 01923. Phone: (978) 716-3600.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.