The nursing home failed to ensure residents were free from significant medication errors. Cited May 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: H
Nursing home report
TWIN OAKS CENTER
DANVERS, MA · Medicare-certified · 101 beds
Needs attention
For-profit
1 of 5 overall
TWIN OAKS CENTER (Danvers, MA) has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nurse staffing is 2.89 hours per resident per day versus the 4.1-hour federal benchmark, and it has a recent federal penalty with $2,186 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
2.8884 hrs/resident/day
Quality measures
Last inspection: June 18, 2025Penalties, last 24 months: $2,186recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8884.
Staffing detail
- Registered nurses
- 0.29
- Licensed practical nurses
- 0.83
- Nurse aides
- 1.77
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 79%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
41.5%Worsening
Residents with a fall causing major injury
2.2%Improving
Residents with pressure ulcers (bedsores)
4%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
6.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.7%Improving
Residents whose ability to walk got worse
12.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
28.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.1%Worsening
Residents with new or worsening incontinence
24.7%Improving
Residents with depressive symptoms
26.9%Worsening
Long-stay residents given the seasonal flu vaccine
91.8%Steady
Long-stay residents given the pneumonia vaccine
81.1%Steady
Short-stay residents given the seasonal flu vaccine
34.6%Steady
Short-stay residents given the pneumonia vaccine
40.8%Worsening
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to get ordered lab tests and services, and failed to promptly tell the doctor the results. Cited July 2024 — isolated incident, actual harm.
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F-Tag 773 — 42 CFR §483.50 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to run its operations effectively and efficiently using its available resources. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $2,186 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $2,186 in total fines.
- $2,186
Federal fine
Jul 11, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 76.7 residents on an average day (76% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 55 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.