Twin Oaks Center

Nursing Home · Danvers, MA

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number225198

Contact & location

63 Locust Street
Danvers, MA 01923
Essex County
Phone
(978) 777-0011
ZIP code
01923 – all care providers

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Facility details

Certified beds
101
Residents per day
75.0 (74% occupied)
Ownership
For profit - Limited Liability company
Legal name
Locust Street Operations LLC
Medicare certified since
June 30, 1970
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 3.0
Staffing★★★★★ 1/5
State avg 3.1
Quality measures★★★★★ 2/5
State avg 3.3
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.02 (state 3.86 · U.S. 3.86)
Registered nurses (RN)
0.24 (state 0.65 · U.S. 0.69)
Licensed practical nurses
0.90 (state 0.95 · U.S. 0.86)
Nurse aides
1.88 (state 2.26 · U.S. 2.32)
Weekend total
2.84 (state 3.48 · U.S. 3.42)
Nursing staff turnover
44.3 (state 38.2 · U.S. 45.8)%
RN turnover
66.7 (state 42.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
June 18, 2025
Health deficiencies (last cycle)
19.0 (state 7.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
58 health · 22 fire safety · includes actual harm
DateCitationSeverityStatus
2025-06-18 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F0837 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2025-06-18 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.
F0887 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-24
2024-07-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-07-11
2024-07-11 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies		 G
Actual harm		 Corrected 2024-07-11
2024-07-11 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-11
2023-12-12 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-15
2023-05-03 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 H
Actual harm		 Corrected 2023-05-03
2023-05-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2023-05-04
2023-05-03 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-05-08
2023-05-03 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-06-16
2023-05-03 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.
F0761 · Pharmacy Service Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-06-27
2023-05-03 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-05-09
2023-05-03 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-06-02
2023-05-03 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-06-02
2023-05-03 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-05-15
2023-05-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-27
2023-05-03 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-16
2023-05-03 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-02
2023-05-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-29
2023-05-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-16
2023-05-03 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09
2023-05-03 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-09

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $2,186 in fines.

DateTypeAmount
2024-07-11Fine$2,186

Ownership & management

NameRoleSince
Ma SNF Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Ishakis, Yochanan (individual)5%+ Indirect Ownership Interest · 45%
Levine, Yisroel (individual)5%+ Indirect Ownership Interest · 55%
Celtic Bank Corporation (organization)5%+ Mortgage Interest · NOT APPLICABLE
Aweh, Nelson (individual)Administrator · NOT APPLICABLE
Bastien, Reginald (individual)Administrator · NOT APPLICABLE
Ishakis, Yochanan (individual)Administrator · NOT APPLICABLE
Levine, Yisroel (individual)Administrator · NOT APPLICABLE
Ma SNF Holdings LLC (organization)Administrator · NOT APPLICABLE
Zenith Care LLC (organization)Administrator · NOT APPLICABLE
Bastien, Reginald (individual)Operational/managerial Control · NOT APPLICABLE
Levine, Yisroel (individual)Operational/managerial Control · NOT APPLICABLE
Zenith Care LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Twin Oaks Center?

Twin Oaks Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.

How many beds does Twin Oaks Center have?

It has 101 certified beds and cares for about 75 residents per day.

Has Twin Oaks Center been fined?

Yes. CMS lists 1 penalty totaling $2,186 in the last three years.

What is the phone number of Twin Oaks Center?

(978) 777-0011. The facility is located at 63 Locust Street, Danvers, MA 01923.

Other nursing homes in Danvers

Compare all nursing homes in Danvers, MA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.