TWIN OAKS CENTER

CCN 225198 · LOCUST STREET OPERATIONS LLC · For profit - Limited Liability company · 101 certified beds · Essex · MA


TWIN OAKS CENTER is a 101-bed nursing home in DANVERS, Massachusetts. CMS has certified it for Medicare and Medicaid since 1970-06-30. It averages 75.0 residents a day.

What harm was found in the violations cited at TWIN OAKS CENTER?

CMS lists 58 health-inspection deficiencies for TWIN OAKS CENTER since 2023-05-03, 23 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2025-06-18.

Survey dateTagDeficiencySeverity
2025-06-18F0835, F0837, F0865, F0867, F0880, F0881Administer the facility in a manner that enables it to use its resources effectively and efficiently. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.F
2025-06-18F0761Ensure 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.E
2025-06-18F0550, F0609, F0656, F0658, F0684, F0688, F0692, F0699, F0759, F0842, F0883, F0887Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide care or services that was trauma informed and/or culturally competent. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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.D
2024-07-11F0692, F0773Provide enough food/fluids to maintain a resident's health. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.G
2024-07-11F0658Ensure services provided by the nursing facility meet professional standards of quality.E
2023-12-12F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D
2023-05-03F0760Ensure that residents are free from significant medication errors.H
2023-05-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-05-03F0584, F0636, F0730, F0761, F0835, F0865, F0867, F0925Honor 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Observe each nurse aide's job performance and give regular training. / 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2023-05-03F0656, F0679, F0759, F0804, F0812, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2023-05-03F0552, F0585, F0609, F0610, F0638, F0641, F0658, F0676, F0677, F0684, F0687, F0693, F0695, F0698, F0725, F0726, F0791, F0881, F0947Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Provide or obtain dental services for each resident. / Implement a program that monitors antibiotic use. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D

Why was TWIN OAKS CENTER fined?

DateTypeAmount
2024-07-11Fine$2,186

How is TWIN OAKS CENTER staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.018503.86193
Total nursing staff turnover (%)44.338.2
Average number of residents per day75.098.5

Who owns TWIN OAKS CENTER?

TWIN OAKS CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name LOCUST STREET OPERATIONS LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMA SNF HOLDINGS LLCsince 03/15/2024
5% OR GREATER INDIRECT OWNERSHIP INTERESTISHAKIS, YOCHANAN, LEVINE, YISROELsince 03/15/2024
5% OR GREATER MORTGAGE INTERESTCELTIC BANK CORPORATIONsince 09/03/2024
OPERATIONAL/MANAGERIAL CONTROLZENITH CARE LLC, BASTIEN, REGINALD, LEVINE, YISROELsince 09/03/2024
ADP OF THE SNFMA SNF HOLDINGS LLC, ZENITH CARE LLC, AWEH, NELSON, BASTIEN, REGINALD, ISHAKIS, YOCHANAN, LEVINE, YISROELsince 09/03/2024

Were you or a family member harmed at TWIN OAKS CENTER?