Nursing homes › Massachusetts › Hathorne Hill Rehabilitation and Healthcare Center
15 Kirkbride Drive, Danvers, MA 01923 · 9787163600 · 120 certified beds
Per CMS filings, this facility is affiliated with Atlas Healthcare, a group operating 29 facilities in 4 states. Group record: average rating 3.6/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $1,611,845 in federal fines. This facility rates above its group average (3.6/5).
Total nurse staffing: 3.67 (Massachusetts median: 3.71). RN hours: 0.58. Weekend total: 3.31. Nursing staff turnover: 54%.
All-time on record: 29 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-04 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-12-17 |
| 2025-12-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-12-17 |
| 2025-12-04 | 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 | Health | corrected 2025-12-17 |
| 2024-12-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-12-31 |
| 2024-12-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-12-31 |
| 2024-12-05 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2024-02-16 |
| 2024-12-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-12-31 |
| 2023-12-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Health | corrected 2024-01-10 |
| 2023-12-15 | 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. | J | Health | corrected 2024-01-26 |
| 2023-12-15 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Health | corrected 2024-01-10 |
| 2023-12-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | G | Health | corrected 2024-01-10 |
| 2023-12-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-01-10 |
| 2023-12-15 | 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. | G | Health | corrected 2024-01-10 |
| 2023-12-15 | Provide safe, appropriate pain management for a resident who requires such services. | E | Health | corrected 2024-01-10 |
| 2023-12-15 | 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. | E | Health | corrected 2024-01-26 |
| 2023-12-15 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-01-10 |
| 2023-12-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | 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. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | 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. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-01-26 |
| 2023-12-15 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2024-01-10 |
| 2023-12-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-01-26 |
| Date | Type | Amount |
|---|---|---|
| 2023-12-15 | Fine | $242,785 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HATHORNE OPERATIONS HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/01/2024 |
| JMH FAMILY LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| JMH FAMILY TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| MLS FAMILY LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| MLS FAMILY TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| SGS FAMILY LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| SGS FAMILY TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| TAFKAR LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2024 |
| LEVY, MICHAEL | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 08/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 225449. Corrections: data@carerecords.org.