C79

BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE)

Grade C 79/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

159

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

56 LIBERTY STREET, DANVERS, MA 01923
9787772700

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.42h
LPN
0.94h
CNA
1.83h
Total
3.20h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

QUINTO GUARDIAN LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2014

90%

UKR CONSULTING LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2013

10%

KOHN FAM TR GST EXEMPT UAD 3-25-13

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

NFR 2020 IRRV TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

RSBRMK HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

SK 2013 INVESTMENT TR UA 03252013

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

TRYKO GUARDIAN HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2014

UAK 2020 IRRV TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

YR 2013 INVESTMENT TRUST U/A/D 3/25/13

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

DOYLE, STEPHEN

IndividualCORPORATE DIRECTORSince Feb 2021

POSEN, MINDEE

IndividualCORPORATE OFFICERSince May 2014

DOYLE, STEPHEN

IndividualW-2 MANAGING EMPLOYEESince Feb 2021

CIBC BANK USA

Organization5% OR GREATER SECURITY INTERESTSince Jun 2013

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (28)

March 13, 2025Health12 deficiencies
0585DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 18, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 18, 2025
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 18, 2025
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Apr 18, 2025
0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 18, 2025
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Apr 18, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Apr 18, 2025
0842EMinimal harm, Pattern

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

Corrected Apr 18, 2025
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 18, 2025
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Apr 18, 2025
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 18, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 18, 2025
March 28, 2024Health8 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 17, 2024
0641BNo harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 17, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 17, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 17, 2024
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Apr 17, 2024
0761DMinimal harm, Isolated

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

Corrected Apr 17, 2024
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Apr 17, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 17, 2024
January 12, 2023Health8 deficiencies
0580DMinimal harm, Isolated

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

Corrected Feb 1, 2023
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 1, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Feb 1, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 1, 2023
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Feb 1, 2023
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Feb 1, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Feb 1, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 1, 2023

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Frequently Asked Questions

What is the CareGrader rating for BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE)?

BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) in DANVERS, Massachusetts has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE)?

BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) have?

BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) have?

BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) has 159 certified beds with approximately 135 current residents (85% occupancy). The facility is located at 56 LIBERTY STREET, DANVERS, Massachusetts 01923. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.