Quick answers
- Where is Twin Oaks Center?
- 63 Locust Street, Danvers, MA 01923, in Essex County, Massachusetts.
- What is the phone number of Twin Oaks Center?
- (978) 777-0011, as listed by Medicare (CMS).
- What is the Medicare star rating of Twin Oaks Center?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Twin Oaks Center been fined?
- Medicare lists 1 fine totaling $2,186.
- What did inspectors find at Twin Oaks Center?
- In its last three inspection cycles (May 3, 2023 to June 18, 2025), Medicare lists 58 health citations; the most serious was level H. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 3, 2023 to June 18, 2025), Twin Oaks Center had 58 health citations; the most serious was level H (actual harm to residents). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $2,186 in total (1 fine, the latest on July 11, 2024). Nurse staffing is 2.98 hours per resident per day; the Massachusetts average is 3.94 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 18, 2025 — 19 health citations
Inspections in this cycle: June 18, 2025 (standard health inspection).
Show 19 citations (levels A to F, no actual harm)
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0837 Level F
“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.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0761 Level E
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0688 Level D
“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.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level D
“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.”
Previous cycle: July 11, 2024 — 3 health citations
Inspections in this cycle: July 11, 2024 (standard health inspection).
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0773 Level G
“Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.”
actual harm to residents; isolated (a few residents) · Administration Deficiencies
Show 1 less serious citation (levels A to F)
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
Earlier cycle: May 3, 2023 — 36 health citations
Inspections in this cycle: May 3, 2023 (standard health inspection); December 12, 2023 (complaint investigation).
F0760 Level H
“Ensure that residents are free from significant medication errors.”
actual harm to residents; pattern (some residents) · Pharmacy Service Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 34 less serious citations (levels A to F)
F0584 Level F
“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.”
F0636 Level F
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0730 Level F
“Observe each nurse aide's job performance and give regular training.”
F0761 Level F
“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.”
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0925 Level F
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0568 Level D
“Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0585 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0638 Level D
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0687 Level D
“Provide appropriate foot care.”
F0693 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0726 Level D
“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.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (24)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0029 Level F
“Develop a communication plan.”
E0036 Level F
“Establish emergency prep training and testing.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0531 Level F
“Have elevators that firefighters can control in the event of a fire.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0351 Level E
“Install an approved automatic sprinkler system.”
E0015 Level D
“Address subsistence needs for staff and patients.”
E0026 Level D
“Establish roles under a Waiver declared by secretary.”
E0036 Level D
“Establish emergency prep training and testing.”
E0037 Level D
“Establish staff and initial training requirements.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
Fines and payment denials
Total fines over about the last three years: $2,186 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 11, 2024 | Fine | $2,186 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Massachusetts | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.23 | 0.66 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.89 | 0.97 | 0.86 |
| Nurse aide hours per resident per day | 1.86 | 2.31 | 2.35 |
| Total nurse staff hours per resident per day | 2.98 | 3.94 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.77 | 3.52 | 3.43 |
| RN hours per resident per day on the weekend | 0.10 | 0.46 | 0.48 |
| Nursing staff turnover (per year) | 46.6% | 37.6% | 45.3% |
| RN turnover (per year) | 81.8% | 42.7% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Locust Street Operations LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Ma SNF Holdings LLC | Direct owner | 100% | March 15, 2024 |
| Ishakis, Yochanan | Indirect owner | 45% | March 15, 2024 |
| Levine, Yisroel | Indirect owner | 55% | March 15, 2024 |
| Zenith Care LLC | Management company (operational or managerial control) | NOT APPLICABLE | September 3, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 101 |
| Average residents per day | 77.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | Locust Street Operations LLC |
| First approved by Medicare/Medicaid | 1970-06-30 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 63 Locust Street, Danvers, MA 01923 |
| County | Essex County |
| State | Massachusetts |
| Phone | (978) 777‑0011 |
| CMS Certification Number | 225198 |
| Name in Medicare records | TWIN OAKS CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Hunt Nursing & Rehab Center0.4 mi · Danvers, MA · 4 of 5 stars
- The Brentwood Rehabilitation and Healthcare Center1.0 mi · Danvers, MA · 5 of 5 stars
- Care One at Peabody1.8 mi · Peabody, MA · 5 of 5 stars
- Hathorne Hill Rehabilitation and Healthcare Center1.9 mi · Danvers, MA · 4 of 5 stars
- New England Homes for the Deaf, Inc2.1 mi · Danvers, MA · 5 of 5 stars
Nearest hospital emergency rooms
- Northeast Hospital Corporation3.1 mi · Beverly, MA · Acute Care Hospital
- North Shore Medical Center -4.4 mi · Salem, MA · Acute Care Hospital
- Melrosewakefield Healthcare10 mi · Melrose, MA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13