Skilled nursing · Danvers, MA

Twin Oaks Center

63 LOCUST STREET, Danvers, MA 01923

1 / 5CMS 101 bedsCapacity May 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Twin Oaks Center carries a Palmelle Clarity Score of 6 out of 100, derived from federal CMS Care Compare data plus Massachusetts state records. Health inspection rating sits at 1-star, staffing at 1-star, quality measures at 2-star. Long-stay antipsychotic prescribing is at 42.5 percent, above the 14 percent national median. Long-stay sedative prescribing is at 28.8 percent, above the 15 percent national median. RN coverage is 0.29 hours per resident per day. Nurse turnover 47 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Massachusetts DPH

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In their own words

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

Medicare/Medicaid certified

Operating in Danvers.

Worth asking about

High antipsychotic prescribing

This

42.5%

National

14%

Above national median. Ask what behaviors the medication targets and what non-medication options were tried first.

High sedative / sleep-medication prescribing

This

28.8%

National

15%

Above national median. Worth asking — sedative use sometimes rises when antipsychotic prescribing comes under pressure.

Federal CMS + Massachusetts state data

The full inspection record.

Federal CMS ratings

Overall★★★★★1 / 5

Health inspection★★★★★1 / 5

Staffing★★★★★1 / 5

Quality measures★★★★★2 / 5

Staffing

RN hours per resident, daily

This

0.29

Nat

0.78

Total nurse hours / resident, daily

This

2.89

Nat

3.62

Annual nurse turnover

This

47%

Nat

53%

Annual RN turnover

This

78%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

42.5%

Nat

14%

Sedative / sleep med

This

28.8%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

2.6%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection current$2,186 in fines (1)

Identity & licensing

CMS ID225198

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds101

Avg residents77

Citations · last 36 months

Flagged by CMS data
Registered nurse hours are 0.29 per resident per day — below the recommended minimum of 0.75 hours. RNs are responsible for clinical assessments and oversight. Low RN coverage is associated with higher rates of hospitalization and missed diagnoses.
From the latest CMS Care Compare reconcile
Flagged by CMS data
This facility's long-stay antipsychotic rate is 43% — roughly three times the national median of about 14%. CMS already excludes residents with schizophrenia, Tourette's, and Huntington's from this measure, so this reflects prescribing for residents who don't have a primary psychotic diagnosis. Worth asking on a tour: 'How does my parent get back off these meds if started?'
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antianxiety / sleep medication rate is 29%. This category often shifts up when antipsychotic prescribing is restricted — different drug class, same effect on the resident. Worth asking the facility's prescribing rate for both classes side by side.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Massachusetts DPH · Last reconciled Jun 3, 2026

Questions families ask

Common questions.

What is the CMS rating for Twin Oaks Center?

Twin Oaks Center has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 1 of 5 on staffing, and 2 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Twin Oaks Center been cited for resident harm?

It has $2,186 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 3 concerns on the latest reconcile. The full record for Twin Oaks Center appears in the record section above.

Does Twin Oaks Center use antipsychotic medications?

42.5 percent of long-stay residents at Twin Oaks Center are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 28.8 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Twin Oaks Center's Palmelle Clarity Score?

Twin Oaks Center has a Palmelle Clarity Score of 6 out of 100, putting it below the national median. The score is a composite of federal CMS and Massachusetts state inspection data. Higher is better.

How can I tour or contact Twin Oaks Center?

Twin Oaks Center is located at 63 LOCUST STREET, Danvers, MA 01923. Phone: (978) 777-0011. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Twin Oaks Center a special focus facility?

Twin Oaks Center is not on the federal Special Focus Facility list, but it does have $2,186 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Twin Oaks Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Twin Oaks Center has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Twin Oaks Center compare to other Danvers skilled nursing facilities?

Twin Oaks Center holds a Palmelle Clarity Score of 6. Browse the full Danvers directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Twin Oaks Center?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Twin Oaks Center and two other facilities on your shortlist.

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