Hathorne Hill Rehabilitation and Healthcare Center

15 Kirkbride Drive · Danvers, MA · 01923 · 9787163600

120 certified beds For profit - Corporation Chain: Atlas Healthcare

Why this verdict

  • 3 citations involved actual harm to residents.
  • Cleaner inspection record than most facilities nationally.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 80
Serious harm & abuse 20% 64
Staffing 20% 67
Federal penalties 15% 51
Trend 10% 68
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.613.48 min · 4.1 strong
RN hours / resident-day0.540.55–0.75
Weekend hours / resident-day3.33≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $242,785

Inspection citations (29 in the current record)

  • Potential for harm · D December 4, 2025

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

    Corrected December 17, 2025 · Resident Rights

  • Potential for harm · D December 4, 2025

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

    Corrected December 17, 2025 · Quality of Life and Care

  • Potential for harm · D December 4, 2025

    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.

    Corrected December 17, 2025 · Infection Control

  • Potential for harm · D December 5, 2024

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

    Corrected December 31, 2024 · Quality of Life and Care

  • Potential for harm · D December 5, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 31, 2024 · Quality of Life and Care

  • Potential for harm · D December 5, 2024

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected February 16, 2024 · Nutrition and Dietary

  • Potential for harm · D December 5, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 31, 2024 · Resident Assessment and Care Planning

  • Immediate jeopardy · K December 15, 2023

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

    Corrected January 10, 2024 · Quality of Life and Care

  • Immediate jeopardy · J December 15, 2023

    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.

    Corrected January 26, 2024 · Nursing and Physician Services

  • Immediate jeopardy · J December 15, 2023

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected January 10, 2024 · Administration

  • Actual harm · G December 15, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected January 10, 2024 · Resident Assessment and Care Planning

  • Actual harm · G December 15, 2023

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

    Corrected January 10, 2024 · Quality of Life and Care

  • Actual harm · G December 15, 2023

    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.

    Corrected January 10, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

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

    Corrected January 10, 2024 · Resident Rights

  • Potential for harm · D December 15, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected January 10, 2024 · Resident Rights

  • Potential for harm · D December 15, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 10, 2024 · Resident Rights

  • Potential for harm · D December 15, 2023

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

    Corrected January 10, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

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

    Corrected January 10, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected January 10, 2024 · Quality of Life and Care

  • Potential for harm · E December 15, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected January 10, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected January 10, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

    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.

    Corrected January 10, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

    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.

    Corrected January 10, 2024 · Pharmacy Service

  • Potential for harm · D December 15, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 10, 2024 · Pharmacy Service

  • Potential for harm · D December 15, 2023

    Ensure that residents are free from significant medication errors.

    Corrected January 26, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 15, 2023Fine$242,785

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225449 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.