Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hathorne Hill Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
Failure to Provide Dignified Dining Assistance: A resident with dysphagia, cerebral infarction, macular degeneration, and moderate cognitive impairment required assistance with eating per the care plan, CNA Kardex, and dietary assessment. Surveyors observed the resident in bed with meals left on the bedside or over-bed table and no staff present to assist, and staff interviews confirmed the resident needed help with eating and that the tray should not have been delivered until assistance was available.
Failure to provide meal assistance and supervision for a resident with dysphagia and severe cognitive impairment. The resident required supervision/touching assistance for eating and had care plan directions for individualized diet support and aspiration monitoring, but surveyors observed the resident with meal trays set up in bed or a wheelchair while staff were absent and the resident did not initiate self-feeding. Staff interviews confirmed the resident needed assistance and should have been supervised during meals.
Two staff records lacked signed COVID-19 vaccine declination statements and documentation that they received information on the risks and benefits of the vaccine. One RN and another staff member had consent forms marked as declined, but neither form was signed. Interviews showed confusion between the SDC/IP and HR Director about who was responsible for ensuring the forms were completed, and the HR Director stated there was no facility policy for personnel record content or maintenance.
A resident with a Stage III pressure ulcer did not receive an air mattress as recommended by the Wound Physician. Despite the recommendation, the resident was observed on a standard mattress, and the care plan did not include the air mattress. Staff interviews revealed a lapse in communication and follow-through, with the Unit Manager admitting the recommendation was forgotten once an air mattress became available.
A resident with COPD requiring continuous oxygen had a dirty oxygen filter observed on two consecutive days. The facility's policy requires following manufacturer recommendations for cleaning, but there were no specific orders for the resident's filter maintenance. A nurse was unaware of filter responsibilities, while the Maintenance Director checks filters monthly and expects to be informed if they need changing sooner.
A resident with dementia and chronic pulmonary disorder, who had a documented allergy to fish, was mistakenly served fish for an evening meal, resulting in an allergic reaction. The incident was noted by a Nurse Practitioner and a nurse admitted to serving the incorrect meal.
A resident with anxiety, depression, and esophageal cancer required assistance with personal hygiene, including shaving. Despite the resident's requests for help over three weeks, staff did not provide shaving assistance, resulting in the resident having a full mustache and whiskers. Observations confirmed the lack of shaving, and documentation failed to accurately reflect the resident's refusals or the assistance offered.
Failure to Provide Dignified Dining Assistance
Penalty
Summary
The facility failed to ensure staff treated one resident in a dignified manner during the dining experience. The resident was admitted in February 2021 with diagnoses including dysphagia, cerebral infarction, and macular degeneration, and the most recent MDS indicated moderate cognitive impairment with partial/moderate assistance needed for eating. The resident’s care plan, CNA Kardex, and dietary assessment all indicated the resident required assistance with eating, including set-up help/extensive assist/dependent assist. On 12/2/25, 12/3/25, and 12/4/25, the surveyor observed the resident awake in bed with the meal left on the bedside table or over-bed table and no staff present to assist with eating. On two of the observations, the meal was not set up for consumption; on the third, the meal was set up but the resident did not initiate self-feeding and no staff were present. During interviews, a CNA stated the resident needed assistance to eat and should have been assisted once the tray was delivered, and the Unit Manager stated the resident needed assistance because they were unable to see and that staff should not deliver the tray until they were ready to assist the resident.
Failure to Provide Meal Assistance and Supervision
Penalty
Summary
The facility failed to provide assistance and/or supervision with meals for one resident who was unable to independently perform ADLs. Resident #46 was admitted with diagnoses including dysphagia following cerebral infarction, aphasia, and major depressive disorder, and the most recent MDS indicated severe cognitive impairment with a BIMS score of 1 out of 15. The MDS also indicated the resident required supervision/touching assistance for eating. The resident’s care plan directed staff to provide the individualized diet and assist as needed, and the nutrition plan noted monitoring for signs and symptoms of aspiration. The resident’s records also reflected dysphagia advanced texture with regular fluids and a need for assistance with meals. During multiple survey observations, Resident #46 was seen in bed or in a wheelchair with the meal tray set up, but staff were not present in the room or hallway and the resident did not initiate self-feeding; at times the resident was sleeping. The resident was not able to be seen from the hallway during some observations. Nursing documentation noted the resident was assisted with meals, but survey observations showed the resident without staff present during mealtimes. During interviews, the Unit Manager stated staff were expected to follow each resident’s plan of care, a nurse stated the resident needed meal assistance and should have staff present due to choking risk, and a CNA stated the resident should have a staff member with them for the duration of meals when supervision or assistance is required.
Unsigned COVID-19 Vaccine Declination Forms in Staff Records
Penalty
Summary
The facility failed to ensure that two of five staff records reviewed, Nurse #2 and Additional Staff #2, had signed statements certifying exemption from the COVID-19 vaccination and confirming receipt of information about the risks and benefits of the vaccine. Review of Nurse #2's personnel health record showed a facility COVID-19 Vaccine Consent form with a check mark indicating declination of the vaccine, but the form was not signed by the staff member. Review of Additional Staff #2's personnel health record showed the same issue, with a checked declination on the COVID-19 Vaccine Consent form but no staff signature. During interviews, the Staff Development Coordinator/Infection Preventionist stated that the Human Resource Director was responsible for the hiring process and maintaining staff employment records, while the Human Resource Director stated that the SDC/IP should ensure staff sign the COVID consent forms and that there was no facility policy for what to include in personnel records or how to maintain them.
Failure to Implement Recommended Pressure Ulcer Interventions
Penalty
Summary
The facility failed to implement recommended interventions for pressure ulcer care and prevention for Resident #46, who developed a Stage III pressure ulcer on the sacrum while at the facility. The Wound Physician recommended the use of an air mattress to help manage and prevent further deterioration of the pressure ulcer. However, observations on two separate occasions revealed that Resident #46 was still on a standard mattress, and the clinical records did not reflect the use of an air mattress as part of the care plan. Interviews with facility staff, including a Nurse Practitioner and a Unit Manager, revealed a breakdown in communication and follow-through regarding the implementation of the Wound Physician's recommendations. The Nurse Practitioner was unaware that the air mattress had not been provided, and the Unit Manager admitted that the recommendation was forgotten once an air mattress became available. The facility's Administrator expressed an expectation that staff should implement the interventions as recommended by the Wound Physician, indicating a lapse in adherence to the facility's Pressure Injury Prevention and Management Policy.
Failure to Maintain Sanitary Oxygen Filter
Penalty
Summary
The facility failed to maintain a sanitary oxygen filter for a resident with chronic obstructive pulmonary disorder who requires continuous oxygen delivery. Observations on two consecutive days revealed that the resident's oxygen filter was dirty and caked in dust. The facility's policy on oxygen concentrators requires following manufacturer recommendations for cleaning and servicing, but there were no specific physician's orders for monitoring or maintaining the resident's oxygen concentrator filter. During interviews, a nurse stated she was unaware of who was responsible for changing the filters, while the Maintenance Director indicated he checks and changes the filters monthly, and would expect to be informed if a filter needed changing sooner. The Maintenance Director last changed the filters on November 26, 2024.
Failure to Follow Dietary Plan for Resident with Fish Allergy
Penalty
Summary
The facility failed to adhere to the dietary plan for a resident who was allergic to fish. The resident, who was admitted with dementia and chronic pulmonary disorder, had a documented allergy to fish-containing products. Despite this, the resident was served fish for an evening meal, leading to an allergic reaction characterized by tingling on the nose. The incident was documented in a Nurse Practitioner note and a written statement by a nurse who acknowledged serving the incorrect meal tray.
Failure to Document Shaving Assistance for a Resident
Penalty
Summary
The facility failed to accurately document the completion of shaving for a resident, identified as Resident #22, who was admitted in May 2024 with diagnoses including anxiety, depression, and esophageal cancer. The resident required partial to moderate assistance with personal hygiene, including shaving, as indicated in the Minimum Data Set (MDS) assessment. Despite the resident's intact mental status and occasional rejection of care, the care plan specified the need for set-up and assistance from one staff member for personal hygiene and two staff members for care related to accusatory statements. The resident reported asking for shaving assistance over the past three weeks, which was not provided, resulting in a full mustache and 1/4 inch long whiskers on the face. Observations on consecutive days confirmed the resident's face remained unshaven, and the resident stated that staff had not offered shaving assistance. The review of the resident's Tasks document for November and December 2024 showed only one recorded refusal of personal hygiene assistance, without specifying if shaving was offered or refused. Additionally, the nurse progress notes lacked references to shaving or rejection of personal hygiene assistance. During an interview, the Unit Manager acknowledged the inaccuracy of the Tasks document, noting that staff were not documenting the resident's refusals of personal hygiene assistance, including shaving.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Danvers
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hunt Nursing & Rehab Center | 1.5 mi | ★★★★★ | 21 | 0 |
| Twin Oaks Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Continuing Care At Brooksby Village | 1.9 mi | ★★★★★ | 12 | 0 |
| Care One At Peabody | 2.4 mi | ★★★★★ | 10 | 0 |
| Alliance Health At Rosewood | 2.5 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.