BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE)
56 LIBERTY STREET, DANVERS, MA 01923 · CCN 225223
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 159
- Avg residents/day
- 135.4
- Phone
- 9787772700
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-13 | 12 | 8.9 | 9.5 | +3.1 worse |
| 2 | 2024-03-28 | 8 | 10.0 | 9.8 | -2.0 better |
| 3 | 2023-01-12 | 8 | 12.7 | 9.3 | -4.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.48 | 28.6% |
| RN staffing (reported) | 0.46 | 37.5% |
| Total nurse staffing (adjusted) | 3.20 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- MARQUIS HEALTH SERVICES
- Facilities in chain
- 81
- Chain avg overall
- 3.00 / 5
Inspection citations (28)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0585Honor 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.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-13 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-28 · Health · corrected 2024-04-17
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2024-03-28 · Health · corrected 2024-04-17
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-28 · Health · corrected 2024-04-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-28 · Health · corrected 2024-04-17
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-28 · Health · corrected 2024-04-17
Potential for more than minimal harm
- DF0761Ensure 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.2024-03-28 · Health · corrected 2024-04-17
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-28 · Health · corrected 2024-04-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-28 · Health · corrected 2024-04-17
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-01-12 · Health · corrected 2023-02-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| QUINTO GUARDIAN LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | 2014-10-01 |
| UKR CONSULTING LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2013-06-17 |
| KOHN FAM TR GST EXEMPT UAD 3-25-13 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| NFR 2020 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| RSBRMK HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| SK 2013 INVESTMENT TR UA 03252013 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| TRYKO GUARDIAN HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-10-01 |
| UAK 2020 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| YR 2013 INVESTMENT TRUST U/A/D 3/25/13 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| DOYLE, STEPHEN | Individual | CORPORATE DIRECTOR | — | 2021-02-01 |
| POSEN, MINDEE | Individual | CORPORATE OFFICER | — | 2014-05-12 |
| DOYLE, STEPHEN | Individual | W-2 MANAGING EMPLOYEE | — | 2021-02-01 |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | — | 2013-06-17 |
Other facilities in DANVERS
| Name | Overall | Beds |
|---|---|---|
| HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER | ★★★★☆ | 120 |
| NEW ENGLAND HOMES FOR THE DEAF, INC | ★★★★☆ | 81 |
| HUNT NURSING & REHAB CENTER | ★★★☆☆ | 120 |
| TWIN OAKS CENTER | ★☆☆☆☆ | 101 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.