Starfile / Massachusetts

HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER

15 KIRKBRIDE DRIVE, DANVERS, MA 01923 · CCN 225449

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$242,785

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

ATLAS HEALTHCARE

Facilities in chain

28

Chain avg overall

3.80 / 5

Inspection citations (29)3 immediate jeopardy3 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-04 · Health · corrected 2025-12-17

   Potential for more than minimal harm

2. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-04 · Health · corrected 2025-12-17

   Potential for more than minimal harm

3. DF0887Educate 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.2025-12-04 · Health · corrected 2025-12-17

   Potential for more than minimal harm

4. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-05 · Health · corrected 2024-12-31

   Potential for more than minimal harm

5. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-05 · Health · corrected 2024-12-31

   Potential for more than minimal harm

6. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-12-05 · Health · corrected 2024-02-16

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-05 · Health · corrected 2024-12-31

   Potential for more than minimal harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-15 · Health · corrected 2024-01-10

   Potential for more than minimal harm

9. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-12-15 · Health · corrected 2024-01-10

   Potential for more than minimal harm

10. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

11. GF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-12-15 · Health · corrected 2024-01-10

    Actual harm

12. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

14. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-15 · Health · corrected 2024-01-10

    Immediate jeopardy

15. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-15 · Health · corrected 2024-01-10

    Actual harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

17. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

18. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

19. DF0700Try 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.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

20. JF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-12-15 · Health · corrected 2024-01-26

    Immediate jeopardy

21. GF0742Provide 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.2023-12-15 · Health · corrected 2024-01-10

    Actual harm

22. DF0758Implement 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.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

23. DF0759Ensure medication error rates are not 5 percent or greater.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

24. DF0760Ensure that residents are free from significant medication errors.2023-12-15 · Health · corrected 2024-01-26

    Potential for more than minimal harm

25. EF0761Ensure 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.2023-12-15 · Health · corrected 2024-01-26

    Potential for more than minimal harm

26. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

27. JF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-12-15 · Health · corrected 2024-01-10

    Immediate jeopardy

28. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-15 · Health · corrected 2024-01-26

    Potential for more than minimal harm

29. EF0880Provide and implement an infection prevention and control program.2023-12-15 · Health · corrected 2024-01-10

    Potential for more than minimal harm

Ownership

Other facilities in DANVERS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.