Nursing HomeInspections

Brentwood Rehabilitation and Healthcare Ctr (The)

Nursing home in Danvers, MA

Medicare & Medicaid certified4★ overall (CMS)

Call (978) 777-2700Send a messageMap ↗

Public-record details

Address
56 Liberty Street, Danvers, MA 01923
Phone
(978) 777-2700
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
225223
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
159
Average residents per day
138
Ownership
For-profit, limited Liability company
Legal business name
Brentwood Operator LLC
Chain
Marquis Health Services (87 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 29, 1982
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225223. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 22, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 28, 2024 to Mar 13, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 13, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 13, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 13, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 13, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 13, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.58 hours
Registered nurse (RN) time per resident per day
0.55 hours
Nurse aide time per resident per day
2.10 hours
Total nurse staffing on weekends
3.23 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
39%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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