Brentwood Rehabilitation and Healthcare Ctr (the)

Name: Brentwood Rehabilitation and Healthcare Ctr (the)
Address: 56 LIBERTY STREET, Danvers, MA, 01923, US
Telephone: 9787772700

56 Liberty Street, Danvers, MA 01923 · Essex County · 159 certified beds · avg 138 residents/day · certified since Oct 29, 1982

Part of chain: MARQUIS HEALTH SERVICES (87 facilities, chain avg rating 3.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.28

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 13, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 13, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 13, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 13, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 28, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 28, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Mar 28, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 28, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 28, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2024	8	0	E
2025	12	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.28	3.89	3.95	bottom 17% in Massachusetts; bottom 25% in the U.S.
Registered Nurse hours	0.50	0.65	0.69	bottom 31% in Massachusetts; bottom 38% in the U.S.
Weekend total nurse staffing	2.95	3.51	3.50	bottom 19% in Massachusetts; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.50	0.46	0.48	top 29% in Massachusetts; top 33% in the U.S.
Total nursing staff turnover (%)	31.6	38.2	45.8	top 32% in Massachusetts; top 17% in the U.S.
RN turnover (%)	38.9	42.6	42.9	top 45% in Massachusetts; top 45% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.58, RN 0.55, weekend 3.23. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Cibc Bank USA	Organization	5% or Greater Security Interest	NOT APPLICABLE	06/17/2013
Doyle, Stephen	Individual	W-2 Managing Employee	NOT APPLICABLE	02/01/2021
Doyle, Stephen	Individual	Corporate Director	NOT APPLICABLE	02/01/2021
Posen, Mindee	Individual	Corporate Officer	NOT APPLICABLE	05/12/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Twin Oaks Center	1.0 mi	Danvers, MA	★☆☆☆☆	1/5
New England Homes for the Deaf, INC	1.3 mi	Danvers, MA	★★★★☆	3/5
Hunt Nursing & Rehab Center	1.4 mi	Danvers, MA	★★★★☆	4/5
Care One at Peabody	1.8 mi	Peabody, MA	★★★★★	5/5
Ledgewood Rehabilitation and Nursing Center	2.4 mi	Beverly, MA	★★★★☆	4/5
Blueberry Hill Rehabilitation and Healthcare Ctr	2.5 mi	Beverly, MA	★☆☆☆☆	1/5
Continuing Care at Brooksby Village	2.7 mi	Peabody, MA	★★★★☆	3/5
Hathorne Hill Rehabilitation and Healthcare Center	2.8 mi	Danvers, MA	★★★★☆	4/5
Pilgrim Rehabilitation & Skilled Nursing Center	2.9 mi	Peabody, MA	★★★★☆	4/5
Care One at Essex Park	3.1 mi	Beverly, MA	★★★★☆	4/5
Alliance Health at Rosewood	3.9 mi	Peabody, MA	★★★☆☆	3/5
Jeffrey & Susan Brudnick Center for Living	4.1 mi	Peabody, MA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Danvers →

Facility data as of CMS processing date 2026-08-01. CCN 225223.

The Care File

Visit checklist — Brentwood Rehabilitation and Healthcare Ctr (the)

56 Liberty Street, Danvers, MA 01923 · 9787772700

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225223 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)