Care One at Essex Park

Name: Care One at Essex Park
Address: 265 ESSEX STREET, Beverly, MA, 01915, US
Telephone: 9789273260

265 Essex Street, Beverly, MA 01915 · Essex County · 202 certified beds · avg 161 residents/day · certified since Oct 1, 1982

Part of chain: CAREONE (37 facilities, chain avg rating 3.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

$35,968

Fines, last 3 years

3.65

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 2, 2024 · F-0692

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 24, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 2, 2024 · F-0693

The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.

Why it matters: Unnecessary or poorly managed feeding tubes can cause serious complications like lung infections and take away the ability to eat normally.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 24, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (13)

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
May 20, 2026	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. · from a complaint
Apr 2, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 2, 2026	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.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 2, 2026	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.
Apr 2, 2026	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.
May 2, 2024	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 2, 2024	▲ G · Actual harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
May 2, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 2, 2024	D · Potential for harm, one-off	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
May 2, 2024	D · Potential for harm, one-off	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.
May 2, 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.
May 2, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2024	7	2	G ▲
2026	6	0	D

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)

1 fine totaling $35,968.

Date	Type	Amount / length
May 2, 2024	Fine	$35,968

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)	3.65	3.89	3.95	bottom 43% in Massachusetts; bottom 44% in the U.S.
Registered Nurse hours	0.50	0.65	0.69	bottom 30% in Massachusetts; bottom 37% in the U.S.
Weekend total nurse staffing	3.36	3.51	3.50	bottom 48% in Massachusetts; top 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.46	0.48	bottom 37% in Massachusetts; bottom 44% in the U.S.
Total nursing staff turnover (%)	28.7	38.2	45.8	top 22% in Massachusetts; top 12% in the U.S.
RN turnover (%)	35.0	42.6	42.9	top 36% in Massachusetts; top 38% 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 3.61, RN 0.49, weekend 3.32. Staffing rating: 3/5.

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: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Care Realty, LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/30/2002
Des-I 2016 Grat	Organization	5% or Greater Indirect Ownership Interest	—	12/01/2021
Straus, Daniel	Individual	5% or Greater Indirect Ownership Interest	—	03/01/2005
Thci of Massachusetts, LLC	Organization	5% or Greater Direct Ownership Interest	—	07/01/2003
Baruch, David	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2021
Baruch, David	Individual	Corporate Officer	NOT APPLICABLE	12/01/2021
Healthbridge Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2005

Questions to ask on your visit

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

"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"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
Blueberry Hill Rehabilitation and Healthcare Ctr	0.6 mi	Beverly, MA	★☆☆☆☆	1/5
Ledgewood Rehabilitation and Nursing Center	0.7 mi	Beverly, MA	★★★★☆	4/5
Brentwood Rehabilitation and Healthcare Ctr (the)	3.1 mi	Danvers, MA	★★★★☆	4/5
New England Homes for the Deaf, INC	3.3 mi	Danvers, MA	★★★★☆	3/5
Twin Oaks Center	3.8 mi	Danvers, MA	★☆☆☆☆	1/5
Hunt Nursing & Rehab Center	4.3 mi	Danvers, MA	★★★★☆	4/5
Care One at Peabody	4.7 mi	Peabody, MA	★★★★★	5/5
Lafayette Rehabilitation & Skilled Nursing	5.1 mi	Marblehead, MA	★★★★★	5/5
Devereux Skilled Nursing & Rehabilitation Center	5.1 mi	Marblehead, MA	★★★★☆	4/5
Pilgrim Rehabilitation & Skilled Nursing Center	5.4 mi	Peabody, MA	★★★★☆	4/5
Hathorne Hill Rehabilitation and Healthcare Center	5.7 mi	Danvers, MA	★★★★☆	4/5
Continuing Care at Brooksby Village	5.7 mi	Peabody, MA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Beverly →

Facility data as of CMS processing date 2026-08-01. CCN 225270.

The Care File

Visit checklist — Care One at Essex Park

265 Essex Street, Beverly, MA 01915 · 9789273260

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $35,968

Most serious findings on record:

▲ May 2, 2024 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ May 2, 2024 (F-0693, Actual harm, one-off): The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.

Questions for the administrator:

☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "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 225270 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)