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Health Inspection

Twin Oaks Center

July 11, 2024 · Danvers, MA · 63 Locust Street
Citations 1
CMS Rating 1/5
Beds 101
Provider ID 225198
Healthcare Facility
Twin Oaks Center
Danvers, MA  ·  View full profile →
Inspection Summary

TWIN OAKS CENTER in DANVERS, MA — inspection on July 11, 2024.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF773
Actual harm Few affected

Review of the Laboratory Services Agreement indicated the following:

- Notification of Findings: As applicable, Laboratory shall provide immediate telephone notice of results of any critical lab value.

Laboratory shall promptly report all other findings as appropriate to the facility.

Resident #37 was admitted with 10/2018 with diagnoses including nontraumatic acute subdural hemorrhage, hypertension, peripheral vascular disease, and cognitive decline.

Review of Resident #37's most recent Minimum Data Set (MDS) assessment, dated 6/19/24, indicated that Resident #37 scored a 9 out of a possible 15 on the Brief Interview for Mental Status exam, indicating severe cognitive impairment.

Review of the MDS, dated [DATE], indicated Resident #37 required limited assist to one person physical assistance with eating and drinking.

225198

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 225198 B.

Wing 07/11/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Twin Oaks Center 63 Locust Street Danvers, MA 01923

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DANVERS, MA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from TWIN OAKS CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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