Staffing & PBJ snapshot
Twin Oaks Center
63 Locust Street, Danvers, MA 01923 · CCN 225198 · 101 certified beds · For profit - Limited Liability company
King & Co. ConsultingPrepared October 19, 2026
CMS data as of September 2026
CMS data as of September 2026
PBJ flag on this facility's staffing rating. PBJ data showed a high number of days without a registered nurse onsite. CMS caps the staffing rating at one star while this flag is in place.
Staffing compared with averages
| Measure | Facility | MA | U.S. |
|---|---|---|---|
| Total nurse hours per resident day | 3.02 | 3.86 | 3.86 |
| Weekend nurse hours per resident day | 2.84 | 3.48 | 3.42 |
| RN hours per resident day | 0.24 | 0.65 | 0.69 |
| Nurse aide hours per resident day | 1.88 | 2.25 | 2.32 |
| Total nursing staff turnover | 44.3% | 38.2% | 45.8% |
| RN turnover | 66.7% | 42.6% | 42.9% |
What stands out
- Staffing rating capped by a PBJ issuePBJ data showed a high number of days without a registered nurse onsite. CMS sets the staffing rating to one star in this case, regardless of how the building is actually staffed. Fixing the submission process is usually the fastest rating improvement available.
- Reported nurse hours are 22% below the MA averageIf the building is staffed better than this, hours may be missing from the PBJ file. Agency staff, contract nurses and salaried nurse managers are the most common gaps.
- Nursing turnover is 6 points above the MA averageHigh turnover drives agency spend, onboarding workload and PBJ errors from constant employee changes. Recruiting and onboarding support pays off quickly here.
- $2,186 in federal fines on recordFines are tied to survey findings. Staffing documentation, training records and personnel files are frequently part of the review.
Free 15-minute PBJ review for this facility
We will walk through these numbers, what is driving them and what to fix before the next submission.
Source: CMS Care Compare Provider Information and State and US Averages, processed 2026-09-01. Staffing hours are reported per resident per day from Payroll-Based Journal data. This snapshot summarizes public data for discussion and is not a CMS determination.