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Nursing HomeMedicaid

Brentwood Rehabilitation and Healthcare Ctr (the)

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

56 Liberty Street, Danvers, MA 01923159 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 233 Google reviews

5
4
3
2
1
Brentwood Rehabilitation and Healthcare Ctr (the) Nursing Home in Danvers, MA — Street View
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What this means for your family

While the rehabilitation therapy and activities programs are highly regarded, the facility suffers from significant, recurring issues with basic patient care and responsiveness. If you choose this facility, you must be prepared to advocate daily for your loved one's hygiene, nutrition, and medication management, as staffing levels appear inconsistent.

Google Reviews

Google Reviews

233 reviews on Google
Brentwood Rehabilitation and Healthcare Center receives highly polarized feedback, with many families praising the dedicated therapy and activities staff while others report severe neglect and communication failures. While some patients report successful rehabilitation and compassionate care, multiple reviewers highlight critical issues regarding hygiene, responsiveness to call lights, and poor dietary management. Families considering this facility should be aware of these significant inconsistencies in the quality of care provided.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0Activities9.0Meds3.0Memory2.0Comms4.0Value2.0

Strengths

  • Highly effective physical and occupational therapy
  • Engaging and active daily activities program
  • Friendly and compassionate front-line staff
  • Clean and well-maintained facility environment

Concerns

  • Neglect of basic hygiene and toileting needs (mentioned by 9 reviewers)
  • Unresponsive or slow call light system (mentioned by 6 reviewers)
  • Poor dietary management and failure to follow restrictions (mentioned by 5 reviewers)
  • Communication failures with families and medical staff (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

2344.72020(22)4.82021(21)4.02022(24)3.52023(20)4.32024(49)4.32025(53)4.52026(27)

Distribution · 216 analyzed

5
166
4
14
3
2
2
2
1
32

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy programs; could you tell us more about how those are integrated into a resident's daily routine?
  • 2How does the nursing team ensure that call lights are answered promptly and that all personal hygiene and toileting needs are met throughout the shift?
  • 3Could you explain your process for communicating important medical updates or changes in condition to family members to ensure we stay in the loop?
  • 4What specific steps does the dietary team take to ensure that all individual dietary restrictions and meal preferences are strictly followed?
  • 5What kind of engaging daily activities or social programs do you have planned to keep residents active and connected with one another?
  • 6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating with physicians?

Personalized based on this facility's data


Key Review Excerpts

One of the patient was found on the floor naked the next morning because no one checked on them all night.

Family member · 2024☆☆☆☆

My mother went there for a wound that needed IV antibiotics. When we were able to see her I did not recognize her. She was suffering from malnutrition because no one pays attention to what she was able to eat.

Long-term resident's family · 2023☆☆☆☆

The staff here are very nice. I'm getting the therapy I need .Hopefully when I leave here I will have reached my goal which is to be able to walk at least 2 blocks.

Rehab patient · 2022★★★★★
Source: 233 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
67%
Registered nurses for medical care
Total Nursing
3.59hrs
87%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
47%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

15

measures

Worse Than Avg

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
12.1%
MA
13.7%
Essex
18.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
15.4%
MA
21.3%
Essex
23.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
15.3%
MA
16.4%
Essex
13.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.3%
Worse than Avg
Here
25.3%
US
19.4%
MA
21.4%
Essex
20.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
93.4%
MA
92.4%
Essex
93.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
14.4%
MA
16.9%
Essex
13.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.5%
Better than Avg
Here
94.5%
US
81.8%
MA
77.6%
Essex
82.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.8%
Better than Avg
Here
85.8%
US
79.7%
MA
77.7%
Essex
81.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
MA
1.3%
Essex
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
Above state avg (8.9)

This facility has 38 deficiencies across three surveys with recurring problems in medication management, resident rights, and care quality. Issues with medication errors and resident dignity have persisted across all three surveys from 2023 to 2025, suggesting ongoing challenges. While the facility reports correcting each deficiency, the pattern of repeated violations in core care areas warrants careful consideration during visits.

Mar 13, 2025Routine
13
0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 28, 2024Routine
8
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Jan 12, 2023Routine
17
0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0311Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0331Potential for harm · IsolatedCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0751Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of flammable curtains.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brentwood Rehabilitation and Healthcare Ctr (the)

Organization Type

for profit

Chain Affiliation

Chain Name

Marquis Health Services

Chain Size

88 facilities nationwide

Chain avg rating: 3.0/5 · Rank 38 of 80

Ownership & Management

Owners

Yr 2013 Investment Trust U/a/d 3/25/13

Owner (parent company) · Organization

23%

Key personnel

Cibc Bank USA5% or Greater Security InterestDoyle, StephenW-2 Managing EmployeeDoyle, StephenOfficer / DirectorPosen, MindeeOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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