Hathorne Hill
14 Kirkbride Drive, Danvers, MA 01923


Hathorne Hill is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 225449. The address is 14 Kirkbride Drive, Danvers, MA 01923. The zip code is 01923. The phone number is 9787746955.


Hathorne Hill · 14 Kirkbride Drive, Danvers, MA 01923

Federal Provider Number 225449
Provider Name HATHORNE HILL
Address 14 KIRKBRIDE DRIVE
DANVERS, MA 01923
Phone Number 9787746955
SSA County Code 40
County Name Essex
Ownership Type For profit - Partnership
Certified Beds 120
Certified Beds Residents 109
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HARBORSIDE MASSACHUSETTS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare Medicaid Services 07/01/1990
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.05367
Reported LPN Staffing Hours per Resident per Day 0.79358
Reported RN Staffing Hours per Resident per Day 1.13119
Reported Licensed Staffing Hours per Resident per Day 1.92477
Reported Total Nurse Staffing Hours per Resident per Day 3.97844
Reported Physical Therapist Staffing Hours per Resident Per Day 0.16055
Expected CNA Staffing Hours per Resident per Day 2.49062
Expected LPN Staffing Hours per Resident per Day 0.66605
Expected RN Staffing Hours per Resident per Day 1.09548
Expected Total Nurse Staffing Hours per Resident per Day 4.25215
Adjusted CNA Staffing Hours per Resident per Day 2.02322
Adjusted LPN Staffing Hours per Resident per Day 0.98893
Adjusted RN Staffing Hours per Resident per Day 0.77156
Adjusted Total Nurse Staffing Hours per Resident per Day 3.77143
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 09/12/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 08/06/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 06/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 18.667
Number of Facility Reported Incidents 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Hathorne Hill

Owner Name Role Association Date
BARCLAYS BANK PLC (Organization) 5% OR GREATER SECURITY INTEREST since 12/01/2012
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
BERTHA, DAVID (Individual) OFFICER since 12/01/2012
BLINN, RICHARD (Individual) OFFICER since 12/01/2012
BLINN, RICHARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
BOURNE, JOSEPH (Individual) OFFICER since 12/01/2012
CASTOR, RICHARD (Individual) OFFICER since 12/01/2012
CULLEROT, KENNETH (Individual) OFFICER since 03/02/2015
DAVIS, KEITH (Individual) MANAGING EMPLOYEE since 03/02/2015
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
DVORAK, JOSEPH (Individual) OFFICER since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GAZELLE GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN MANAGEMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 12/01/2012
GENESIS HEALTHCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GHC HOLDINGS II LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HARBORSIDE HEALTH I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE HEALTHCARE ADVISORS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE HEALTHCARE LIMITED PARTNERSHIP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE MASSACHUSETTS LIMITED PARTNERSHIP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/19/2007
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HERMAN, CHARLES (Individual) DIRECTOR since 12/01/2012
HIRSCHFELD, DANIEL (Individual) OFFICER since 12/01/2012
KHI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
LABATE, WENDY (Individual) OFFICER since 12/01/2012
LANE, LAURENCE (Individual) OFFICER since 12/01/2012
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
PEZZANO, GARRY (Individual) OFFICER since 12/01/2012
PHILLIPS, JEANNE (Individual) OFFICER since 12/01/2012
REIFSNYDER, JOANNE (Individual) OFFICER since 12/01/2012
SCHUEFTAN, NORMAN (Individual) OFFICER since 12/01/2012
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SHERMAN, MICHAEL (Individual) OFFICER since 12/01/2012
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
SILVERWOOD, KENNETH (Individual) OFFICER since 12/01/2012
SL GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNBRIDGE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
WILKS, JOSEPH (Individual) OFFICER since 12/01/2012
YOUNG, STEPHEN (Individual) OFFICER since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

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