TWIN OAKS CENTER
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Penalty
$141,733
Outcome
TWIN OAKS CENTER in DANVERS, MA was fined $141,733 by CMS across 2 separate penalties following 58 deficiency citations identified during federal surveys.
Details
TWIN OAKS CENTER (DANVERS, MA) — $141,733 in CMS Fines
Outcome: TWIN OAKS CENTER in DANVERS, MA was fined $141,733 by CMS across 2 separate penalties following 58 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- Provide enough food/fluids to maintain a resident's health.
- Provide care or services that was trauma informed and/or culturally competent.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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