Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

New England Homes for the Deaf, Inc

DANVERS, MA · 81 certified beds · Last Life Safety survey March 19, 2025

CMS Certification Number 225768 · first certified August 2004

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within MA

12 citations — more than 54% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 11 citations; the earlier surveys in the window averaged 0.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2026 to June 2026), and past the point by which nine in ten MA facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

6 of the 12 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0908 Keep all essential equipment working safely.
  • F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

This facility12MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-1002024-03112025-03
Citations at each Life Safety survey
Survey dateCitations
October 27, 20221
March 21, 20240
March 19, 202511

Most-cited tags

Most-cited tags at this facility
K-03532E-00361K-09181K-02251E-00291E-00131E-00041K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-03-19
E-0036Establish emergency prep training and testing.12025-03-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-03-19
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12025-03-19
E-0029Develop a communication plan.12025-03-19
E-0013Develop Emergency Preparedness policies and procedures.12025-03-19
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-03-19
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-03-19

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 6
  • Smoke Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies6
Smoke Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 19, 2025 — 11 citations

Citations issued on March 19, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 30, 2025)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (April 30, 2025)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (April 30, 2025)
E-0029Develop a communication plan.Deficient, Provider has date of correction (April 30, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (April 30, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 16, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (April 12, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 9, 2025)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (April 16, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 30, 2025)

October 27, 2022 — 1 citation

Citations issued on October 27, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 30, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.