The Twin Oaks nursing home on Locust Street in Danvers.

DANVERS — The Twin Oaks Rehab and Nursing Home was declared "substandard" in June after state inspectors found dozens of problems ranging from poor treatment of residents to deteriorating building conditions.

During a week-long inspection, the inspectors discovered gouged walls, rusting radiators, stained curtains, dust-filled shower room vents, torn pillows, broken lights, toilets with no seats, and foul odors caused by a bathroom drain that had been broken for a year, according to the inspection report.

The nursing home also provided no activities for multiple residents as required, failed to supervise a resident who made suggestive comments toward females, and ignored an alarm that had been set up to monitor a resident with a history of sexually inappropriate behavior, the report said.

The Massachusetts Department of Public Health made a finding of "substandard quality of care" during the inspection and ordered Twin Oaks to immediately fix the problems. A spokeswoman for the department said an unannounced follow-up inspection last Friday determined that the nursing home had "corrected the deficiencies."

Twins Oaks is a 101-bed nursing home and rehabilitation facility located at 63 Locust St. in Danvers. Last year it was purchased by a company called 63 Locust Street Propco LLC for $4.5 million.

That company is owned by Eliyahu Mirlis, the CEO of Regal Care Management Group in Edison, New Jersey. A woman who answered the phone for Regal Care said Mirlis "doesn't come in" and was not available. A message left for the administrator at Twin Oaks was not returned.

Twins Oaks is ranked in the bottom 2% of nursing homes in Massachusetts, according to the state's online nursing home performance tool. It has an overall ranking of "below average" on the federal government's Nursing Home Compare website.

The 98-page inspection report from June 4 cited a list of 44 deficiencies with the building that included "significant damage" to the first-floor hallway walls, all four walls of the day room, and five residents' rooms.

On the second floor, state inspectors found a rusted commode and a bathroom door with exposed splintered wood in one room. The lighting in the bathroom was so dim that the resident said he or she could not perform morning care, the report said. (Residents are reported as he/she in the report.)

In another room, gouges in the wall behind the bed exposed sheet rock, and a soap dispenser had fallen off the wall and was resting on the bathroom sink.

Inspectors also described a "strong foul odor" in the hallway outside four rooms on the second floor. The Twin Oaks maintenance director told inspectors that the bathroom drain had been broken for about a year and he was having a hard time getting a plumber to work in the facility.

The third floor featured a rusted commode, disposable gloves lying on top of residents' belongings, dust-filled ceiling vents in a shower, and pillows with multiple tears on a resident's bed. In the kitchenette, a toaster was coated with crumbs and debris, a microwave was discolored black on the inside, a refrigerator was cracked and stained, and a ceiling light was filled with bugs and debris.

The maintenance director told inspectors that the facility did not have a preventative maintenance program and that he repaired things that were reported to him by staff. The Twin Oaks administrator said renovations were scheduled but she had not been told what they will consist of or when they will begin.

Based on their observations, inspectors said Twin Oaks "failed to ensure that residents had a safe, comfortable and home-like environment."

In addition to the poor condition of the building, inspectors cited several deficiencies with resident care and noted a lack of training for staff. They said staff failed to provide activities for residents, leading some of them to stay in bed all day. One resident, who spoke Albanian, was supposed to be provided Albanian books and music, but instead was allowed to stay in his or her room watching English-only programming.

Another resident, who required help with grooming, was observed with "long, gray/white chin hair" and told inspectors that no staff members had offered assistance.

In one instance last May, a resident with dementia was provided a baby doll and a marker for an "independent leisure activity." The resident was given no paper and began painting their own face with the marker, the report said.

In another case, a resident told an inspector that he or she wanted to report a nurse's assistant for being "rough" during his or her morning bath. When the resident explained the situation to a nurse in front of the inspector, the nurse "shrugged her shoulders" and went back to passing our her morning medications, the report said.

The Department of Public Health said residents or family members who have concerns about care in nursing homes can contact the facility's long-term care ombudsman or may file a complaint with DPH by calling 800-462-5540.

Staff writer Paul Leighton can be reached at 978-338-2675 or pleighton@salemnews.com.

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