Nursing homes across Essex County, Massachusetts, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Hathorne Hill runs on thinner staffing than most places, 3.67 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops roughly 10% below what the home itself staffs during the week. Nearly 54% of staff turned over in a year, well above the 45.8% national figure, which matters because unfamiliar caregivers miss things. The inspection history is a split picture: a recent December 2025 survey and no abuse citations, but 29 deficiencies on record, six serious enough to involve harm or jeopardy, and one fine of $242,785. A for-profit corporation owns the 120 beds. Families should ask specifically how weekend shifts are covered.
Saugus Center is a for-profit LLC with 80 certified beds, and the numbers that stand out most are on the inspection side. Sixty-six deficiencies sit on its current record, six of them serious enough to cause harm or put residents in jeopardy, plus two tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems, and there's $65,946 in fines across two penalties. Staffing runs about 3.17 nurse hours per resident day, roughly 18% under the national average, though turnover at 30% is actually better than the 45.8% norm. The last inspection was June 2025.
Mill Town Health and Rehabilitation runs on thin staffing: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 8% below its own weekday level. That's the kind of gap families feel on a Saturday afternoon when a call light goes unanswered. The inspection record is heavier still, 61 deficiencies, five serious enough to put residents in harm's way, seven tied to abuse, and $239,585 in fines against a for-profit LLC. Staff turnover sits at 52.8%, so the people caring for your relative are often new and still learning the building. If you're considering this one, ask hard questions about weekend coverage and how they've fixed the abuse findings.
Salem Rehab Center runs on thinner staffing than most homes nationally, 3.62 nurse hours per resident day against an average of 3.86, and weekends drop about 9% below what the building manages on weekdays, so coverage is at its lightest exactly when families tend to visit. Roughly half the nursing staff turns over each year, a bit above the national rate, and the current inspection record carries 85 deficiencies, including 10 serious enough to put residents at risk of harm and 4 tied to abuse. Two fines totaling $252,785 have been levied, and the last inspection was September 2025.
Maplewood Center runs 120 certified beds in Amesbury, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.99 hours per resident day, roughly a quarter below the national average of 3.86, with weekends running about 6% thinner than weekdays, and annual turnover at 55.2% against a national 45.8%. On the inspection side, CMS counts 67 deficiencies, including five at harm or jeopardy level and six tied to abuse, with two fines totaling $226,445. The home is in CMS's Special Focus Facility program, its last inspection was June 5, 2025, and it's owned by a for-profit limited liability company.