SNF

BOURNE MANOR EXTENDED CARE FACILITY

CCN: 225348 · BOURNE, MA 02532 · Barnstable County

Overview

Address
146 MAC ARTHUR BOULEVARD, BOURNE, MA 02532
Phone
5087598880
Certified beds
142
Avg daily residents
121 (85% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1989-08-09
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 1/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.64 4.13 3.40 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.42 0.72 0.39 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.73 0.92 0.68 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.49 2.49 2.33 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.15 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.05 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.06
hrs / resident / day
RN (weekend)
0.30
hrs / resident / day
Total nurse (adjusted, weekend)
2.86
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
59.9%
annual
RN turnover
65.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.46
higher acuity than avg
Case-Mix Index Ratio
1.06
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-01-28 3 3 0 16 1 16
Cycle 2/3 (prior) 2023-10-12 17 12 5 205 1 205
Total weighted health score
63.3
lower is better

Deficiencies (41)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
35 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2025-01-28 2025-03-12
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-01-28 2025-03-12
0880 Provide and implement an infection prevention and control program. D 2025-01-28 2025-03-12
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2023-11-28 2023-12-13
0610 Respond appropriately to all alleged violations. D 2023-11-28 2023-12-13
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. J 2023-11-28 2023-12-13
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-11-28 2023-12-13
0551 Give the resident's representative the ability to exercise the resident's rights. D 2023-10-12 2023-11-17
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. E 2023-10-12 2023-11-17
0637 Assess the resident when there is a significant change in condition D 2023-10-12 2023-11-17
0638 Assure that each resident’s assessment is updated at least once every 3 months. E 2023-10-12 2023-11-17
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2023-10-12 2023-11-17
0641 Ensure each resident receives an accurate assessment. E 2023-10-12 2023-11-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-10-12 2023-11-17
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-10-12 2023-11-17
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-10-12 2023-11-17
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2023-10-12 2023-11-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-10-12 2023-11-17
0908 Keep all essential equipment working safely. E 2023-10-12 2023-11-17
0692 Provide enough food/fluids to maintain a resident's health. D 2023-06-12 2023-07-10
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2021-11-04 2021-12-27
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2021-11-04 2021-12-27
0583 Keep residents' personal and medical records private and confidential. D 2021-11-04 2021-12-27
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. E 2021-11-04 2021-12-27
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2021-11-04 2022-01-27
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2021-11-04 2022-01-27
0658 Ensure services provided by the nursing facility meet professional standards of quality. G 2021-11-04 2021-12-27
0680 Ensure the activities program is directed by a qualified professional. F 2021-11-04 2021-12-27
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2021-11-04 2021-12-27
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2021-11-04 2022-01-27
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2021-11-04 2021-12-27
0695 Provide safe and appropriate respiratory care for a resident when needed. G 2021-11-04 2022-01-27
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. D 2021-11-04 2021-12-27
0732 Post nurse staffing information every day. B 2021-11-04 2021-12-27
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. E 2021-11-04 2021-12-27
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2021-11-04 2021-12-27
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F 2021-11-04 2021-12-27
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2021-11-04 2021-12-27
0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F 2021-11-04 2021-12-27
0880 Provide and implement an infection prevention and control program. D 2021-11-04 2022-01-27
0886 Perform COVID19 testing on residents and staff. D 2021-11-04 2021-12-27

Penalties (1)

Fines issued
1
last 3 years
Total fines
$48,575
Date Type Fine amount
2023-10-12 Fine $48,575

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 14.3% Medicaid 68.5% Other 17.3%

Operating performance

Operating Margin
-11.1%
Total Margin
-8.3%
Occupancy Rate
83.9%
Cost per Resident Day
$37

Revenue & costs

Net Patient Revenue
$14.9M
Total Costs
$1.6M
Net Income
-$1.3M

Balance sheet

Total Assets
$17.9M
Total Liabilities
$24.6M
Fund Balance
-$6.7M
Current Ratio
0.33

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: INTEGRITUS HEALTHCARE

Chain ID
603
Facilities in chain
15
Legal business name
BOURNE MANAGEMENT SYSTEMS INC
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.9
Staffing
2.5
QM
2.3

Owner / manager organizations (5)

Organization Role Association
CEC MANAGEMENT SYSTEMS INC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2023
INTEGRITUS HEALTHCARE INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 02/01/2022
INTEGRITUS HEALTHCARE MANAGEMENT SERVICES, INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 02/01/2022
CEC MANAGEMENT SYSTEMS INC OPERATIONAL/MANAGERIAL CONTROL since 02/01/2022
INTEGRITUS HEALTHCARE MANAGEMENT SERVICES, INC OPERATIONAL/MANAGERIAL CONTROL since 02/01/2022

Owner / manager individuals (8)

Name Role Association
JONES, WILLIAM OPERATIONAL/MANAGERIAL CONTROL since 12/30/2022
RESTITUYO, IRVING OPERATIONAL/MANAGERIAL CONTROL since 02/01/2022
RICE, LISA OPERATIONAL/MANAGERIAL CONTROL since 02/01/2022
BRAGDON, TRICIA CORPORATE DIRECTOR since 01/01/2024
JONES, WILLIAM CORPORATE DIRECTOR since 12/30/2022
RESNEVIC, KATHRYN CORPORATE DIRECTOR since 01/01/2024
GINGRAS, MARCIE JO CORPORATE OFFICER since 02/01/2022
JONES, WILLIAM CORPORATE OFFICER since 12/30/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $37 metrics.cost_per_resident_day
Cost Report Current Ratio 0.33 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 68.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 14.3% metrics.medicare_day_share
Cost Report Net Income ($) $-1,270,965 metrics.net_income
Cost Report Net Patient Revenue ($) $14,906,581 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 83.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -11.1% metrics.operating_margin
Cost Report Total Assets ($) $17,912,879 metrics.total_assets
Cost Report Total Costs ($) $1,625,268 metrics.total_costs
Cost Report Total Fund Balances ($) $-6,732,632 metrics.fund_balance
Cost Report Total Liabilities ($) $24,645,511 metrics.total_liabilities
Cost Report Total Margin (%) -8.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.67786 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.32544 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.39392 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.39722 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.86183 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 120.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.91749 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.49353 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.72318 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.13419 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.64386 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.5 Chain Average Staffing Rating
Provider Information Chain ID 603 Chain ID
Provider Information Chain Name INTEGRITUS HEALTHCARE Chain Name
Provider Information City/Town BOURNE City/Town
Provider Information CMS Certification Number (CCN) 225348 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Barnstable County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1989-08-09 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.7342 Latitude
Provider Information Legal Business Name BOURNE MANAGEMENT SYSTEMS INC Legal Business Name
Provider Information Location 146 MAC ARTHUR BOULEVARD,BOURNE,MA,02532 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -70.585 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 142 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 15 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.46456 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.06309 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 146 MAC ARTHUR BOULEVARD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BOURNE MANOR EXTENDED CARE FACILITY Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 000 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 1 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 16 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-28 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 16 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-10-12 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 205 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 5 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 205 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.29833 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 65.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.14763 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.72584 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.49003 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04629 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.42180 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.63766 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 5087598880 Telephone Number
Provider Information Total Amount of Fines in Dollars 48575.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.06439 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 59.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 63.250 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 02532 ZIP Code