Adviniacare at Provincetown

Name: Adviniacare at Provincetown
Address: 100 ALDEN STREET, Provincetown, MA, 02657, US
Telephone: 5084877090

100 Alden Street, Provincetown, MA 02657 · Barnstable County · 41 certified beds · avg 34 residents/day · certified since Jul 1, 1994

Part of chain: ADVINIACARE (11 facilities, chain avg rating 2.0★)

1/5

Health inspection rating (on-site)

Serious findings on record

$11,782

Fines, last 3 years

3.24

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 7, 2024 · F-0656 · triggered by a complaint

The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 24, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · Feb 7, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 24, 2024 (Past Non-Compliance)

All citations in the current public record (43)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 2, 2026	F · Potential for harm, facility-wide	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 2, 2026	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 2, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 6, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 6, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 15, 2024	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Feb 15, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 15, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Feb 7, 2024	▲ G · Actual harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 7, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (17 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2024	13	2	G ▲
2025	17	0	E
2026	13	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $11,782.

Date	Type	Amount / length
Feb 7, 2024	Fine	$11,782

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.24	3.89	3.95	bottom 16% in Massachusetts; bottom 24% in the U.S.
Registered Nurse hours	0.94	0.65	0.69	top 11% in Massachusetts; top 18% in the U.S.
Weekend total nurse staffing	3.00	3.51	3.50	bottom 22% in Massachusetts; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.84	0.46	0.48	top 7% in Massachusetts; top 10% in the U.S.
Total nursing staff turnover (%)	48.1	38.2	45.8	bottom 22% in Massachusetts; bottom 42% in the U.S.
RN turnover (%)	58.3	42.6	42.9	bottom 21% in Massachusetts; bottom 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.71, RN 1.08, weekend 3.43. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Berkowitz, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	08/09/2019
Berkowitz, Benjamin	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Brissette, Brandon	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/09/2019
Brissette, Brandon	Individual	Operational/Managerial Control	NOT APPLICABLE	08/09/2019
Brissette, Brandon	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Carreno, Nury	Individual	Operational/Managerial Control	NOT APPLICABLE	08/09/2019
Carreno, Nury	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Carson, Julia	Individual	Operational/Managerial Control	NOT APPLICABLE	08/09/2019
Carson, Julia	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Curis Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/09/2019
Labella, Caterina	Individual	Corporate Officer	NOT APPLICABLE	08/09/2019
Labella, Caterina	Individual	Operational/Managerial Control	NOT APPLICABLE	08/09/2019
Labella, Caterina	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Pointe Group Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/09/2019
Pointe Group Care LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/21/2025
Spector, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	08/09/2019
Spector, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Talamona, Raymond	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/09/2019
Talamona, Raymond	Individual	ADP of the SNF	NOT APPLICABLE	08/09/2019
Turofsky, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	08/09/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

No other Medicare-certified nursing homes within 20 miles in the current records.

All facilities in Provincetown →

Facility data as of CMS processing date 2026-08-01. CCN 225637.

The Care File

Visit checklist — Adviniacare at Provincetown

100 Alden Street, Provincetown, MA 02657 · 5084877090

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $11,782

Most serious findings on record:

▲ Feb 7, 2024 (F-0656, Actual harm, one-off): The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
▲ Feb 7, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225637 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)