Bourne Manor Extended Care Facility
146 Mac Arthur Boulevard, Bourne, MA 02532 · Barnstable County · 142 certified beds · avg 132 residents/day · certified since Aug 9, 1989
Part of chain: INTEGRITUS HEALTHCARE (14 facilities, chain avg rating 2.8★)
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)
▲ Immediate jeopardy, one-off · Nov 28, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 13, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 28, 2023 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 13, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (29)
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 |
|---|---|---|
| May 11, 2026 | F · Potential for harm, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 11, 2026 | F · Potential for harm, facility-wide | 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. |
| May 11, 2026 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| May 11, 2026 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| May 11, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 11, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| May 11, 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. |
| May 11, 2026 | 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. |
| May 11, 2026 | D · Potential for harm, one-off | 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. |
| May 11, 2026 | D · Potential for harm, one-off | 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. |
| Jan 28, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 28, 2025 | D · Potential for harm, one-off | 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. |
| Jan 28, 2025 | D · Potential for harm, one-off | 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. |
| Nov 28, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 28, 2023 | ▲ J · Immediate jeopardy, 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 |
| Nov 28, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Nov 28, 2023 | 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. · from a complaint |
| Oct 12, 2023 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Oct 12, 2023 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Oct 12, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 12, 2023 | 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. |
| Oct 12, 2023 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Oct 12, 2023 | D · Potential for 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. |
| Oct 12, 2023 | 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. |
| Oct 12, 2023 | 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. |
| Oct 12, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 16 | 2 | J ▲ |
| 2025 | 3 | 0 | E |
| 2026 | 10 | 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 $48,575.
| Date | Type | Amount / length |
|---|---|---|
| Oct 12, 2023 | Fine | $48,575 |
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) | 3.75 | 3.89 | 3.95 | bottom 49% in Massachusetts; bottom 49% in the U.S. |
| Registered Nurse hours | 0.61 | 0.65 | 0.69 | top 46% in Massachusetts; top 47% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.51 | 3.50 | top 37% in Massachusetts; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.58 | 0.46 | 0.48 | top 21% in Massachusetts; top 25% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 38.2 | 45.8 | bottom 43% in Massachusetts; top 36% in the U.S. |
| RN turnover (%) | 57.1 | 42.6 | 42.9 | bottom 23% in Massachusetts; bottom 26% 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 3.89, RN 0.63, weekend 3.69. Staffing rating: 3/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cec Management Systems INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2023 |
| Integritus Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2022 |
| Integritus Healthcare Management Services, INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2022 |
| Bragdon, Tricia | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Bragdon, Tricia | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Cec Management Systems INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Cec Management Systems INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Gingras, Marcie Jo | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2022 |
| Gingras, Marcie Jo | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Integritus Healthcare Management Services, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Integritus Healthcare Management Services, INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Jones, William | Individual | Corporate Director | NOT APPLICABLE | 12/30/2022 |
| Jones, William | Individual | Corporate Officer | NOT APPLICABLE | 12/30/2022 |
| Jones, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2022 |
| Jones, William | Individual | ADP of the SNF | NOT APPLICABLE | 12/30/2022 |
| Resnevic, Kathryn | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Resnevic, Kathryn | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Restituyo, Irving | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Restituyo, Irving | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Rice, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "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)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Royal Cape Cod Nursing & Rehabilitation Center | 2.0 mi | Buzzards Bay, MA | ★★★☆☆ | 3/5 | |
| Cape Heritage Rehabilitation & Health Care Center | 4.3 mi | Sandwich, MA | ★★☆☆☆ | 2/5 | |
| Royal Megansett Nursing & Rehabilitation | 6.2 mi | N Falmouth, MA | ★★★★☆ | 4/5 | |
| Tremont Rehabilitation & Skilled Care Center | 7.9 mi | Wareham, MA | ★★★☆☆ | 4/5 | |
| Royal of Cotuit | 9.4 mi | Mashpee, MA | ★★☆☆☆ | 2/5 | |
| Sippican Rehabilitation and Healthcare Center | 9.7 mi | Marion, MA | ★★★★☆ | 3/5 | |
| JML Care Center INC | 11.8 mi | Falmouth, MA | ★☆☆☆☆ | 3/5 | |
| Royal Nursing Center, LLC | 12.0 mi | Falmouth, MA | ★★★☆☆ | 3/5 | |
| Cape Regency Rehabilitation & Health Care Center | 13.9 mi | Centerville, MA | ★☆☆☆☆ | 1/5 | |
| Life Care Center of Plymouth | 14.6 mi | Plymouth, MA | ★★★★★ | 5/5 | |
| Pavilion , the | 14.6 mi | Hyannis, MA | ★★★★★ | 5/5 | |
| Plymouth Harborside Healthcare | 14.9 mi | Plymouth, MA | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 225348.