Bourne Manor Extended Care Facility

146 Mac Arthur Boulevard · Bourne, MA · 02532 · 7812580935

142 certified beds Non profit - Corporation Chain: Integritus Healthcare

Why this verdict

  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 60
Staffing 20% 73
Federal penalties 15% 65
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.043.48 min · 4.1 strong
RN hours / resident-day0.570.55–0.75
Weekend hours / resident-day3.71≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $48,575

Inspection citations (41 in the current record)

  • Potential for harm · E January 28, 2025

    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.

    Corrected March 12, 2025 · Resident Rights

  • Potential for harm · D January 28, 2025

    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.

    Corrected March 12, 2025 · Pharmacy Service

  • Potential for harm · D January 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 12, 2025 · Infection Control

  • Immediate jeopardy · J November 28, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 13, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J November 28, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 13, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 28, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 13, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 28, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 13, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected November 17, 2023 · Resident Rights

  • Potential for harm · E October 12, 2023

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected November 17, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

    Assess the resident when there is a significant change in condition

    Corrected November 17, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E October 12, 2023

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected November 17, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected November 17, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E October 12, 2023

    Ensure each resident receives an accurate assessment.

    Corrected November 17, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 17, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 12, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 17, 2023 · Quality of Life and Care

  • Potential for harm · D October 12, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 17, 2023 · Quality of Life and Care

  • Potential for harm · D October 12, 2023

    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.

    Corrected November 17, 2023 · Pharmacy Service

  • Potential for harm · E October 12, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 17, 2023 · Nutrition and Dietary

  • Potential for harm · E October 12, 2023

    Keep all essential equipment working safely.

    Corrected November 17, 2023 · Environmental

  • Potential for harm · D June 12, 2023 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 10, 2023 · Quality of Life and Care

  • Actual harm · G November 4, 2021

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 27, 2021 · Resident Assessment and Care Planning

  • Actual harm · G November 4, 2021

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 27, 2021 · Quality of Life and Care

  • Actual harm · G November 4, 2021

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 27, 2022 · Quality of Life and Care

  • Potential for harm · D November 4, 2021

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 27, 2021 · Resident Rights

  • Potential for harm · E November 4, 2021

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected December 27, 2021 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 12, 2023Fine$48,575

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225348 · certified since August 9, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.