Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bourne Manor Extended Care Facility during CMS and state inspections, most recent first.
The facility failed to provide a clean, comfortable, and homelike environment on Units 2 and 3. Observations revealed maintenance issues such as broken furniture, exposed wires, stained ceiling tiles, and worn visitor chairs. The Maintenance Director and Administrator acknowledged the challenges in identifying and addressing these issues, citing a focus on safety over aesthetics and the need for a better process to manage routine maintenance.
A facility failed to securely store medications, leaving Lidocaine Patches unattended in a resident's room. The resident, with moderate cognitive impairment, did not wish to self-administer medications, yet the patches were left on the nightstand, contrary to the facility's policy and physician's orders. A nurse and the Infection Control Preventionist confirmed the oversight.
The facility failed to maintain infection control protocols for two residents. One resident's respiratory equipment was not stored properly, increasing infection risk during chemotherapy. Another resident's gastrostomy tube dressing change was performed without proper hand hygiene between glove changes, violating infection control procedures.
Facility Fails to Maintain Homelike Environment on Units 2 and 3
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment for residents on Units 2 and 3. Observations on Unit 2 revealed several maintenance issues, including a broken tray table, a door with a peeling metal strip, a broken thermostat with exposed wires, stained and sagging ceiling tiles, a hole with loose plaster in the main dining area, and stained Velcro stop sign banners on stairwell doors. Additionally, the kitchenette had a microwave with bubbled and peeling metal, and several rooms had missing closet doors, broken blinds, cracked floor tiles, and scrapes and scuffs on walls. The Maintenance Director acknowledged the difficulty in identifying issues due to residents' inability to report them and stated that repairs are prioritized based on safety rather than aesthetics. On Unit 3, a fabric-covered, wooden-framed chair intended for visitor use was found to be severely worn, with the fabric at the seat area particularly damaged and the wooden arms scratched to reveal bare wood. Nurse #2 confirmed that the chair was extremely worn and should be replaced. The Administrator admitted awareness of the need for repairs and emphasized the challenge of maintaining the large building, noting that the Maintenance department focuses on safety concerns, leaving little time for routine maintenance. Both the Maintenance Director and the Administrator recognized the need for a better process to identify and address these environmental concerns.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored securely, as required by their policy. Specifically, medications were left unattended in a resident's room. The facility's policy on the storage of medications, revised in June 2022, mandates that medications and biologicals be stored safely and securely, accessible only to authorized personnel, and either locked or attended by authorized individuals. However, during an observation, it was found that two packages of Lidocaine Patch 5% were left on the nightstand next to a resident's bed, one of which was open. The resident, who was admitted following a hip fracture and had moderate cognitive impairment, did not wish to self-administer medications, as indicated by the Self-Administration of Meds form. Despite this, the patches were left in the room, contrary to the physician's order for the patches to be applied and removed at specific times. A nurse confirmed the presence of the patches during an interview and acknowledged that they should not have been left in the resident's room. The Infection Control Preventionist also confirmed that the patches should not have been left at the bedside and that nurses should have noticed them during their rounds.
Infection Control Deficiencies in Respiratory and Gastrostomy Care
Penalty
Summary
The facility failed to maintain an infection prevention and control program, resulting in deficiencies for two residents. For one resident, the facility did not ensure that respiratory equipment, including a nasal cannula and nebulizer mask, was stored in a clean and sanitary manner. The nasal cannula was observed lying on a soiled bed, and the nebulizer mask was on a nightstand, both not contained in a bag as per facility policy. Additionally, an incentive spirometer was found on the floor with its mouthpiece touching the ground. The resident was undergoing chemotherapy for lung cancer, which increased their risk of infection. For another resident, the facility did not adhere to proper infection control measures during a gastrostomy tube dressing change. A nurse performed the procedure without sanitizing her hands after removing the soiled dressing and before donning new gloves. This was contrary to the established procedure, which requires hand hygiene between glove changes to prevent contamination. The resident relied on the gastrostomy tube for nutrition and hydration, necessitating strict adherence to infection control protocols.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 163 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bourne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Royal Cape Cod Nursing & Rehabilitation Center | 2 mi | ★★★★★ | 6 | 0 |
| Cape Heritage Rehabilitation & Health Care Center | 4.3 mi | ★★★★★ | 0 | 0 |
| Royal Megansett Nursing & Rehabilitation | 6.2 mi | ★★★★★ | 0 | 0 |
| Tremont Rehabilitation & Skilled Care Center | 7.9 mi | ★★★★★ | 5 | 0 |
| Royal Of Cotuit | 9.4 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.