Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BOURNE MANOR EXTENDED CARE FACILITY

BOURNE, MA · 142 certified beds · Last Life Safety survey May 11, 2026

CMS Certification Number 225348 · first certified August 1989

Ownership

Operated by INTEGRITUS HEALTHCARE · Non profit - Corporation

Ownership changed December 30, 2022 (change of ownership)from BOURNE MANOR NURSING, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MA

17 citations — more than 71% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was May 2026. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 17 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F-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.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	17
Median facility in MA	11
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 12, 2023	5
January 28, 2025	7
May 11, 2026	5

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2026-05-11
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-05-11
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	2	2025-01-28
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2026-05-11
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	1	2023-10-12
K-0711	Provide a written emergency evacuation plan.	1	2025-01-28
K-0324	Provide properly protected cooking facilities.	1	2026-05-11
K-0351	Install an approved automatic sprinkler system.	1	2026-05-11

What the citations cover

Citations by CMS category

Smoke Deficiencies 6
Emergency Preparedness Deficiencies 5
Gas, Vacuum, and Electrical Systems Deficiencies 3
Services Deficiencies 1
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	6
Emergency Preparedness Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	3
Services Deficiencies	1
Egress Deficiencies	1
Miscellaneous Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 11, 2026 — 5 citations

Citations issued on May 11, 2026
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (July 22, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (July 22, 2026)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (July 22, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 22, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 22, 2026)

January 28, 2025 — 7 citations

Citations issued on January 28, 2025
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (March 10, 2025)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (March 10, 2025)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (March 10, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 10, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 10, 2025)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (March 10, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 10, 2025)

October 12, 2023 — 5 citations

Citations issued on October 12, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 9, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (December 9, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (December 9, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (December 9, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 9, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.