Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
The Mansion at Brigham
NEWBURYPORT, MA · 64 certified beds · Last Life Safety survey September 17, 2025
CMS Certification Number 225549 · first certified February 1992
Ownership
Independently operated (no chain recorded by CMS) · For profit - Limited Liability company
- Ownership changed October 15, 2023 (change of ownership)to BRIGHAM HEALTH AND REHABILITATION CENTER from BEAR MT NEWBURYPORT LLC
Position within MA
42 citations — more than 99% 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
The latest survey found 16 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: September 2026 to December 2026. This facility’s last Life Safety survey was September 2025. 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
14 of the 42 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)
5 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 42 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-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- 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.
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 42 |
| Median facility in MA | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| September 5, 2023 | 6 |
| September 12, 2024 | 20 |
| September 17, 2025 | 16 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 3 | 2025-09-17 |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | 3 | 2025-09-17 |
| K-0161 | Use approved construction type or materials. | 3 | 2025-09-17 |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | 3 | 2025-09-17 |
| K-0311 | Have an enclosure around a vertical opening shaft. | 3 | 2025-09-17 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 3 | 2025-09-17 |
| K-0324 | Provide properly protected cooking facilities. | 2 | 2025-09-17 |
| E-0037 | Establish staff and initial training requirements. | 2 | 2025-09-17 |
What the citations cover
- Emergency Preparedness Deficiencies 14
- Egress Deficiencies 12
- Smoke Deficiencies 8
- Miscellaneous Deficiencies 3
- Other 5
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 14 |
| Egress Deficiencies | 12 |
| Smoke Deficiencies | 8 |
| Miscellaneous Deficiencies | 3 |
| Construction Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 17, 2025 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 4, 2025) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (November 4, 2025) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 4, 2025) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (November 4, 2025) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (February 9, 2026) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (February 9, 2026) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (February 9, 2026) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (February 9, 2026) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Deficient, Provider has date of correction (February 9, 2026) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (February 9, 2026) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (November 4, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (November 4, 2025) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (November 4, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (November 4, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (November 4, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 4, 2025) |
September 12, 2024 — 20 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (November 11, 2024) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 11, 2024) |
| E-0041 | Implement emergency and standby power systems. | Past Non-Compliance (September 12, 2024) |
| K-0161 | Use approved construction type or materials. | Waiver has been granted (December 2, 2024) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Waiver has been granted (December 2, 2024) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Waiver has been granted (December 2, 2024) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Waiver has been granted (December 2, 2024) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Waiver has been granted (December 2, 2024) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Waiver has been granted (December 2, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (November 11, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (November 11, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (November 11, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 11, 2024) |
September 5, 2023 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (October 10, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (October 10, 2023) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (October 10, 2023) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (October 10, 2023) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Deficient, Provider has date of correction (October 10, 2023) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (October 10, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.