Cycle 1
Health 2025-07-18 · Fire 2025-07-18
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Duxbury, MA
Bay Path At Duxbury Nursing & Rehabilitation Ctr
5-star overall rating with 5-star inspections
308 Kingstown Way, Duxbury, MA
(781) 585-5561
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Banecare Management
Operator or chain grouping
Approved since
1984-07-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.58
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.26 · national 2.35
Total nurse hours
3.78
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.38
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 40% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,094
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.35
Baseline 23.02% · Performance 20.71% · Measure score 3.35 · Achievement 1.56 · Improvement 3.35
Healthcare-associated infections
0
Baseline 5.25% · Performance 7.81% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.06
Baseline 3.62 hours · Performance 3.66 hours · Measure score 2.06 · Achievement 2.06 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.92% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 526 · Observed rate 9.89% · Lower 95% interval 8.94% |
| Discharge to community | 65.52% |
50.57%
14.9 pts better
|
Better than the National Rate · Eligible stays 523 · Observed rate 64.24% · Lower 95% interval 61.62% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.49% |
95.27%
3.2 pts better
|
Numerator 392 · Denominator 398 |
| Falls with major injury | 0.25% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 398 |
| Discharge self-care score | 42.59% |
53.69%
11.1 pts worse
|
Numerator 138 · Denominator 324 |
| Discharge mobility score | 39.51% |
50.94%
11.4 pts worse
|
Numerator 128 · Denominator 324 |
| Pressure ulcers or injuries, new or worsened | 1.26% |
2.29%
1 pts better
|
Numerator 5 · Denominator 398 · Adjusted rate 1.63% |
| Healthcare-associated infections requiring hospitalization | 7.81% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 350 · Observed rate 6.86% · Lower 95% interval 5.48% |
| Staff COVID-19 vaccination coverage | 31.29% |
8.2%
23.1 pts better
|
Numerator 46 · Denominator 147 |
| Staff flu vaccination coverage | 40.4% |
42%
1.6 pts worse
|
Numerator 61 · Denominator 151 |
| Discharge function score | 43.52% |
56.45%
12.9 pts worse
|
Numerator 141 · Denominator 324 |
| Transfer of health information to provider | 99.17% |
95.95%
3.2 pts better
|
Numerator 119 · Denominator 120 |
| Transfer of health information to patient | 97.94% |
96.28%
1.7 pts better
|
Numerator 238 · Denominator 243 |
| Resident COVID-19 vaccinations up to date | 23.92% |
25.2%
1.3 pts worse
|
Numerator 50 · Denominator 209 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.5
0.8 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
92.2%
0.4 pts better
|
93.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 88.9% · Q3 93.8% · Q4 98.8% · 4Q avg 92.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.4% |
94.8%
8.4 pts worse
|
95.5%
9.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.5%
0.1 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.5% · Q3 2.5% · Q4 3.7% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
12.0%
11 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
5.2%
0.9 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.2% · Q3 7.7% · Q4 4.5% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.4% |
19.2%
0.8 pts better
|
19.6%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 18.5% · Q3 22.7% · Q4 17.9% · 4Q avg 18.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
22.5%
9.5 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 15.7% · Q3 11.5% · Q4 12.5% · 4Q avg 13.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.6% |
17.7%
6.9 pts worse
|
16.3%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.9% · Q2 32.8% · Q3 10.5% · Q4 9.6% · 4Q avg 24.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.3% |
17.6%
1.7 pts worse
|
14.9%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 19.0% · Q3 12.9% · Q4 10.8% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.0%
0.3 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 1.6% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.0%
0.5 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.3% · Q3 2.5% · Q4 3.7% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
21.7%
3.9 pts worse
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 28.1% · Q3 24.4% · Q4 22.8% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
4.6%
0.3 pts worse
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.9% · Q3 5.2% · Q4 2.9% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.8% |
77.1%
0.3 pts worse
|
81.7%
4.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.6% · Q2 80.7% · Q3 86.9% · Q4 83.7% · 4Q avg 76.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
11.8%
About the same
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 10.5% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.3%
0.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.5% · Q3 0.9% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.6% |
77.7%
12.1 pts worse
|
79.7%
14.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
25.8%
1.3 pts better
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 20.3% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-09 · Fire 2024-07-09
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-05-17 · Fire 2023-05-17
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-09
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-29
E · Potential for more than minimal harm
2023-05-17
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-07-08
E · Potential for more than minimal harm
2023-05-17
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-08
D · Potential for more than minimal harm
2023-05-17
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-02
D · Potential for more than minimal harm
2023-05-17
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-07-08
D · Potential for more than minimal harm
2023-05-17
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-08
D · Potential for more than minimal harm
2023-05-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-08
D · Potential for more than minimal harm
2023-05-17
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-06-05
D · Potential for more than minimal harm
2023-05-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-10
C · Minimal harm
2023-05-17
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-06-05
C · Minimal harm
2023-05-17
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-08
C · Minimal harm
2023-05-17
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-08
C · Minimal harm
2023-05-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-07-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-24
B · Minimal harm
2024-07-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-24
E · Potential for more than minimal harm
2023-05-17
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-05-17
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-06-30
Penalties and ownership
What sits behind the stars
Ownership
Morris Health Management LLC
5% Or Greater Direct Ownership Interest · Organization
Bane Care Management LLC
Operational/Managerial Control · Organization
Faria, Marie
W-2 Managing Employee · Individual
Morris, Kevin
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Wingate At Silver Lake
Kingston, MA
3-star overall rating with 3-star inspections with 5 recent health deficiencies
#2
Plymouth Rehabilitation & Health Care Center
Plymouth, MA
1-star overall rating with 2-star inspections with $141,373 in total fines with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Plymouth Harborside Healthcare
Plymouth, MA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $460,269 in total fines with 20 recent health deficiencies
Jump out