Federal inspection record · CMS data as of October 1, 2026
The Mansion at Brigham
77 High Street, Newburyport, MA · (978) 462-4221
- Certified beds
- 64
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 24, 1992
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
The Mansion at Brigham carries 104 inspection points. That is fewer than 9% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
66 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Everything else, by area of care
Quality of Life and Care17E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning14E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- B
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Ensure each resident receives an accurate assessment.
Nutrition and Dietary11F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights9E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
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.
Administration4F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- E
Provide timely, quality laboratory services/tests to meet the needs of residents.
- C
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Pharmacy Service4E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
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.
- E
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.
Nursing and Physician Services3E
- D
Observe each nurse aide's job performance and give regular training.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- B
Post nurse staffing information every day.
Environmental1D
- D
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.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2025-09-17
9 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-09-12
37 health deficiencies · 20 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (9 deficiencies)
2023-09-05
20 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 38 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.8 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.4 pts worse | 89.5% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse | 93.3% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts worse | 5.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.4 pts better | 0.0% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 3.7% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts worse | 25.2% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts worse | 23.8% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts worse | 16.4% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.4 pts worse | 22.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 1.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.2 pts worse | 29.6% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 6.0% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better | 79.5% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse | 11.9% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.9 pts worse | 76.2% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10 pts worse | 35.7% | 25.7% | 23.4% |
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Fire safety
42 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness14F
- F
Address subsistence needs for staff and patients.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Create arrangements with other facilities to receive patients.
- F
Establish methods for sharing information.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
Egress12F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Provide hallway or ground-level exits in all residents' rooms.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Provide hallway or ground-level exits in all residents' rooms.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Provide hallway or ground-level exits in all residents' rooms.
Smoke8F
- F
Have an enclosure around a vertical opening shaft.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have an enclosure around a vertical opening shaft.
- F
Provide properly protected cooking facilities.
- F
Install corridor and hallway doors that block smoke.
- F
Have an enclosure around a vertical opening shaft.
Construction3F
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
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- E
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-
Adviniacare Newburyport
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