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Adviniacare at Provincetown

100 Alden Street, Provincetown, MA 02657 · Barnstable County · (508) 487-7090

41 certified beds, about 34 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225637 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 2, 2026, inspectors cited 13 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

Of 43 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $11,782 in the last three years; the largest was $11,782, and the latest is dated February 7, 2024.

Nurses and nurse aides worked 3.71 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 1.08 of those hours.

48.1% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

CMS links it to Adviniacare, an affiliated group of 14 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 43 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
18D
20E
3F
Potential for minimal harm
0A
0B
0C
April 2, 2026Standard inspection · 13 citations
  1. F
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interviews, and document review, the facility failed to ensure that residents were fully aware of the grievance process. Specifically, for 13 of 13 residents attending the resident group meeting during the survey, the facility failed to ensure their grievance policy included notification that residents and their representatives have the right to file grievances anonymously, should they choose not to alert a staff member of their concern(s), and failed to include the contact information of the grievance official with whom a grievance can be filed, that is, business address (mailing and email) and business phone number, and the contact information of independent entities with whom grievances may be filed, that is, the pertinent State agency, Quality Improvement Organization, State Survey Agency and State Long-Term Care Ombudsman program or protection and advocacy [...]
  2. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a dignified existence for three Residents (#14, #16, #24) who were observed receiving care/treatment by health care professionals, out of a total sample of 13 residents. Specifically, the facility failed:1. For Residents #14 and #16, to provide privacy of his/her body during a blood draw; and2. For Resident #24, to provide privacy of his/her body while in bed during the application of a pain patch to his/her lower back.
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on record review and interview, the facility failed to implement written policies and procedures for an allegation of abuse for one Resident (#34), out of a total sample of 13 residents. Specifically, the facility failed to initiate their abuse policy after an allegation of abuse was documented and reported on 3/4/26.
  4. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to report an allegation of abuse to the state agency for one Resident (#34), out of a total sample of 13 residents.
  5. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on interviews and record review, for one Resident (#34), of 13 sampled residents, the facility failed to ensure an allegation of verbal abuse was thoroughly investigated.
  6. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on document review and interview, the facility failed to ensure monthly medication regimen reviews (MRR) were communicated to the Physician/Nurse Practitioner and were reviewed and responded to in a timely manner for two Residents (#25 and #6), out of a total sample of 13 residents. Specifically, the facility failed:1. For Resident #25, to ensure:a. an October 2025 consultant pharmacist's recommendation to clarify a medication allergy for a medication currently being administered to the Resident was acted upon; andb. a February 2026 consultant pharmacist's recommendations for laboratory test due to an increased risk of the Resident taking the antipsychotic medication Risperdal was acted upon; and2. [...]
  7. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observations, records reviewed, and interviews, the facility failed to ensure it was free from a medication error rate of greater than 5% when two out of two nurses observed during a medication pass made three errors out of 25 opportunities, resulting in a medication error rate of 12%. Those errors impacted three Residents (#1, #19 and #6), out of seven residents observed.
  8. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation and interview, the facility failed to store all drugs and biologicals in accordance with currently accepted professional principles for one of one unit. Specifically, the facility failed to secure drugs and biologicals during a medication pass when medications were left unattended and were improperly disposed of in an unsafe manner.
  9. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to maintain accurate documentation of the consent or declination of the pneumococcal vaccine, including education regarding the benefits and potential risks associated with the vaccine for three Residents (#20, #24 and #26), out of a sample of five residents.
  10. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, record review and interviews, the facility failed to implement and revise individual care plans for one Resident (#17) out of a total sample of 13 residents. Specifically, the facility failed to revise the plan of care to ensure care approaches were effective, individualized, and appropriate for Resident #17 who was at risk for falls.
  11. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff provided care and services consistent with accepted standards of clinical practice for one Resident (#1), out of a total sample of 13 residents. Specifically, the facility failed to ensure a physician's order for Lidocaine 5% patch (topical anesthetic) was complete and included the duration/time of removal.
  12. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observations, interviews, and records reviewed, the facility failed to ensure one Resident (#1), out of a total sample of 13 residents, received care and treatment to prevent and to promote healing of a pressure injury consistent with professional standards of practice. Specifically, the facility failed to ensure an air mattress was set according to the physician's order.
  13. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to properly date, label, and store food and drink items in one of two kitchenettes.
March 6, 2025Standard inspection · 17 citations
  1. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure three Residents (#4, #27, and #12), out of a total sample of 12 residents, had their call bell devices accessible and within reach to utilize them to call for staff assistance while in their beds.
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on review of Resident Council Minutes, and interviews, the facility failed to ensure that staff addressed and promptly resolved grievances brought forward during Resident Council Meetings held from 3/4/24 through 1/6/25.
  3. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to ensure resident protected health information (PHI) was secure and not visible to others on one of one nursing unit.
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, record review, and interviews, the facility failed to provide residents with adequate supervision and effective interventions to prevent avoidable accidents. Specifically, the facility failed to develop and consistently implement effective interventions to prevent six unwitnessed falls for one Resident (#15), out of a total sample of 12 residents.
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, document review, and interview, the facility failed to ensure sufficient staffing to ensure residents attained or maintained the highest practicable physical, mental, and psychosocial well-being. Specifically, the facility failed: 1. To have sufficient staffing on the weekends as indicated on the payroll-based journal (PBJ) report submitted to Centers for Medicare and Medicaid Services (CMS) for Fiscal Year Quarter 4, 2024 when no nurse staffing waivers were in place; and 2. To ensure call bell devices were responded to timely to address the residents' needs per Resident Group voiced concerns and review of Resident Council minutes.
  6. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure all drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles. Specifically, the facility failed to: 1. Properly monitor medication refrigeration temperatures in one of one medication storage rooms reviewed to ensure the safety and integrity of medications and vaccines stored; and 2. Ensure medication carts were locked when not in direct supervision of the licensed nurse for two of two medication carts.
  7. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to properly label, date and discard food products when past their use by date stored in the free-standing refrigerator and walk-in freezer in the main kitchen.
  8. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure staff maintained accurate documentation for one Resident (#140), out of a total sample of 12 residents. Specifically, the facility failed to ensure March 2025 Medication Administration Records (MAR) were accurate in calculating the total daily fluid restriction and staff consistently implemented the prescribed fluid restriction of 1200 milliliters (ml) a day.
  9. E
    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.
    F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to complete a new assessment of the bed, side rails and mattresses in active use for potential entrapment when the bed mattress was changed from the previously assessed mattress, placing two Residents (#12 and #15), out of a sample of 12 residents, who had limited mobility and utilized bilateral side rails, at risk for possible entrapment.
  10. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure staff provided the resident and/or their representative with a summary of the baseline care plan for one Resident (#141), out of a total sample of 12 residents.
  11. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure that care and services were provided according to accepted standards of clinical practice for two Residents (#12 and #15), out of a total sample of 12 residents. Specifically, the facility failed: 1. For Resident #12, to obtain a physician's order for the provision of Hospice services; and 2. For Resident #15, a. to ensure handwritten physician's telephone orders for Carbidopa-Levodopa Capsule Extended Release (ER) capsules (medication used to treat symptoms of Parkinson's disease-a progressive neurological disorder that affects movement, balance, and coordination) were transcribed into electronic medical record; and b. neurological checks (assessment of consciousness, orientation, and cognitive function) were conducted after Resident #15 sustained unwitnessed falls.
  12. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to promote and manage the delivery of safe nursing care in accordance with accepted Standards of Nursing Practice for one Resident (#15), out of a total sample of 12 residents. Specifically, the facility failed to ensure two Certified Nursing Assistants (CNAs) did not move a Resident off the floor and into a Broda chair (positioning chair) after the Resident sustained an unwitnessed fall prior to having a nurse assess the Resident.
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed for one Resident (#34), out of a total sample of 12 residents, to ensure staff provided the necessary care and services in accordance with professional standards of practice. Specifically, the facility failed to ensure the proper care and storage of respiratory equipment.
  14. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to perform assessments for the risk of entrapment with the use of side rails for three Residents (#12, #15, and #33), out of a total sample of 12 residents. Specifically, the facility failed to ensure: 1. For Resident #12, an initial side rail assessment was conducted upon admission and when the Resident received an air overlay pressure reducing mattress to ensure the Resident was not at risk of entrapment and that the bed's dimensions were appropriate for the Resident's size and weight; 2. For Resident #15, an initial side rail assessment was conducted upon admission, appropriate alternatives were attempted prior to installation of the side rails, and an assessment was conducted when the Resident received a perimeter air mattress (mattress with raised edges that create a defined boundary, enhancing fall prevention); [...]
  15. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure monthly Medication Regimen Review (MRR) recommendations made by the pharmacy consultant were addressed timely and maintained as part of the permanent medical record for three Residents (#7, #16, and #2), out of a total sample of 12 residents. Specifically, the facility failed: 1. For Resident #7, to ensure the June 2024 consultant pharmacist recommendations were acted upon timely to clarify the need for two as needed Guaifenesin (cough/expectorant medication) orders; 2. For Resident #16, to ensure the June 2024 consultant pharmacist nursing recommendation for an order clarification was acted upon timely; and 3. [...]
  16. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure that for one Resident (#16), out of a total sample of 12 residents, their drug regimen was free of unnecessary drugs. Specifically, the facility failed to monitor adverse consequences (side effects) of anticoagulant medications (used to prevent the blood from clotting, a blood thinner).
  17. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure for two Residents (#7 and #16), out of a total sample of 12 residents, that each resident's drug regimen was free from unnecessary psychotropic medications to promote or maintain the Residents' highest practicable mental, physical, and psychosocial well-being. Specifically, the facility failed: 1. For Resident #7, to ensure targeted behaviors and signs and symptoms of side effects were adequately monitored to evaluate the effectiveness of an antipsychotic medication; and 2. For Resident #16, to ensure signs and symptoms were monitored to evaluate the effectiveness of an antidepressant and antipsychotic medication.
February 15, 2024Standard inspection · 11 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on staff interviews, the facility failed to designate a person who met the minimum qualifications to serve as the Food Service Director (FSD), when the facility did not employ a full-time dietitian.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on document review and interview, the facility failed to maintain an infection prevention and control program to help prevent the development and potential transmission of communicable diseases and infections. Specifically, the facility failed to have a written water management plan and documentation to ensure a facility risk assessment was conducted to identify where Legionella (bacteria that can cause Legionnaires' disease, a serious type of pneumonia) and other opportunistic waterborne pathogens could grow and spread in the facility's water system.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on observations, interviews, and records reviewed, for four Residents (#16, #19, #34, and #35), of 12 sampled residents, the facility failed to ensure that individualized, comprehensive care plans were developed, consistently implemented, and revised as needed. Specifically, the facility failed: 1. For Resident #16, to ensure that a care plan was developed to address the Resident's Foley catheter (medical device that helps drain urine from the bladder); 2. For Resident #19, to revise a care plan after five of six falls to ensure approaches were effective, individualized, and appropriate for the Resident; 3. For Resident #34, to ensure an interdisciplinary comprehensive care plan was developed and individualized to address: a. his/her dementia care needs and psychosocial needs as it related to his/her diagnoses of depression, anxiety, and adjustment disorder, and b. [...]
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on observations, policy review, interviews, and record reviews for two Residents (#19 and #34) of 12 sampled residents, the facility failed to provide adequate supervision to prevent accidents. Specifically, the facility failed to: 1. For Resident #19, ensure falls were thoroughly investigated and interventions were initiated/implemented to prevent further falls per facility policy; and 2. For Resident #34, who was assessed by nursing to be a high risk for falls, to ensure staff provided adequate supervision and updated the falls care plan with appropriate goals and interventions to help prevent future falls.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff stored, prepared, distributed, and served food in the facility kitchen in accordance with professional standards for food service safety. Specifically, the facility failed to: 1. Ensure all food items were properly labeled and dated in one of one walk-in refrigerators in the main kitchen; 2. Ensure the floor in the main kitchen was maintained in a sanitary condition, specifically the floor tile grout was free from built up dirt and dust and the main kitchen floor was free from dirt, dust, and debris, including under stationary tables, rolling racks, dishwashing area, and the meal preparation area; 3. Maintain adequate cooking and proper holding temperatures of food for safety to help prevent the growth of pathogens that can cause foodborne illness; and 4. [...]
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed, for one Resident (#9), out of a total sample of 12 residents, to provide care and services consistent with professional standards of practice. Specifically, the facility failed to communicate timely to the physician a newly identified skin tear on the Resident's right thigh, obtain a physician's order prior to providing a wound care treatment, complete a comprehensive assessment of the wound with documentation in the electronic health record (EHR), initiate an incident report, and review and revise the care plan for new goals and interventions.
  7. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to ensure one Resident (#4), out of a total sample of 12 residents, received culturally competent, trauma-informed care in accordance with professional standards of practice. Specifically, the facility failed to assess Resident #4 and identify triggers of trauma to prevent potential re-traumatization.
  8. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on record review, interview, and policy review, the facility failed to act promptly upon recommendations made by the Consultant Pharmacist during the monthly Medication Regimen Reviews (MRR) for one Resident (#34), out of a total sample of 12 residents. Specifically, the facility failed to ensure that the December 2023 and February 2024 consultant pharmacist's recommendations were maintained in the facility, readily available for review, and/or acted upon in a timely manner to ensure there was a stop date for an as needed (prn) medication, Lorazepam (sedative that can relieve anxiety), as required.
  9. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on record review, policy review, and interview, the facility failed to ensure for one Resident (#35), out of a total sample of 12 residents, that each Resident's drug regimen was free from unnecessary psychotropic medications. Specifically, for Resident #35, the facility failed to ensure psychotropic medications were monitored for adverse consequences of their use.
  10. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure its staff maintained accurate documentation for one Resident (#4), out of a total sample of 12 residents. Specifically, the facility failed to ensure January 2024 and February 2024 Medication Administration Records (MAR) were accurate and reflected the administration of porta cath (implanted venous port, a small device, about the size of a quarter. It is used to carry medicine into the bloodstream. It can also be used to draw blood for testing) flushes according to physician's orders.
  11. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on record review, interview, hospice contract review, and policy review, the facility failed to ensure for one Resident (#34), out of a total sample of 12 Residents, that hospice services were provided in accordance with professional standards and principles between the hospice service provider and the facility. Specifically, the facility failed to: a. Ensure the Hospice agency provided a list of hospice staff to retain overall professional management of the Resident; b. Designate a member of the facility's interdisciplinary team who was responsible for working with hospice representatives to coordinate care to the Resident; c. Ensure an integrated care plan was developed to accurately reflect services provided by both the hospice provider and facility; and d. [...]
February 7, 2024Complaint inspection · 2 citations
  1. G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Plan of Care indicated that he/she required the use of a hoyer lift (mechanical floor lift system used to transfer a medically dependent person from point A to point B), physical assistance of two staff members for transfers and was assessed by nursing at high risk for falls, the Facility failed to ensure nursing staff consistently implemented and followed interventions identified in his/her Plan of Care while meeting his/her transfer needs. On 01/13/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 with a hoyer lift out of bed into a reclining wheelchair without another staff member present to assist him and then stepped out of Resident #1's room to get another staff member to assist him with positioning Resident #1 appropriately in the reclining wheelchair. [...]
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed by nursing to be at high risk for falls, and required the use of a hoyer lift (mechanical floor lift system used to transfer a medically dependent person from point A to point B) and physical assistance of two staff members for transfers, the Facility failed to ensure he/she was provided with the required level of staff assistance in an effort to prevent an accident resulting in an injury. On 01/13/24, Certified Nurse Aide (CNA) #1 transferred Resident #1 with a hoyer lift out of bed into a reclining wheelchair, by himself, without another staff member present to assist him. CNA #1 was unable to secure the positioning of the head (back rest) of the wheelchair, and left Resident #1's room to get another staff member to help him. [...]

Fire safety inspections

20 fire safety citations on file: 17 on April 2, 2026, 3 on February 15, 2024.

Every fire safety citation20 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · April 2, 2026 · Corrected (the home has a date of correction)
  2. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · April 2, 2026 · Corrected (the home has a date of correction)
  3. F
    Address subsistence needs for staff and patients.
    E 15 · April 2, 2026 · Corrected (the home has a date of correction)
  4. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · April 2, 2026 · Corrected (the home has a date of correction)
  5. F
    List the names and contact information of those in the facility.
    E 30 · April 2, 2026 · Corrected (the home has a date of correction)
  6. F
    Establish methods for sharing information.
    E 33 · April 2, 2026 · Corrected (the home has a date of correction)
  7. F
    Provide family notifications of emergency plan.
    E 35 · April 2, 2026 · Corrected (the home has a date of correction)
  8. F
    Establish emergency prep training and testing.
    E 36 · April 2, 2026 · Corrected (the home has a date of correction)
  9. F
    Conduct testing and exercise requirements.
    E 39 · April 2, 2026 · Corrected (the home has a date of correction)
  10. F
    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
    K 132 · April 2, 2026 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 2, 2026 · Corrected (the home has a date of correction)
  12. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 2, 2026 · Corrected (the home has a date of correction)
  13. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 2, 2026 · Corrected (the home has a date of correction)
  14. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 2, 2026 · Corrected (the home has a date of correction)
  15. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 2, 2026 · Corrected (the home has a date of correction)
  16. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · April 2, 2026 · Corrected (the home has a date of correction)
  17. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 2, 2026 · Corrected (the home has a date of correction)
  18. D
    Have an enclosure around a vertical opening shaft.
    K 311 · February 15, 2024 · Corrected (the home has a date of correction)
  19. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 15, 2024 · Corrected (the home has a date of correction)
  20. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 15, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 7, 2024Fine $11,782

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMassachusettsUnited States
All nursing staff (RN, LPN and aides)3.713.863.86
Registered nurses1.080.650.69
All nursing staff on weekends3.433.483.42
Nurse aides2.20
Licensed practical nurses0.43
Nursing staff turnover (share who left in a year)48.1%38.2%45.8%
Registered nurse turnover58.3%42.6%42.9%
Administrators who left2

CMS expects 4.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.82 on weekdays and 3.43 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.68 in April to June 2025 to 3.71 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.711.083.823.43 0.8%0 of 9034
Oct to Dec 20253.641.143.793.26 3.4%0 of 9236
Jul to Sep 20253.691.093.833.31 5.4%2 of 9234
Apr to Jun 20253.681.123.833.30 9.9%0 of 9135
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Massachusetts, Jan to Mar 20263.790.613.943.415.0%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Massachusetts

JobMedianMiddle halfEmployed
Massachusetts, all employers
CNAs (nursing assistants)$22.44$21.32 to $23.9438,130
LPNs and LVNs$38.57$34.91 to $40.6613,210
Registered nurses$50.27$42.05 to $65.4488,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Adviniacare at Provincetown. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMassachusettsUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
30.116.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.90.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.73.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.81.41.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.44.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.821.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.725.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.811.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Adviniacare at Provincetown's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.5% this home

No different from the national rate

US median of homes 51.5% · Massachusetts: 121 better, 19 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 123 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Massachusetts: 4 better, 15 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 123 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Massachusetts: 5 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 79 eligible stays.

Self-care and mobility at discharge

58.1% this home

Median of homes: Massachusetts51.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 62 residents counted.

Falls with major injury

0.0% this home

Median of homes: Massachusetts0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 87 residents counted.

New or worsened pressure ulcers

1.1% this home

Median of homes: Massachusetts2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 87 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Massachusetts99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 21 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: SEASHORE POINTE REHAB CENTER LLC. CMS links this home to Adviniacare, a group of 14 nursing homes averaging 1.9 stars overall.

NameRoleTypeShareSince
Brissette, BrandonManaging control - governing bodyIndividual08/09/2019
Talamona, RaymondManaging control - governing bodyIndividual08/09/2019
Labella, CaterinaCorporate officerIndividual08/09/2019
Pointe Group Care LLCOperational/managerial controlOrganization08/09/2019
Berkowitz, BenjaminOperational/managerial controlIndividual08/09/2019
Brissette, BrandonOperational/managerial controlIndividual08/09/2019
Carreno, NuryOperational/managerial controlIndividual08/09/2019
Carson, JuliaOperational/managerial controlIndividual08/09/2019
Labella, CaterinaOperational/managerial controlIndividual08/09/2019
Spector, JenniferOperational/managerial controlIndividual08/09/2019
Turofsky, StevenOperational/managerial controlIndividual08/09/2019
Wilhelm, NaftaliOperational/managerial controlIndividual08/09/2019
Curis Services LLCAdp of the SNFOrganization08/09/2019
Pointe Group Care LLCAdp of the SNFOrganization04/21/2025
Berkowitz, BenjaminAdp of the SNFIndividual08/09/2019
Brissette, BrandonAdp of the SNFIndividual08/09/2019
Carreno, NuryAdp of the SNFIndividual08/09/2019
Carson, JuliaAdp of the SNFIndividual08/09/2019
Labella, CaterinaAdp of the SNFIndividual08/09/2019
Spector, JenniferAdp of the SNFIndividual08/09/2019
Talamona, RaymondAdp of the SNFIndividual08/09/2019
Turofsky, StevenAdp of the SNFIndividual08/09/2019
Wilhelm, NaftaliAdp of the SNFIndividual08/09/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 9 problems in this area, most recently on April 2, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on April 2, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on April 2, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 2, 2026: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.43 hours per resident per day, below the Massachusetts average of 3.48.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Common questions

What is Adviniacare at Provincetown's Medicare star rating?
CMS rates Adviniacare at Provincetown 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Adviniacare at Provincetown get at its last inspection?
13 health deficiencies at the standard inspection on April 2, 2026. The Massachusetts average is 6.8.
Has Adviniacare at Provincetown been fined?
Yes. CMS lists 1 fine totaling $11,782 in the last three years.
Does Adviniacare at Provincetown accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Adviniacare at Provincetown?
CMS lists 23 owners and managers, and links the home to Adviniacare. Legal business name: SEASHORE POINTE REHAB CENTER LLC.

Sources

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