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Pavilion , the

876 Falmouth Road, Hyannis, MA 02601 · Barnstable County · (508) 775-6663

82 certified beds, about 73 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 225503 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 17, 2025, inspectors cited 0 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).

None of its 4 health citations since April 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.22 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.

32.9% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).

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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
June 17, 2025Standard inspection · 0 citations
June 13, 2024Standard inspection · 4 citations
  1. 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) July 1, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed for two Residents (#22 and #213), out of a total sample of 17 residents, to maintain and store respiratory equipment in a safe and sanitary manner. Specifically, the facility failed: 1. For Resident #22, to ensure oxygen (O2) equipment was maintained per physician's orders to ensure sanitary conditions to help decrease the risk of potential contamination and infection; and 2. For Resident #213, to store his/her continuous positive airway pressure (CPAP) respiratory tubing and nasal pillow mask in a sanitary way when not in use by the Resident to prevent potential contamination by germs and environmental debris.
  2. 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) July 1, 2024
    Inspectors wroteBased on record review, interviews, and policy review, the facility failed to develop a person-centered plan of care which included post-traumatic stress disorder (PTSD- a mental health condition that is triggered by an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual's functioning and mental, physical, social, emotional, or spiritual well-being) identified triggers to avoid potential re-traumatization for one Resident (#37), out of a total sample of 17 residents.
  3. 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) July 1, 2024
    Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure monthly medication regimen reviews were maintained as part of the permanent medical record and failed to ensure recommendations made by the pharmacy consultant were addressed timely for one Resident (#9), out of a total sample of 17 residents.
  4. 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) July 1, 2024
    Inspectors wroteBased on record review and interview, the facility failed to maintain accurate medical records in accordance with professional standards of practice for one Resident (#31), out of a total sample of 17 residents. Specifically, the facility failed to ensure the Resident's Massachusetts Medical Order for Life-Sustaining Treatment (MOLST- form that indicates a person's medical wishes regarding life sustaining treatments) was consistent with current physician's orders.
April 5, 2023Standard inspection · 0 citations

Fire safety inspections

12 fire safety citations on file: 4 on June 17, 2025, 8 on April 5, 2023.

Every fire safety citation12 citations
  1. F
    Use approved construction type or materials.
    K 161 · June 17, 2025 · Corrected (the home has a date of correction)
  2. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 17, 2025 · Corrected (the home has a date of correction)
  3. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 17, 2025 · Corrected (the home has a date of correction)
  4. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · June 17, 2025 · Corrected (the home has a date of correction)
  5. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 5, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 5, 2023 · Corrected (the home has a date of correction)
  7. D
    Have simulated fire drills held at unexpected times.
    K 712 · April 5, 2023 · Corrected (the home has a date of correction)
  8. C
    Implement emergency and standby power systems.
    E 41 · April 5, 2023 · Corrected (the home has a date of correction)
  9. C
    Provide properly protected cooking facilities.
    K 324 · April 5, 2023 · Corrected (the home has a date of correction)
  10. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 5, 2023 · Corrected (the home has a date of correction)
  11. C
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 5, 2023 · Corrected (the home has a date of correction)
  12. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 5, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)4.223.863.86
Registered nurses0.700.650.69
All nursing staff on weekends3.743.483.42
Nurse aides2.28
Licensed practical nurses1.24
Nursing staff turnover (share who left in a year)32.9%38.2%45.8%
Registered nurse turnover40.0%42.6%42.9%
Administrators who left0

CMS expects 4.68 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 4.42 on weekdays and 3.74 on weekends, 15% 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 4.21 in April to June 2025 to 4.22 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.220.704.423.74 0.8%0 of 9073
Oct to Dec 20254.190.704.413.64 1.8%0 of 9272
Jul to Sep 20254.050.704.253.55 0.0%0 of 9275
Apr to Jun 20254.210.804.413.71 0.0%0 of 9173
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.

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
14.216.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.31.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.93.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.915.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.54.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
28.721.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.725.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.811.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.31.51.8

Owners and operators

Legal business name: ESSEX PAVILION, LLC.

NameRoleTypeShareSince
Bentley Health Group LLC5% or greater direct ownership interestOrganization100%01/01/2007
Wellington Healthcare LLC5% or greater indirect ownership interestOrganization12/29/2005
Raso, Steven5% or greater indirect ownership interestIndividual01/20/2013
Raso, StevenCorporate officerIndividual01/20/2013
Landmark Health Solutions, LLCOperational/managerial controlOrganization07/01/2006
Benoit, MaryOperational/managerial controlIndividual08/13/2014

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 13, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 13, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 13, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."

Other nursing homes nearby

Common questions

What is Pavilion , the's Medicare star rating?
CMS rates Pavilion , the 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pavilion , the get at its last inspection?
0 health deficiencies at the standard inspection on June 17, 2025. The Massachusetts average is 6.8.
Has Pavilion , the been fined?
CMS lists no fines in the last three years.
Does Pavilion , the 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 Pavilion , the?
CMS lists 6 owners and managers. Legal business name: ESSEX PAVILION, LLC.

Sources

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