Pavilion , the — nursing home in Hyannis, MA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 82 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 72.4 CMS, MDS-derived
CMS Certification Number: 225503
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1990
Ownership type: For profit - Limited Liability company
Operator (legal business name): Essex Pavilion, LLC
CMS chain: Not part of a CMS-reported chain
Phone: (508) 775-6663
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 17, 2025

Citations

16

4 health · 12 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E1	F1
Minimal	A·	B·	C5

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 225503
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 82
First approved: Jul 1, 1990
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Massachusetts.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 17, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 17, 2025	Health	Health Standard	0	No citations	—	Open →
Jun 13, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 13, 2024	Health	Health Standard	4	Potential harm	—	Open →
Apr 5, 2023	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Apr 5, 2023	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E1	F1
Minimal	A·	B·	C5

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jun 17, 2025	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 1, 2025
Jun 17, 2025	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 1, 2025
Jun 17, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 3, 2025
Jun 17, 2025	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 14, 2025
Jun 13, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2024
Jun 13, 2024	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2024
Jun 13, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 1, 2024
Jun 13, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2024
Apr 5, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 12, 2023
Apr 5, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 17, 2023
Apr 5, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 14, 2023
Apr 5, 2023	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Apr 27, 2023
Apr 5, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 14, 2023
Apr 5, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 14, 2023
Apr 5, 2023	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 14, 2023
Apr 5, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 27, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 3.1

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.19

State avg 3.94US avg 3.90

Registered nurse (RN)0.74

State avg 0.66US avg 0.69

Licensed practical nurse1.22

State avg 0.97US avg 0.86

Nurse aide2.23

State avg 2.31US avg 2.35

Weekend total nurse3.69

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.53 (case-mix index 1.66).

Staff turnover

Total nursing staff turnover25.3%

State avg 37.6%US avg 45.3%

Registered nurse turnover46.7%

State avg 42.7%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jun 17, 2025
Cycle 1 health score: 0
Total weighted score: 4

Operating entity

Essex Pavilion, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

6

Organizations

3

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Bentley Health Group LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2007
Wellington Healthcare LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 29, 2005
Steven Raso	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Bentley Health Group LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2007
Wellington Healthcare LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 29, 2005
Steven Raso	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2013
Landmark Health Solutions, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2006
Mary Benoit	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 13, 2014
Steven Raso	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 20, 2013

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 876 Falmouth Road, Hyannis, MA 02601
ZIP: 02601
County: Barnstable County FIPS 25001
State: Massachusetts
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Cape Regency Rehabilitation & Health Care Center 120 S Main Street, Centerville, MA 02632 CCN 225338	2 km	120	May 20, 2025	591 harm	—
Mayflower Place Nursing & Rehabilitation Center 579 Buck Island Road, West Yarmouth, MA 02673 CCN 225374	5.2 km	72	Jul 21, 2026	63	—
Windsor Nursing & Retirement Home 265 N Main St, South Yarmouth, MA 02664 CCN 225349	11.7 km	120	Mar 19, 2026	311 harm3 open	—
Regalcare at Harwich 111 Headwaters Drive, Harwich, MA 02645 CCN 225525	20 km	135	Apr 7, 2026	25	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	225503	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	225503	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 225503

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction