3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tucked away within a serene setting in Newburyport, MA, AdviniaCare Country Center is a relaxing senior living community that offers short-term rehabilitation, skilled nursing, and long-term care. Residents here enjoy serene and spacious accommodation that allows them to enjoy their rests and personal time in utmost comfort and privacy. An excellent and professional care team is always available to deliver the care services and support residents need whenever they need them.
All-day dining options are available to make sure residents’ cravings and nutritional needs are always satisfied. Fun and engaging recreation activities are also offered for a vibrant living experience that allows residents to thrive and maintain their activity. A wide array of amenities, such as a beautiful patio, common areas, and hair salon are offered to further enhance residents’ stay within the community.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 89th out of 93 homes in Massachusetts for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ■ Avg State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 44m per day | ▼ 24% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 56m per day | ▼ 15% State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 58m per day | ▼ 14% State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 10% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day | ▲ 22% State avg: 28m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% fewer staff per resident than Massachusetts average
0% compared with Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
26 total: 11 full-time employees and 15 contractors.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
30 total: 20 full-time employees and 10 contractors.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 41 CNA Staff are full-time employees. No contractors work on this role.
41
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,760 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 41 | 0 | 41 | 16,471 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 20 | 10 | 30 | 5,712 | 92 | 100% | 8.2 |
| Registered Nurse | 11 | 15 | 26 | 3,817 | 92 | 100% | 7.6 |
| Dietitian | 6 | 0 | 6 | 1,656 | 92 | 100% | 6.5 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,347 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 767 | 66 | 72% | 7 |
| Physical Therapy Aide | 0 | 4 | 4 | 643 | 68 | 74% | 6.5 |
| RN Director of Nursing | 3 | 0 | 3 | 565 | 72 | 78% | 5.8 |
| Mental Health Service Worker | 1 | 2 | 3 | 552 | 60 | 65% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 538 | 62 | 67% | 6.8 |
| Physical Therapy Assistant | 0 | 6 | 6 | 522 | 74 | 80% | 6.4 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 513 | 63 | 68% | 7 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Occupational Therapy Aide | 2 | 2 | 4 | 235 | 49 | 53% | 4.3 |
| Medical Director | 0 | 1 | 1 | 60 | 24 | 26% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 27 | 6 | 7% | 4.5 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
347% higher than Massachusetts averageMassachusetts average: $72K
192% more fines than Massachusetts averageMassachusetts average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 
100% fewer payment denials than Massachusetts averageMassachusetts average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 10, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 22, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.8
35% worse than Massachusetts averageMassachusetts average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.9
34% worse than Massachusetts averageMassachusetts average: 20.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
27.0%
44% worse than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
28.8%
49% worse than Massachusetts averageMassachusetts average: 19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
12% worse than Massachusetts averageMassachusetts average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
10% worse than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.2%
10% better than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
2.2%
7% worse than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
4.9%
5% better than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
17.1%
60% worse than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
18.5%
9% better than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.9%
In line with Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
In line with Massachusetts averageMassachusetts average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
2.48
33% worse than Massachusetts averageMassachusetts average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.37
54% worse than Massachusetts averageMassachusetts average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.4%
13% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
83% better than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
In line with Massachusetts averageMassachusetts average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.5%
30% worse than Massachusetts averageMassachusetts average: 25.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.3%
81% worse than Massachusetts averageMassachusetts average: 11.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
31% better than Massachusetts averageMassachusetts average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
7% worse than Massachusetts averageMassachusetts average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.6%
12% better than Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
77% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for AdviniaCare Country Center from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #73 / 96Payroll — State benchmarkedThis home is ranked 73rd out of 96 homes in Massachusetts. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #13 / 96Payroll % — State benchmarkedThis home is ranked 13th out of 96 homes in Massachusetts. Shows payroll as a percentage of revenue versus the Massachusetts average. Well-run Massachusetts facilities typically land around 54–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Room Sizes: Private / Semi-Private Rooms
Building Type: Mid-rise Building
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (77% of admissions), and a typical Medicare stay runs around 24 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Newburyport's city center to AdviniaCare Country Center's address, calculated via Google Maps.
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The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
| Port Rehabilitation & Healthcare Center | NH SNF | Newburyport | 123
Facility
123
MA AVG
94
Rank
#55 / 280 |
93.6%
Facility
93.6%
MA AVG
82%
Rank
#17 / 96 | +14% | 3.72
Facility
3.72
MA AVG
3.93
Rank
#58 / 93 | +35% | -5% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 94 | 22
Facility
22
MA AVG
32.7
Rank
#36 / 93 | 4.4
Facility
4.4
MA AVG
7.2
Rank
#27 / 93 | - | 116 | - |
27
Facility
27
MA AVG
53
Rank
#369 / 499 | Whittier Healthcare Holdings, Inc | $18.5MFiscal year ending 12/2023
Facility
$18.5MFiscal year ending 12/2023
MA AVG
$17.4M
Rank
#45 / 96 | $7.4MFiscal year ending 12/2023
Facility
$7.4MFiscal year ending 12/2023
MA AVG
$6.5M
Rank
#35 / 96 | 39.9%Fiscal year ending 12/2023
Facility
39.9%Fiscal year ending 12/2023
MA AVG
43.6%
Rank
#32 / 96 | 225271 | ||||
| AdviniaCare Country Center | NH AL IL MC | Newburyport | 111
Facility
111
MA AVG
94
Rank
#79 / 280 |
71.9%
Facility
71.9%
MA AVG
82%
Rank
#72 / 96 | -12% | 3.14
Facility
3.14
MA AVG
3.93
Rank
#89 / 93 | +46% | -20% | $322.1k
Facility
$322.1k
MA AVG
$76.6k
Rank
#94 / 94 | 72
Facility
72
MA AVG
32.7
Rank
#91 / 93 | 14.4
Facility
14.4
MA AVG
7.2
Rank
#90 / 93 | 8 | 93 | - |
51
Facility
51
MA AVG
53
Rank
#254 / 499 | Ma Holdco Op LLC | $10.5MFiscal year ending 12/2023
Facility
$10.5MFiscal year ending 12/2023
MA AVG
$17.4M
Rank
#82 / 96 | $3.4MFiscal year ending 12/2023
Facility
$3.4MFiscal year ending 12/2023
MA AVG
$6.5M
Rank
#73 / 96 | 32.6%Fiscal year ending 12/2023
Facility
32.6%Fiscal year ending 12/2023
MA AVG
43.6%
Rank
#13 / 96 | 225332 | ||||
| Brigham Health and Rehabilitation Center | NH | Newburyport | 63
Facility
63
MA AVG
94
Rank
#204 / 280 |
88.9%
Facility
88.9%
MA AVG
82%
Rank
#37 / 96 | +8% | 3.21
Facility
3.21
MA AVG
3.93
Rank
#86 / 93 | -33% | -18% | $5.5k
Facility
$5.5k
MA AVG
$76.6k
Rank
#49 / 94 | 43
Facility
43
MA AVG
32.7
Rank
#75 / 93 | 8.6
Facility
8.6
MA AVG
7.2
Rank
#69 / 93 | 3 | 59 | - |
88
Facility
88
MA AVG
53
Rank
#63 / 499 | Marta Subira | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
MA AVG
$17.4M
Rank
#91 / 96 | $3.1MFiscal year ending 12/2023
Facility
$3.1MFiscal year ending 12/2023
MA AVG
$6.5M
Rank
#94 / 96 | 45.9%Fiscal year ending 12/2023
Facility
45.9%Fiscal year ending 12/2023
MA AVG
43.6%
Rank
#55 / 96 | 225360 |
AdviniaCare Country Center is located in Newburyport, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
AdviniaCare Country Center has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
AdviniaCare Country Center's occupancy is 71.9%.
AdviniaCare Country Center is registered as a for-profit.
Yes — there are 3 photos of AdviniaCare Country Center in the photo gallery on this page.
AdviniaCare Country Center is located at 180 Low St, Newburyport, MA 01950.
(978) 465-5361 will put you in contact with the team at AdviniaCare Country Center.
Yes — AdviniaCare Country Center is a CMS-certified provider of Medicare and Medicaid.
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