Brigham Health and Rehabilitation Center
Brigham Health and Rehabilitation Center
3.6 (13 reviews)
Skilled Nursing Facility • 64 Licensed Beds
77 High Street, Newburyport, MA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Brigham Health and Rehabilitation Center

Skilled Nursing Facility • 64 Licensed Beds
77 High Street,
Newburyport, MA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Brigham Health and Rehabilitation Center – Medicare Certified Since 1992

Brigham Health and Rehabilitation Center is a Medicare and Medicaid certified skilled nursing facility located in Newburyport, Massachusetts. This facility has been serving the community for 34 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 64 certified beds with a current occupancy rate of 64% (averaging 41 residents per day), which is below average. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.4 hours of total nursing care per resident per day (2.11 hours from CNAs, 0.78 hours from LPNs, 0.51 hours from RNs). Physical therapy staffing is 0.09 hours per resident per day.

Medicare Quality Ratings: According to CMS, Brigham Health and Rehabilitation Center has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 1 stars, staffing: 2 stars, quality measures: 1 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Brigham Health and Rehabili... compares to 123 facilities in Cambridge-Newton-Framingham, MA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
1
2.9
Quality Measures
Clinical outcomes & safety
1
3.2
Health Inspections
State survey results
1
2.9
Staffing
Nurse-to-resident ratio
2
3.1
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.51 hrs
0.73 hrs
LPN/LVN Hours
Licensed practical nurses
0.78 hrs
0.97 hrs
CNA Hours
Certified nursing assistants
2.11 hrs
2.34 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.40 hrs
4.03 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
1.7 %
12.3 %
LPN/LVN Agency Use
% of LPN hours from contractors
30.1 %
11.4 %
CNA Agency Use
% of CNA hours from contractors
0.2 %
5.8 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
77 %
39 %
Occupancy Rate
Percentage of beds filled
64 %
76 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$491
$500
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 123 facilities in Cambridge-Newton-Framingham, MA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
1/5
Quality Measures
1/5
Health Inspections
1/5
Staffing
2/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 123 other nursing homes in Cambridge-Newton-Framingham, MA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Brigham Health and Rehabili...
Cambridge-Newton-Framingham, MA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Brigham Health and Rehabili...
Cambridge-Newton-Framingham, MA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Brigham Health and Rehabili...
Cambridge-Newton-Framingham, MA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Brigham Health and Rehabili...
Cambridge-Newton-Framingham, MA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
127
minutes/day
CNAs
Certified Nursing Assistants
47
minutes/day
LPNs
Licensed Practical Nurses
31
minutes/day
RNs
Registered Nurses
6
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Brigham Health and Rehabili...
Cambridge-Newton-Framingham, MA Average (76.1%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of March 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$491
per resident per day
Compared to 123 facilities in your area
Below local median ($500)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Nonprofit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-25% -6% Below
Net Income
Annual profit or loss
$-1,205,397 $-216,902 Below
Staff Cost per Resident
Daily salary expense per resident
$239/day $182/day Higher
Occupancy Rate
Bed utilization percentage
64% 78% Lower
Est. Daily Rate
Average revenue per patient day
$491/day $500/day Lower
Total Beds
Licensed bed capacity
64 123 Smaller

Local comparisons based on 123 skilled nursing facilities in the Cambridge-Newton-Framingham, MA metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$5,071,391
Operating Expenses
Total operating costs
$6,317,695
Total Salaries
Staff compensation
$3,492,755
Contract Labor
Agency & temp staff
$334,872

Payer Mix

Medicare
10%
Medicaid
82%
Private Pay & Other
8%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
14,589
Medicare
Short-term skilled nursing
10%
Medicaid
Long-term care residents
82%
Private Pay / Other
Self-pay, insurance, VA
8%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
114.87
days
Medicare Stays
32.11
days
Medicaid Stays
259.04
days
Total Admissions
74
Total Discharges
127
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

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Reviews

3.6 (13 reviews)
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Kevin Driscoll's profile photo
Kevin Driscoll 6 months ago

Super staff and awesome audience for our Musical Ventriloquist Comedy performance today. Special thanks to Stacy in ACTIVITIES! Also special thanks to David who volunteered to become our HUMAN DUMMY and wear our ventriloquist face mask. He helped us sing our "NO BULLY ZONE" song with one of our puppets.

Kai's profile photo
Kai 2 years ago

Nice staff during the day, understaffed at night, our mom experienced abuse thanks to staff who either don't care or who aren't trained to deal with patients who have some dementia. She had bruising on both wrists, all around, from being grabbed. Our mom declined rapidly in her year there, was left to fend for herself during meals despite being almost blind. We'd come to visit at 11 am and would find her in a urine soaked bed that clearly smelled like OLD urine. She caught an infection in the common bathroom, had a roommate who blasted her with loud TV volume. The facility has NO place for families to meet with their loved one, you get together in a shared bedroom with little to no seating. The main dining/common room was always full of seniors always shuffling around aimlessly or staring at walls. Hardly "home like". Hallways were cluttered with equipment. Staff, again, could be friendly and warm or surly and glaring. I had no say in my mom being in this place, a sibling had power of attorney and made the decisions. I know that some staff members tried their best but I wouldn't wish Brigham Health in Newburyport on anyone. It's a warehouse for people who may get a hug now and then - or yelled at because they had the nerve to ask for bathroom help several times over the course of an hour during the night shift.

Stef F's profile photo
Stef F 6 years ago

Our father was transferred to Brigham Manor a little more than two weeks ago. This place is such a wonderful, caring and kind environment - everyone is so genuinely supporting all patients and residents - no matter if you are looking at long-term or shorter-term care for a loved one. Their operations and social worker staff are outstanding and have become an important partner to us working through all levels of bureaucracy. We can highly recommend this place - a true gem, warm & nurturing environment - just like family.

Emily Durbin's profile photo
Emily Durbin 8 years ago

I’m so glad I met Jean Little-Bruce and she introduced me to Brigham in May 2016. Her energy and enthusiasm was very impressive. My mom spent the last year of her long life at Brigham. We watched as her health failed but never did I worry about the care she was receiving from the staff on the 1st floor. Since I lived close by, I stopped in frequently to visit mom. Whether it was morning, afternoon or evening, mom was always clean, dressed, fed, room cleaned and I was always greeted by the staff and given an update. They knew her food preferences, understood her personality and did their best to accommodate her needs. I think it takes a unique gift of compassion, caring, and love of people to work with the elderly who are not in their own home, ailing, memory problems, etc. yet Barbara Tomolonius and her team treat every resident with respect and as though they were family. Everyone knows the residents, laughs with them, comforts them and truly cares about them. I’d like to acknowledge the team that cared for my mom – Patty, Fran, Marilyn, Brian, Mayra, Adeline, Jackie and Rosemary. Thank you for taking care of my mom during her final journey.

Michele Motzi's profile photo
Michele Motzi a year ago

This morning my husband and I visited a close family friend who is at the Brigham for rehab following a hip fracture. We were completely horrified at how dilapidated this facility is and how understaffed it is. The rooms are in disrepair after obvious years of neglect. I would NEVER place any of my loved ones there and I cannot get the experience of it out of my mind.

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