Massachusetts › Barnstable County › Brewster
Cape Cod Post Acute Care
383 South Orleans Road, Brewster, MA 02631
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cape Cod Post Acute Care, in Brewster, Massachusetts, is certified for 135 beds under for-profit, limited liability company ownership and belongs to the Marquis Health Services chain.
CMS gives it 1 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 69 health deficiencies across the three most recent survey cycles (8, 30, 31 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 51.1 per 100 beds, more than the state median of 21.7.
CMS lists 2 penalties in the period covered: fines totalling $298K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.8 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Barnstable Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 69 | 24 | 27 | 28.7 |
| Citations per 100 beds | 51.1 | 20.4 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 50.0% | 40.4% | 37.7% | 45.8% |
| Fines listed | $298,483 | $0 | $0 | — |
County and state figures are medians across facilities (15 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 May 2025, 19 Mar 2024.
Severity mix: G ×3 H ×5 D ×34 E ×17 F ×8 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 3 Jun 2025 |
| 8 May 2025 | F0761 | 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. | E | Standard survey | 3 Jun 2025 |
| 8 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Jun 2025 |
| 8 May 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 3 Jun 2025 |
| 8 May 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 3 Jun 2025 |
| 8 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Jun 2025 |
| 8 May 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 3 Jun 2025 |
| 8 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 3 Jun 2025 |
| 29 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 May 2025 |
| 24 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 9 Aug 2024 |
| 24 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Aug 2024 |
| 21 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Jun 2024 |
| 19 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | H | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | H | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | F | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | F | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 26 May 2024 |
| 19 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 May 2024 |
| 19 Mar 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0761 | 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. | D | Standard survey | 24 May 2024 |
| 19 Mar 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0849 | 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. | D | Standard survey | 26 Apr 2024 |
| 19 Mar 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 24 Apr 2024 |
| 19 Mar 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | Standard survey | 24 Apr 2024 |
| 20 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 16 Oct 2023 |
| 20 Sep 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 16 Oct 2023 |
| 20 Sep 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint investigation | 16 Oct 2023 |
| 20 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Oct 2023 |
| 24 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Standard survey | 30 Sep 2022 |
| 24 Aug 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | H | Standard survey | 7 Oct 2022 |
| 24 Aug 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 30 Sep 2022 |
| 24 Aug 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 5 Oct 2022 |
| 24 Aug 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0758 | 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. | E | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Oct 2022 |
| 24 Aug 2022 | F0886 | Perform COVID19 testing on residents and staff. | E | Standard survey | 6 Oct 2022 |
| 24 Aug 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0761 | 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. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 14 Oct 2022 |
| 24 Aug 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 14 Oct 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Mar 2024 | Payment denial | — | 38 days |
| 19 Mar 2024 | Fine | $298,483 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 50.0%, RNs 53.1%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.1% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.5% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.8% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Cape Cod Operator Llc. Chain: Marquis Health Services (87 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Skilled Venture LLC | Direct ownership interest | NOT APPLICABLE | 09/12/2024 |
| Forbright Bank | 5% or greater mortgage interest | NOT APPLICABLE | 10/31/2024 |
| Marquis Limited LLC | Operational/managerial control | NOT APPLICABLE | 10/31/2024 |
| Reliant Pro Rehab LLC | Operational/managerial control | NOT APPLICABLE | 01/11/2025 |
| Cape Cod Property LLC | Adp of the snf | NOT APPLICABLE | 10/31/2024 |
| Marquis Limited LLC | Adp of the snf | NOT APPLICABLE | 02/11/2025 |
| Nfr 2020 Irrv Tr | Adp of the snf | NOT APPLICABLE | 01/11/2025 |
| Quinto Nexgen LLC | Adp of the snf | NOT APPLICABLE | 01/11/2025 |
| Reliant Pro Rehab LLC | Adp of the snf | NOT APPLICABLE | 01/11/2025 |
| Rsbrmk Holdings LLC | Adp of the snf | NOT APPLICABLE | 01/11/2025 |
| Tryko Nexgen Holdings LLC | Adp of the snf | NOT APPLICABLE | 01/11/2025 |
| Uak 2020 Irrv Tr | Adp of the snf | NOT APPLICABLE | 01/11/2025 |
| Ukr Nexgen LLC | Adp of the snf | NOT APPLICABLE | 01/13/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Barnstable County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pavilion , The | Hyannis | 82 | 5 | 5 | 3 | 4 | 4.9 | — | 13 Jun 2024 |
| Royal Megansett Nursing & Rehabilitation | N Falmouth | 90 | 4 | 4 | 2 | 23 | 25.6 | — | 8 Apr 2025 |
| Liberty Commons | North Chatham | 132 | 3 | 2 | 5 | 16 | 12.1 | — | 9 Jan 2026 |
| Mayflower Place Nursing & Rehabilitation Center | West Yarmouth | 72 | 3 | 3 | 4 | 40 | 55.6 | — | 14 Nov 2025 |
| Regalcare At Harwich | Harwich | 135 | 3 | 3 | 4 | 24 | 17.8 | — | 7 Apr 2026 |
| Royal Cape Cod Nursing & Rehabilitation Center | Buzzards Bay | 99 | 3 | 3 | 2 | 16 | 16.2 | $9K | 20 Jan 2026 |
| Royal Nursing Center, LLC | Falmouth | 121 | 3 | 3 | 3 | 21 | 17.4 | $8K | 18 Dec 2025 |
| Cape Heritage Rehabilitation & Health Care Center | Sandwich | 123 | 2 | 2 | 2 | 57 | 46.3 | — | 29 Jun 2026 |
All 15 facilities in Barnstable County
Questions and answers
How many deficiencies has Cape Cod Post Acute Care been cited for?
69 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Cape Cod Post Acute Care been fined?
Yes. CMS lists fines totalling $298K in the period covered, plus 1 payment denial.
How does staffing at Cape Cod Post Acute Care compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Cape Cod Post Acute Care?
It is part of the Marquis Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Skilled Venture LLC, Marquis Limited LLC and Reliant Pro Rehab LLC. Individual owners and managers are not listed on this site.
When was Cape Cod Post Acute Care last inspected?
The most recent survey or investigation in the CMS record is dated 8 May 2025; the most recent standard health survey was 8 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.