Cape Heritage Rehabilitation & Health Care CenterCMS ratings, inspections and fines
- Address
- 37 Route 6a, Sandwich, MA 02563
- CCN
- 225337
- Ownership type
- For-profit, limited liability company
- Certified beds
- 123
- Residents per day
- 110
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Cape Heritage Rehabilitation & Health Care Center an overall rating of 2 of 5 stars. The last standard survey was on 21 May 2025. The latest survey cycle has 7 health citations. The median for nursing homes in Massachusetts is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Barnstable County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 15 homes in the county, 341 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 21 May 2025 | 7 | 6 |
| Cycle 2 | 10 Apr 2024 | 8 | 8 |
| Cycle 3 | No date | 42 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Jun 2026 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 3 Aug 2026 |
| 21 May 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 1 Jul 2025 |
| 21 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 13 Jun 2025 |
| 21 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Jul 2025 |
| 21 May 2025 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 13 Jun 2025 |
| 21 May 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 1 Jul 2025 |
| 21 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 13 Jun 2025 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Apr 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 22 May 2024 |
| 10 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 May 2024 |
| 10 Apr 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 | 22 May 2024 |
| 10 Apr 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 May 2024 |
| 10 Apr 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 | 22 May 2024 |
| 10 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 May 2024 |
| 10 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2024 |
| 10 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | B | Standard survey | 22 May 2024 |
Survey cycle 3: 42 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Infection control inspection | 20 Dec 2023 |
| 5 Oct 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Dec 2022 |
| 5 Oct 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. | D | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | 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 | 19 Nov 2022 |
| 5 Oct 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 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. | G | Standard survey | 19 Nov 2022 |
| 5 Oct 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 | 19 Nov 2022 |
| 5 Oct 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 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 | 30 Dec 2022 |
| 5 Oct 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. | E | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 19 Nov 2022 |
| 5 Oct 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 | 19 Nov 2022 |
| 5 Oct 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 | 30 Dec 2022 |
| 5 Oct 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0885 | Report COVID19 data to residents and families. | F | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 30 Dec 2022 |
| 5 Oct 2022 | 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 | 20 Dec 2022 |
| 5 Oct 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | E | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 19 Nov 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.10 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.58 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.73 | 0.95 | |
| Nurse aides | 1.79 | 2.26 | |
| All nurse staff, weekends | 2.76 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 40.4%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 45.5%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.1% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.7% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.8% | 19.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Cape Heritage Ma SNF LLC
- Chain
- Athena Healthcare Systems (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Athena Health Care Systems Ma R LLC | 5% or greater direct ownership interest | 100% | 25 Sep 2012 |
| Athena Health Care Associates, Inc. | Operational/managerial control | 25 Sep 2012 |
The site shows organisations only. It does not show the names of persons.
Other homes in Barnstable County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Bourne Manor Extended Care Facility | Bourne | 1 of 5 | 10 | $48,575 | 11 May 2026 | |
| Royal Cape Cod Nursing & Rehabilitation Center | Buzzards Bay | 3 of 5 | 6 | $9,004 | 20 Jan 2026 | |
| Royal of Cotuit | Mashpee | 2 of 5 | 10 | $7,901 | 31 Mar 2026 | |
| Royal Megansett Nursing & Rehabilitation | N Falmouth | 4 of 5 | 5 | $0 | 8 Apr 2025 | |
| Cape Regency Rehabilitation & Health Care Center | Centerville | 1 of 5 | 16 | $0 | 20 May 2025 | |
| Pavilion , The | Hyannis | 5 of 5 | 0 | $0 | 17 Jun 2025 | |
| Royal Nursing Center, LLC | Falmouth | 3 of 5 | 7 | $8,278 | 18 Dec 2025 | |
| JML Care Center Inc | Falmouth | 1 of 5 | 5 | $0 | 24 Mar 2026 | |
| Mayflower Place Nursing & Rehabilitation Center | West Yarmouth | 3 of 5 | 6 | $0 | 14 Nov 2025 | |
| Windsor Nursing & Retirement Home | South Yarmouth | 2 of 5 | 6 | $12,386 | 19 Mar 2026 | |
| Regalcare at Harwich | Harwich | 3 of 5 | 7 | $0 | 3 Dec 2025 | |
| Adviniacare at Provincetown | Provincetown | 1 of 5 | 13 | $11,782 | 2 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Cape Heritage Rehabilitation & Health Care Center (CCN 225337). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/cape-heritage-rehabilitation-health-care-center-sandwich-ma-225337/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Cape Heritage Rehabilitation & Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 29 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 10 Apr 2024.
- Who operates Cape Heritage Rehabilitation & Health Care Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Athena Healthcare Systems. The CMS ownership file names Athena Health Care Associates, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Cape Heritage Rehabilitation & Health Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.