Cape Cod Post Acute Care
383 South Orleans Road · Brewster, MA · 02631 · 5082403500
135 certified beds For profit - Limited Liability company Chain: Marquis Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 8 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $298,483 |
Inspection citations (69 in the current record)
-
Potential for harm · E May 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 3, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 3, 2025 · Quality of Life and Care
-
Potential for harm · D May 8, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 3, 2025 · Quality of Life and Care
-
Potential for harm · E May 8, 2025
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.
Corrected June 3, 2025 · Pharmacy Service
-
Potential for harm · D May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 3, 2025 · Nutrition and Dietary
-
Potential for harm · E May 8, 2025
Provide and implement an infection prevention and control program.
Corrected June 3, 2025 · Infection Control
-
Potential for harm · E May 8, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 3, 2025 · Infection Control
-
Potential for harm · E May 8, 2025
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.
Corrected June 3, 2025 · Infection Control
-
Potential for harm · D April 29, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 20, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 24, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 9, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 24, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 9, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · H March 19, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 26, 2024 · Resident Rights
-
Actual harm · G March 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 26, 2024 · Resident Assessment and Care Planning
-
Actual harm · G March 19, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 26, 2024 · Quality of Life and Care
-
Actual harm · H March 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2024 · Quality of Life and Care
-
Actual harm · H March 19, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 26, 2024 · Quality of Life and Care
-
Potential for harm · E March 19, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 24, 2024 · Resident Rights
-
Potential for harm · D March 19, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 24, 2024 · Resident Rights
-
Potential for harm · E March 19, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 26, 2024 · Resident Rights
-
Potential for harm · D March 19, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 19, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E March 19, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 26, 2024 · Resident Assessment and Care Planning
-
Potential for harm · F March 19, 2024
Provide activities to meet all resident's needs.
Corrected April 26, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2024 | Fine | $298,483 |
| March 19, 2024 | Payment Denial | 38 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225667 · certified since February 16, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.