The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: H
Nursing home report
CAPE COD POST ACUTE CARE
BREWSTER, MA · Medicare-certified · 135 beds
Needs attention
For-profitChain member
1 of 5 overall
CAPE COD POST ACUTE CARE in Brewster, MA has a 1 out of 5 overall rating, with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is 2 stars, with reported nurse staffing of 3.36 hours per resident per day below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3552 hrs/resident/day
Quality measures
Last inspection: May 8, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3552.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 0.74
- Nurse aides
- 1.85
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
25.5%29.7%Worsening
Residents with a fall causing major injury
5.1%4.3%Improving
Residents with pressure ulcers (bedsores)
5.2%3.4%Improving
Residents with a urinary tract infection
2.2%0%Improving
Residents who lost too much weight
9.7%6.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.9%25%Improving
Residents whose ability to walk got worse
22.9%27.6%Worsening
Long-stay residents on antianxiety or sleep medication
11.5%21.5%Worsening
Short-stay residents newly given an antipsychotic
2.4%0.6%Improving
Residents with a long-term catheter
1.5%0%Improving
Residents with new or worsening incontinence
31.3%29.4%Improving
Residents with depressive symptoms
32.6%66.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.4%—
Long-stay residents given the pneumonia vaccine
92.9%94.6%Improving
Short-stay residents given the seasonal flu vaccine
—42.9%—
Short-stay residents given the pneumonia vaccine
56%82.4%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: H
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $298,483 in total fines · 1 payment denial.
- 38 days
Medicare/Medicaid payment denial
Mar 19, 2024
- $298,483
Federal fine
Mar 19, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MARQUIS HEALTH SERVICES · 88 homes · 3 stars avg
- Occupancy
- 126.2 residents on an average day (93% of 135 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.