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
AdviniaCare Pleasant Bay
Registered name: CAPE COD POST ACUTE CARE
BREWSTER, MA · Medicare-certified · 135 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
AdviniaCare Pleasant Bay in Brewster, MA has a 1-out-of-5 overall rating, with a 1-star health inspection rating and a 2-star staffing rating. It is flagged for the lowest overall rating, reported nurse staffing is below the federal benchmark (3.35 vs 4.1 hours per resident per day), and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3536 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 3.3536.
Staffing detail
- Registered nurses
- 0.79
- Licensed practical nurses
- 0.68
- Nurse aides
- 1.88
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 53%
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
18.9%25.7%Worsening
Residents with a fall causing major injury
4.3%2.1%Improving
Residents with pressure ulcers (bedsores)
2.8%3%No change
Residents with a urinary tract infection
0%1.1%Worsening
Residents who lost too much weight
8.2%5.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
37.8%44.3%Worsening
Residents whose ability to walk got worse
22.6%30%Worsening
Long-stay residents on antianxiety or sleep medication
13.2%18.5%Worsening
Short-stay residents newly given an antipsychotic
1.5%0.6%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.5%20.5%Improving
Residents with depressive symptoms
40.7%86.8%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
89.2%96.9%Improving
Short-stay residents given the seasonal flu vaccine
—42.9%—
Short-stay residents given the pneumonia vaccine
71.6%87.1%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
Recent ownership change · Oct 31, 2024
Now operated by Cape Cod Post Acute Care, previously Pleasant Bay of Brewster Rehab Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MARQUIS HEALTH SERVICES · 89 homes · 3.1 stars avg
- Occupancy
- 125.4 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.