Federal inspection record · CMS data as of October 1, 2026
Cape Cod Post Acute Care
383 South Orleans Road, Brewster, MA · (508) 240-3500
- Certified beds
- 135
- Residents per day
- 119
- Ownership
- For-Profit
- Chain
- Marquis Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 16, 1995
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Cape Cod Post Acute Care carries 35 inspection points. That is fewer than 50% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
46 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
H
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
H
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
H
Provide enough food/fluids to maintain a resident's health.
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning9E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Ensure each resident receives an accurate assessment.
Quality of Life and Care9F
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care or services that was trauma informed and/or culturally competent.
- F
Provide activities to meet all resident's needs.
- F
Ensure the activities program is directed by a qualified professional.
- D
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
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
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control7E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights4E
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Pharmacy Service3E
- E
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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Administration3F
- F
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.
- D
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.
- B
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2026-06-10
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-05-08
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-03-19
32 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
3 h 36 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 52% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$298,483 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-19 | Fine | $298,483 |
| 2024-03-19 | Payment Denial · 38 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.0 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.3 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.7 pts better | 96.6% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 96.1% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms49.8 pts worse | 67.2% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 6.3% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts better | 18.0% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4 pts worse | 25.5% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.6 pts worse | 24.5% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.2 pts worse | 30.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 1.3% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse | 25.4% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 4.2% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 86.2% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts worse | 13.2% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 78.2% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts better | 22.3% | 25.7% | 23.4% |
·
Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cape Cod Property LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Flagler, Osher | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 48 facilities |
| Forbright Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 49 facilities |
| Harman, Dina | Managing Control - Governing Body · Individual | 0% | 35 facilities |
| Harman, Dina | Adp Of The SNF · Individual | 0% | 35 facilities |
| Kahanow, Aviva | Indirect Ownership Interest · Individual | 0% | 47 facilities |
| Levovitz, Tzvi | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 43 facilities |
| Lordan, Nancy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lordan, Nancy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lordan, Nancy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marquis Limited LLC | Operational/Managerial Control · Organization | 0% | 82 facilities |
| Marquis Limited LLC | Adp Of The SNF · Organization | 0% | 82 facilities |
| Nfr 2020 Irrv Tr | Adp Of The SNF · Organization | 0% | 76 facilities |
| Posen, Mindee | Operational/Managerial Control · Individual | 0% | 88 facilities |
| Posen, Mindee | Adp Of The SNF · Individual | 0% | 88 facilities |
| Quinto Nexgen LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Reliant Pro Rehab LLC | Operational/Managerial Control · Organization | 0% | 77 facilities |
| Reliant Pro Rehab LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Rokeach, Fraide | Indirect Ownership Interest · Individual | 0% | 45 facilities |
| Rokowsky, Yitzchok | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 50 facilities |
| Rsbrmk Holdings LLC | Adp Of The SNF · Organization | 0% | 74 facilities |
| Sk Nexgen Tr | Adp Of The SNF · Organization | 0% | 51 facilities |
| Skilled Venture LLC | Direct Ownership Interest · Organization | 0% | 24 facilities |
| Stevens, Joel | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Stevens, Joel | Adp Of The SNF · Individual | 0% | 5 facilities |
| Tryko Nexgen Holdings LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Uak 2020 Irrv Tr | Adp Of The SNF · Organization | 0% | 74 facilities |
| Ukr Nexgen LLC | Adp Of The SNF · Organization | 0% | 51 facilities |
| Viroja, Yogesh | Managing Control - Governing Body · Individual | 0% | 63 facilities |
| Viroja, Yogesh | Adp Of The SNF · Individual | 0% | 63 facilities |
| Yk Nexgen Tr | Adp Of The SNF · Organization | 0% | 52 facilities |
| Yr Nexgen Tr | Adp Of The SNF · Organization | 0% | 52 facilities |
| Zanfes, Zachary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zanfes, Zachary | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness9F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- D
Develop Emergency Preparedness policies and procedures.
- D
Establish policies and procedures for sheltering.
- D
Develop a communication plan.
- D
List the names and contact information of those in the facility.
- D
Establish staff and initial training requirements.
- D
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
Smoke6F
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems3F
- D
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the installation and maintenance of electrical systems.
Services2E
- C
Have properly installed electrical wiring and gas equipment.
- E
Install properly constructed and protected linen or trash chutes.
Miscellaneous2D
- C
Provide a written emergency evacuation plan.
- D
Have simulated fire drills held at unexpected times.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
·
Other homes nearby
-
Liberty Commons
North Chatham, MA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 16 min
- Fines
- $0
-
Regalcare At Harwich
Harwich, MA · Regalcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Windsor Nursing & Retirement Home
South Yarmouth, MA · Integritus Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0