Nursing HomeInspections

Cape Cod Post Acute Care

Nursing home in Brewster, MA

Medicare & Medicaid certified1★ overall (CMS)

Call (508) 240-3500Send a messageMap ↗

Public-record details

Address
383 South Orleans Road, Brewster, MA 02631
Phone
(508) 240-3500
Listed under
For-profit
Medicare CCN
225667
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
135
Average residents per day
125
Ownership
For-profit, limited Liability company
Legal business name
Cape Cod Operator LLC
Chain
Marquis Health Services (87 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 16, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225667. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 8, 2025. CMS lists 69 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 24, 2022 to May 8, 2025): 8 from complaint inspections, 8 at the “actual harm” level or higher.

InspectionCitationSeverity
May 8, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 8, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 8, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
May 8, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 8, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
May 8, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		E
Potential for more than minimal harm, pattern
May 8, 2025Educate 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…
Infection Control		E
Potential for more than minimal harm, pattern
Apr 29, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 24, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 24, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 21, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 69. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $298,483 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 19, 2024Fine: $298,483
Mar 19, 2024Payment denial for 38 days from May 2, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.35 hours
Registered nurse (RN) time per resident per day
0.79 hours
Nurse aide time per resident per day
1.88 hours
Total nurse staffing on weekends
3.01 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
53%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.