Nursing HomeInspections

Cape Cod Post Acute Care

Nursing home in Brewster, MA

Medicare & Medicaid certified3★ overall (CMS)

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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
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
135
Average residents per day
119
Ownership
For-profit, limited Liability company
Legal business name
Cape Cod Operator LLC
Chain
Marquis Health Services (90 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 2026-11-07.

Inspection record

Most recent standard health inspection: Jun 10, 2026. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 19, 2024 to Jun 10, 2026): 4 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 10, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 10, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 10, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 10, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jun 10, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
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

Showing the 12 most recent of 46. 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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.60 hours
Registered nurse (RN) time per resident per day
0.74 hours
Nurse aide time per resident per day
2.08 hours
Total nurse staffing on weekends
3.14 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
52%
Administrators who left in the past year
0

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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error