Cape Cod Post Acute Care
Nursing Home · Brewster, MA
CMS certification number225667
Contact & location
383 South Orleans RoadBrewster, MA 02631
Barnstable County
- Phone
- (508) 240-3500
- ZIP code
- 02631 – all care providers
Facility details
- Certified beds
- 135
- Residents per day
- 125.4 (93% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Cape Cod Operator LLC
- Chain
- Marquis Health Services (87 facilities, avg 3.0★)
- Medicare certified since
- February 16, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.35 (state 3.86 · U.S. 3.86)
- Registered nurses (RN)
- 0.79 (state 0.65 · U.S. 0.69)
- Licensed practical nurses
- 0.68 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.88 (state 2.26 · U.S. 2.32)
- Weekend total
- 3.01 (state 3.48 · U.S. 3.42)
- Nursing staff turnover
- 50.0 (state 38.2 · U.S. 45.8)%
- RN turnover
- 53.1 (state 42.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 8, 2025
- Health deficiencies (last cycle)
- 8.0 (state 7.2 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 58 health · 22 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-05-08 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-05-08 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-05-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-05-08 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-05-08 | 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. F0887 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-05-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-05-08 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-04-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2024-07-24 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-07-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-05-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-09 |
| 2024-03-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
H Actual harm |
Corrected 2024-04-26 |
| 2024-03-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
H Actual harm |
Corrected 2024-04-26 |
| 2024-03-19 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
H Actual harm |
Corrected 2024-04-26 |
| 2024-03-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
G Actual harm |
Corrected 2024-04-26 |
| 2024-03-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-04-26 |
| 2024-03-19 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | 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. F0838 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-26 |
| 2024-03-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-26 |
| 2024-03-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-24 |
| 2024-03-19 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-26 |
| 2024-03-19 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-04-24 |
| 2024-03-19 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-04-24 |
| 2023-09-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-16 |
| 2023-09-20 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-16 |
| 2023-09-20 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-16 |
| 2023-09-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-16 |
| 2022-08-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
H Actual harm |
Corrected 2022-09-30 |
| 2022-08-24 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
H Actual harm |
Corrected 2022-10-07 |
| 2022-08-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2022-09-30 |
| 2022-08-24 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-10-14 |
| 2022-08-24 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-10-14 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $298,483 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-03-19 | Payment Denial | 38 days payment denial |
| 2024-03-19 | Fine | $298,483 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Forbright Bank (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Cape Cod Property LLC (organization) | Administrator · NOT APPLICABLE | |
| Harman, Dina (individual) | Administrator · NOT APPLICABLE | |
| Lordan, Nancy (individual) | Administrator · NOT APPLICABLE | |
| Marquis Limited LLC (organization) | Administrator · NOT APPLICABLE | |
| NFR 2020 Irrv TR (organization) | Administrator · NOT APPLICABLE | |
| Posen, Mindee (individual) | Administrator · NOT APPLICABLE | |
| Quinto Nexgen LLC (organization) | Administrator · NOT APPLICABLE | |
| Reliant Pro Rehab LLC (organization) | Administrator · NOT APPLICABLE | |
| Rsbrmk Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| SK Nexgen TR (organization) | Administrator · NOT APPLICABLE | |
| Stevens, Joel (individual) | Administrator · NOT APPLICABLE | |
| Tryko Nexgen Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Uak 2020 Irrv TR (organization) | Administrator · NOT APPLICABLE | |
| Ukr Nexgen LLC (organization) | Administrator · NOT APPLICABLE | |
| Viroja, Yogesh (individual) | Administrator · NOT APPLICABLE | |
| Yk Nexgen TR (organization) | Administrator · NOT APPLICABLE | |
| Yr Nexgen TR (organization) | Administrator · NOT APPLICABLE | |
| Zanfes, Zachary (individual) | Administrator · NOT APPLICABLE | |
| Skilled Venture LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Kahanow, Aviva (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Rokeach, Fraide (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Flagler, Osher (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Levovitz, Tzvi (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Rokowsky, Yitzchok (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Harman, Dina (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Lordan, Nancy (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Stevens, Joel (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Viroja, Yogesh (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Lordan, Nancy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Marquis Limited LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Posen, Mindee (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Reliant Pro Rehab LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Zanfes, Zachary (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Cape Cod Post Acute Care?
Cape Cod Post Acute Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.
How many beds does Cape Cod Post Acute Care have?
It has 135 certified beds and cares for about 125 residents per day.
Has Cape Cod Post Acute Care been fined?
Yes. CMS lists 2 penalties totaling $298,483 in the last three years.
Who owns Cape Cod Post Acute Care?
It is part of Marquis Health Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Cape Cod Post Acute Care?
(508) 240-3500. The facility is located at 383 South Orleans Road, Brewster, MA 02631.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.