Federal Nursing-Home Survey Record
CAPE COD POST ACUTE CARE
Does CAPE COD POST ACUTE CARE have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), CAPE COD POST ACUTE CARE (CCN 225667), in BREWSTER, MA, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 8 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $298,483 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
CMS has $298,483 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Scope & Severity — current cycle
Civil money penalties on file
$298,483
CMS has $298,483 in civil money penalties on file against this facility. CMS also records 38 day(s) of payment denial.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 1 · CMS state average: 3.1
Deficiency timeline — full federal history
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide and implement an infection prevention and control program.
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.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide care or services that was trauma informed and/or culturally competent.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide enough food/fluids to maintain a resident's health.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure the activities program is directed by a qualified professional.
Provide activities to meet all resident's needs.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Ensure each resident receives an accurate assessment.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide enough food/fluids to maintain a resident's health.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Provide and implement an infection prevention and control program.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Perform COVID19 testing on residents and staff.
Ensure services provided by the nursing facility meet professional standards of quality.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that residents are fully informed and understand their health status, care and treatments.
Document what happened
Were you or a loved one harmed at CAPE COD POST ACUTE CARE?
Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.
Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.