CareSentinel

Federal Nursing-Home Survey Record

CAPE COD POST ACUTE CARE

CCN 225667 · 383 SOUTH ORLEANS ROAD, BREWSTER, MA, 02631 · Operated within the MARQUIS HEALTH SERVICES chain

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

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

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

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-05-08
CURRENT CYCLE
F883S/S E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2025-05-08
CURRENT CYCLE
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2025-05-08
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-05-08
CURRENT CYCLE
F887S/S 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.

2025-05-08
CURRENT CYCLE
F761S/S 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.

2025-05-08
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-05-08
CURRENT CYCLE
F699S/S D

Provide care or services that was trauma informed and/or culturally competent.

2025-05-08
CURRENT CYCLE
F812S/S D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-04-29
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-07-24
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-07-24
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-05-21
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-03-19
HISTORICAL
F689S/S H

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-03-19
HISTORICAL
F580S/S H

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-03-19
HISTORICAL
F692S/S H

Provide enough food/fluids to maintain a resident's health.

2024-03-19
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-03-19
HISTORICAL
F656S/S G

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-03-19
HISTORICAL
F680S/S F

Ensure the activities program is directed by a qualified professional.

2024-03-19
HISTORICAL
F679S/S F

Provide activities to meet all resident's needs.

2024-03-19
HISTORICAL
F838S/S 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.

2024-03-19
HISTORICAL
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2024-03-19
HISTORICAL
F565S/S E

Honor the resident's right to organize and participate in resident/family groups in the facility.

2024-03-19
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-03-19
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-03-19
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-03-19
HISTORICAL
F688S/S 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.

2024-03-19
HISTORICAL
F554S/S D

Allow residents to self-administer drugs if determined clinically appropriate.

2024-03-19
HISTORICAL
F604S/S D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2024-03-19
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-03-19
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-03-19
HISTORICAL
F690S/S 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.

2024-03-19
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-03-19
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-03-19
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-03-19
HISTORICAL
F761S/S 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.

2024-03-19
HISTORICAL
F806S/S D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2024-03-19
HISTORICAL
F849S/S 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.

2024-03-19
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2024-03-19
HISTORICAL
F887S/S 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.

2024-03-19
HISTORICAL
F944S/S B

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2024-03-19
HISTORICAL
F641S/S B

Ensure each resident receives an accurate assessment.

2023-09-20
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-09-20
HISTORICAL
F727S/S D

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.

2023-09-20
HISTORICAL
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2023-09-20
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2022-08-24
HISTORICAL
F692S/S H

Provide enough food/fluids to maintain a resident's health.

2022-08-24
HISTORICAL
F689S/S H

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2022-08-24
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2022-08-24
HISTORICAL
F838S/S 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.

2022-08-24
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2022-08-24
HISTORICAL
F882S/S F

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2022-08-24
HISTORICAL
F725S/S F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2022-08-24
HISTORICAL
F726S/S F

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.

2022-08-24
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2022-08-24
HISTORICAL
F758S/S E

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.

2022-08-24
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2022-08-24
HISTORICAL
F886S/S E

Perform COVID19 testing on residents and staff.

2022-08-24
HISTORICAL
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2022-08-24
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2022-08-24
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

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.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…