CAPE COD POST ACUTE CARE

Barnstable · MA · For profit - Limited Liability company · MARQUIS HEALTH SERVICES chain · 135 certified beds · CCN 225667 · CAPE COD OPERATOR LLC


CAPE COD POST ACUTE CARE operates 135 certified beds in BREWSTER, Massachusetts. Its Medicare and Medicaid certification dates to 1995-02-16. It averages 125.4 residents a day.

What harm was found in the violations cited at CAPE COD POST ACUTE CARE?

CMS lists 69 health-inspection deficiencies for CAPE COD POST ACUTE CARE since 2022-08-24, 45 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2025-05-08.

Survey dateTagDeficiencySeverity
2025-05-08F0658, F0761, F0880, F0883, F0887Ensure services provided by the nursing facility meet professional standards of quality. / 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 and implement an infection prevention and control program. / 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.E
2025-05-08F0684, F0699, F0812Provide 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.D
2025-04-29F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-07-24F0658, F0842Ensure services provided by the nursing facility meet professional standards of quality. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-05-21F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-03-19F0580, F0689, F0692Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.H
2024-03-19F0656, F0686Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-03-19F0679, F0680, F0838Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / 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.F
2024-03-19F0550, F0565, F0658, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure services provided by the nursing facility meet professional standards of quality. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-03-19F0554, F0604, F0655, F0657, F0688, F0690, F0695, F0698, F0756, F0761, F0806, F0849, F0883, F0887Allow 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 a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / 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.D
2024-03-19F0641, F0944Ensure each resident receives an accurate assessment. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.B
2023-09-20F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2023-09-20F0561, F0727, F0755Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2022-08-24F0689, F0692Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.H
2022-08-24F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2022-08-24F0725, F0726, F0812, F0838, F0882Provide 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2022-08-24F0657, F0658, F0758, F0804, F0880, F0886Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff.E
2022-08-24F0550, F0551, F0552, F0656, F0688, F0744, F0761, F0770, F0806, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give the resident's representative the ability to exercise the resident's rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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 timely, quality laboratory services/tests to meet the needs of residents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was CAPE COD POST ACUTE CARE fined?

DateTypeAmount
2024-03-19Fine$298,483

Has CAPE COD POST ACUTE CARE had payment denied by Medicare?

Payment denial startLength in days
2024-05-0238

How is CAPE COD POST ACUTE CARE staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.353583.86193
Total nursing staff turnover (%)50.038.2
Average number of residents per day125.498.5

Who owns CAPE COD POST ACUTE CARE, and what chain is it in?

CAPE COD POST ACUTE CARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name CAPE COD OPERATOR LLC and belongs to the MARQUIS HEALTH SERVICES chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTSKILLED VENTURE LLCsince 09/12/2024
INDIRECT OWNERSHIP INTERESTKAHANOW, AVIVA, ROKEACH, FRAIDEsince 10/31/2024
5% OR GREATER MORTGAGE INTERESTFORBRIGHT BANKsince 10/31/2024
MANAGING CONTROL - GOVERNING BODYHARMAN, DINA, LORDAN, NANCY, STEVENS, JOEL, VIROJA, YOGESHsince 02/17/2025
OPERATIONAL/MANAGERIAL CONTROLMARQUIS LIMITED LLC, RELIANT PRO REHAB LLC, LORDAN, NANCY, POSEN, MINDEE, ZANFES, ZACHARYsince 01/11/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFFLAGLER, OSHER, LEVOVITZ, TZVI, ROKOWSKY, YITZCHOKsince 02/26/2025
ADP OF THE SNFCAPE COD PROPERTY LLC, MARQUIS LIMITED LLC, NFR 2020 IRRV TR, QUINTO NEXGEN LLC, RELIANT PRO REHAB LLC, RSBRMK HOLDINGS LLC, SK NEXGEN TR, TRYKO NEXGEN HOLDINGS LLC, UAK 2020 IRRV TR, UKR NEXGEN LLC, YK NEXGEN TR, YR NEXGEN TR, HARMAN, DINA, LORDAN, NANCY, POSEN, MINDEE, STEVENS, JOEL, VIROJA, YOGESH, ZANFES, ZACHARYsince 01/11/2025

Were you or a family member harmed at CAPE COD POST ACUTE CARE?