Starfile / Massachusetts

CAPE COD POST ACUTE CARE

383 SOUTH ORLEANS ROAD, BREWSTER, MA 02631 · CCN 225667

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$298,483

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

MARQUIS HEALTH SERVICES

Facilities in chain

81

Chain avg overall

3.00 / 5

Inspection citations (69)8 actual harm

1. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-08 · Health · corrected 2025-06-03

   Potential for more than minimal harm

2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-08 · Health · corrected 2025-06-03

   Potential for more than minimal harm

3. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-05-08 · Health · corrected 2025-06-03

   Potential for more than minimal harm

4. EF0761Ensure 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 · Health · corrected 2025-06-03

   Potential for more than minimal harm

5. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-08 · Health · corrected 2025-06-03

   Potential for more than minimal harm

6. EF0880Provide and implement an infection prevention and control program.2025-05-08 · Health · corrected 2025-06-03

   Potential for more than minimal harm

7. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-05-08 · Health · corrected 2025-06-03

   Potential for more than minimal harm

8. EF0887Educate 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 · Health · corrected 2025-06-03

   Potential for more than minimal harm

9. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-29 · Health · corrected 2025-05-20

   Potential for more than minimal harm

10. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-24 · Health · corrected 2024-08-09

    Potential for more than minimal harm

11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-24 · Health · corrected 2024-08-09

    Potential for more than minimal harm

12. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-21 · Health · corrected 2024-06-09

    Potential for more than minimal harm

13. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

14. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

15. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-03-19 · Health · corrected 2024-04-26

    Potential for more than minimal harm

16. HF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-19 · Health · corrected 2024-04-26

    Actual harm

17. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-03-19 · Health · corrected 2024-04-26

    Potential for more than minimal harm

18. BF0641Ensure each resident receives an accurate assessment.2024-03-19 · Health · corrected 2024-04-24

    Potential for minimal harm

19. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

20. GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-19 · Health · corrected 2024-04-26

    Actual harm

21. DF0657Develop 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 · Health · corrected 2024-04-24

    Potential for more than minimal harm

22. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-19 · Health · corrected 2024-05-26

    Potential for more than minimal harm

23. FF0679Provide activities to meet all resident's needs.2024-03-19 · Health · corrected 2024-04-26

    Potential for more than minimal harm

24. FF0680Ensure the activities program is directed by a qualified professional.2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

25. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-19 · Health · corrected 2024-04-26

    Actual harm

26. DF0688Provide 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 · Health · corrected 2024-04-24

    Potential for more than minimal harm

27. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-19 · Health · corrected 2024-04-26

    Actual harm

28. DF0690Provide 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 · Health · corrected 2024-04-26

    Potential for more than minimal harm

29. HF0692Provide enough food/fluids to maintain a resident's health.2024-03-19 · Health · corrected 2024-04-26

    Actual harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-19 · Health · corrected 2024-05-26

    Potential for more than minimal harm

31. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

32. DF0756Ensure 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 · Health · corrected 2024-04-26

    Potential for more than minimal harm

33. DF0761Ensure 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 · Health · corrected 2024-05-24

    Potential for more than minimal harm

34. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-19 · Health · corrected 2024-04-26

    Potential for more than minimal harm

36. FF0838Conduct 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 · Health · corrected 2024-04-24

    Potential for more than minimal harm

37. DF0849Arrange 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 · Health · corrected 2024-04-26

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

39. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-19 · Health · corrected 2024-04-24

    Potential for more than minimal harm

40. DF0887Educate 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 · Health · corrected 2024-04-24

    Potential for more than minimal harm

41. BF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-03-19 · Health · corrected 2024-04-24

    Potential for minimal harm

42. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-09-20 · Health · corrected 2023-10-16

    Potential for more than minimal harm

43. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-20 · Health · corrected 2023-10-16

    Potential for more than minimal harm

44. DF0727Have 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 · Health · corrected 2023-10-16

    Potential for more than minimal harm

45. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-20 · Health · corrected 2023-10-16

    Potential for more than minimal harm

46. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

47. DF0551Give the resident's representative the ability to exercise the resident's rights.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

48. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

49. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

50. EF0657Develop 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 · Health · corrected 2022-10-14

    Potential for more than minimal harm

51. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

52. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-08-24 · Health · corrected 2022-09-30

    Actual harm

53. DF0688Provide 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.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

54. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-24 · Health · corrected 2022-09-30

    Actual harm

55. HF0692Provide enough food/fluids to maintain a resident's health.2022-08-24 · Health · corrected 2022-10-07

    Actual harm

56. FF0725Provide 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 · Health · corrected 2022-10-14

    Potential for more than minimal harm

57. FF0726Ensure 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 · Health · corrected 2022-10-14

    Potential for more than minimal harm

58. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

59. EF0758Implement 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 · Health · corrected 2022-10-14

    Potential for more than minimal harm

60. DF0761Ensure 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.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

61. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

62. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

63. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

64. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

65. FF0838Conduct 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 · Health · corrected 2022-10-14

    Potential for more than minimal harm

66. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-08-24 · Health · corrected 2022-10-14

    Potential for more than minimal harm

67. EF0880Provide and implement an infection prevention and control program.2022-08-24 · Health · corrected 2022-10-06

    Potential for more than minimal harm

68. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-08-24 · Health · corrected 2022-10-05

    Potential for more than minimal harm

69. EF0886Perform COVID19 testing on residents and staff.2022-08-24 · Health · corrected 2022-10-06

    Potential for more than minimal harm

Ownership

Other facilities in BREWSTER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.