Starfile / Massachusetts

CAPE HERITAGE REHABILITATION & HEALTH CARE CENTER

37 ROUTE 6A, SANDWICH, MA 02563 · CCN 225337

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

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

ATHENA HEALTHCARE SYSTEMS

Facilities in chain

24

Chain avg overall

1.70 / 5

Inspection citations (56)3 actual harm

1. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-05-21 · Health · corrected 2025-07-01

   Potential for more than minimal harm

2. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-21 · Health · corrected 2025-06-13

   Potential for more than minimal harm

3. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-21 · Health · corrected 2025-07-01

   Potential for more than minimal harm

4. FF0814Dispose of garbage and refuse properly.2025-05-21 · Health · corrected 2025-06-13

   Potential for more than minimal harm

5. FF0908Keep all essential equipment working safely.2025-05-21 · Health · corrected 2025-07-01

   Potential for more than minimal harm

6. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-05-21 · Health · corrected 2025-06-13

   Potential for more than minimal harm

7. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-04-10 · Health · corrected 2024-05-22

   Potential for more than minimal harm

8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-10 · Health · corrected 2024-05-22

   Potential for more than minimal harm

9. 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.2024-04-10 · Health · corrected 2024-05-22

   Potential for more than minimal harm

10. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-04-10 · Health · corrected 2024-05-22

    Potential for more than minimal harm

11. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-10 · Health · corrected 2024-05-22

    Potential for more than minimal harm

12. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-10 · Health · corrected 2024-05-22

    Potential for more than minimal harm

13. DF0880Provide and implement an infection prevention and control program.2024-04-10 · Health · corrected 2024-05-22

    Potential for more than minimal harm

14. BF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-04-10 · Health · corrected 2024-05-22

    Potential for minimal harm

15. FF0880Provide and implement an infection prevention and control program.2023-11-16 · Health · corrected 2023-12-20

    Potential for more than minimal harm

16. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

17. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

18. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

19. DF0583Keep residents' personal and medical records private and confidential.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

20. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

22. DF0610Respond appropriately to all alleged violations.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

23. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

24. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

25. DF0641Ensure each resident receives an accurate assessment.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

26. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

27. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

28. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

29. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

31. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

32. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-05 · Health · corrected 2022-11-19

    Actual harm

33. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

34. GF0692Provide enough food/fluids to maintain a resident's health.2022-10-05 · Health · corrected 2022-12-30

    Actual harm

35. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

36. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

37. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

38. GF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-10-05 · Health · corrected 2022-11-19

    Actual harm

39. 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.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

40. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

41. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

42. 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.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

43. 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.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

44. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

45. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

46. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

47. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

48. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

49. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

50. FF0880Provide and implement an infection prevention and control program.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

51. FF0881Implement a program that monitors antibiotic use.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

52. FF0885Report COVID19 data to residents and families.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

53. FF0886Perform COVID19 testing on residents and staff.2022-10-05 · Health · corrected 2022-12-30

    Potential for more than minimal harm

54. 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.2022-10-05 · Health · corrected 2022-12-20

    Potential for more than minimal harm

55. EF0888Ensure staff are vaccinated for COVID-192022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

56. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-10-05 · Health · corrected 2022-11-19

    Potential for more than minimal harm

Ownership

Other facilities in SANDWICH

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