Total health inspections
8
Massachusetts average 4.5
Last Health inspection on May 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Cape Cod Post Acute Care
Nursing Home, Memory Care, Hospice Care & Respite Care · Harwich, MA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Cape Cod Post Acute Care
Nursing Home, Memory Care, Hospice Care & Respite Care · Harwich, MA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Cape Cod Post Acute Care accepts Medicare, Medicaid, and private pay.
Cape Cod Post Acute Care in Brewster, MA, is a nursing home that offers memory care, rehabilitation, respite care, and skilled nursing. Promoting a compassionate and welcoming environment, the community ensures older adults are well-cared for. Restaurant-style dining, 24/7 nursing care, and comprehensive therapies are among the exceptional services provided to improve residents’ quality of life. Through personalized care plans, residents also receive the utmost attention and care for their recovery and wellness.
Social events, light exercises, and various recreational activities encourage residents to try new hobbies and gain meaningful experiences. A beauty salon, a community room, and outdoor courtyards also foster interactions and relaxation. Nestled in the peaceful neighborhood of Brewster, the community ensures a stress-free retirement. This nursing home is a good option for senior living in Massachusetts, especially with its commitment to older adults’ welfare.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 77th out of 89 homes in Massachusetts. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 77th out of 89 homes in Massachusetts. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 26m per day
Rank #77 / 89Nurse hours — State benchmarkedThis home is ranked 77th out of 89 homes in Massachusetts. Shows adjusted nurse hours per resident per day benchmarked to the Massachusetts average, with a ranking across 89 Massachusetts SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Massachusetts avg
-13%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 57m per day |
Types of Care at Cape Cod Post Acute Care
Nursing Home
Memory Care
Hospice Care
Respite Care
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
84.7%
Rank #50 / 92Occupancy rate — State benchmarkedThis home is ranked 50th out of 92 homes in Massachusetts. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 92. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
113 days
Occupancy rate
84.7%
Rank #50 / 92Occupancy rate — State benchmarkedThis home is ranked 50th out of 92 homes in Massachusetts. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 92. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
113 days
Walk Score: 12 / 100 Rank #456 / 499Walk Score — State benchmarkedThis home is ranked 456th out of 499 homes in Massachusetts. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Massachusetts SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Inspection History
In Massachusetts, the Executive Office of Elder Affairs (for assisted living facilities) and the Department of Public Health (for nursing homes) are the agencies authorized to inspect and report on facility safety.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
72
Rank #87 / 89Health citations — State benchmarkedThis home is ranked 87th out of 89 homes in Massachusetts. Shows this facility's total health deficiency citations benchmarked to the Massachusetts State average, with a ranking across all 89 MA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Massachusetts average 32.7
Citations per inspection
9
Rank #74 / 89Citations per inspection — State benchmarkedThis home is ranked 74th out of 89 homes in Massachusetts. Shows average deficiency citations per CMS inspection for this facility versus the Massachusetts mean across 89 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Massachusetts average 7.24
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
61 of 72 citations resulted from standard inspections; and 11 of 72 resulted from complaint investigations.
Breakdown of citation severity (last 4 years)
Critical Health citations
0
100% better than Massachusetts averageMassachusetts average: 0.3
Serious Health citations
8
Rank #54 / 54Serious citations (G–I) — State benchmarkedThis home is ranked 54th out of 54 homes in Massachusetts. Shows G–I scope serious health citations for this facility versus other Massachusetts SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
433% worse than Massachusetts averageMassachusetts average: 1.5
Citations history (last 4 years)
Infection Control moderate citation
May 08, 2025
Corrected
Infection Control moderate citation
May 08, 2025
Corrected
Infection Control moderate citation
May 08, 2025
Corrected
Nutrition moderate citation
May 08, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
156
Employees
135
Contractors
21
Staff to resident ratio
1.41:1
15% worse than Massachusetts average
Avg staff/day
59
Average shift
8.4 hours
6% better than Massachusetts average
Total staff hours (quarter)
45,569
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6.6%
3,010 contractor hours this quarter
Registered Nurse: 7
Respiratory Therapy Technician: 6
Qualified Social Worker: 3
Speech Language Pathologist: 2
Licensed Practical Nurse: 1
Physical Therapy Assistant: 1
Physical Therapy Aide: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 0 | 65 | 21,440 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 20 | 1 | 21 | 7,819 | 92 | 100% | 9.5 |
| Registered Nurse | 21 | 7 | 28 | 5,861 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,477 | 87 | 95% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,520 | 92 | 100% | 7.4 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 832 | 78 | 85% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 815 | 80 | 87% | 6.7 |
| RN Director of Nursing | 5 | 0 | 5 | 807 | 67 | 73% | 7.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 635 | 61 | 66% | 8.8 |
| Nurse Practitioner | 2 | 0 | 2 | 544 | 67 | 73% | 8.1 |
| Administrator | 1 | 0 | 1 | 493 | 62 | 67% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 472 | 60 | 65% | 7.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 344 | 42 | 46% | 8.2 |
| Qualified Social Worker | 0 | 3 | 3 | 299 | 48 | 52% | 5.7 |
| Dental Services Staff | 2 | 0 | 2 | 216 | 34 | 37% | 6.3 |
| Qualified Activities Professional | 2 | 0 | 2 | 23 | 4 | 4% | 5.6 |
65 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
28 Registered Nurse
% of Days
100%
9 Clinical Nurse Specialist
% of Days
95%
4 Other Dietary Services Staff
% of Days
100%
6 Respiratory Therapy Technician
% of Days
85%
2 Speech Language Pathologist
% of Days
87%
5 RN Director of Nursing
% of Days
73%
2 Mental Health Service Worker
% of Days
66%
2 Nurse Practitioner
% of Days
73%
1 Administrator
% of Days
67%
1 Physical Therapy Assistant
% of Days
66%
1 Dietitian
% of Days
66%
1 Occupational Therapy Aide
% of Days
65%
1 Physical Therapy Aide
% of Days
46%
3 Qualified Social Worker
% of Days
52%
2 Dental Services Staff
% of Days
37%
2 Qualified Activities Professional
% of Days
4%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$298K Rank #89 / 90Federal fines — State benchmarkedThis home is ranked 89th out of 90 homes in Massachusetts. Shows this facility's cumulative CMS federal fine dollars versus the Massachusetts average among facilities with fines, and where it ranks among 90 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
315% higher than Massachusetts averageMassachusetts average: $72K
Number of fines
1
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
1274% more payment denials than Massachusetts averageMassachusetts average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$298K
Massachusetts average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2024
$298K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 19, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 19, 2024
38 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.8
55% worse than Massachusetts averageMassachusetts average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.1
50% worse than Massachusetts averageMassachusetts average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
32.1%
Percent of long-stay residents whose need for help with daily activities has increased
32.1%
72% worse than Massachusetts averageMassachusetts average: 18.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.8%
Percent of long-stay residents whose ability to move independently worsened
26.8%
39% worse than Massachusetts averageMassachusetts average: 19.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.4%
42% worse than Massachusetts averageMassachusetts average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
67% worse than Massachusetts averageMassachusetts average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
14% better than Massachusetts averageMassachusetts average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
47% better than Massachusetts averageMassachusetts average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.1%
Percent of long-stay residents who lose too much weight
10.1%
96% worse than Massachusetts averageMassachusetts average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
27.4%
Percent of long-stay residents who have depressive symptoms
27.4%
157% worse than Massachusetts averageMassachusetts average: 10.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.2%
Percent of long-stay residents who received an antipsychotic medication
22.2%
10% worse than Massachusetts averageMassachusetts average: 20.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
In line with Massachusetts averageMassachusetts average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.4%
In line with Massachusetts averageMassachusetts average: 94.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.2%
10% worse than Massachusetts averageMassachusetts average: 76.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
55% worse than Massachusetts averageMassachusetts average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.9%
45% worse than Massachusetts averageMassachusetts average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
62% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
35% of new residents, often for short stays.
Typical stay
3 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
5 - 6 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111
Medicare
21
18.9% of residents
Medicaid
77
69.4% of residents
Private pay or other
13
11.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Cape Cod Post Acute Care based on CMS SNF Cost Reports.
Occupancy Rate
84.7%
↑ 8.3pp vs 2022
Net Income
$105.2K
↑ ~$41.5K vs 2022
Total Payroll
$9.5M
↑ ~$1.3M vs 2022
Profit Margin
0.6%
↑ 0.2pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$18.2M
Profit
$105.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$18.2M Rank #56 / 92Revenue — State benchmarkedThis home is ranked 56th out of 92 homes in Massachusetts. Shows this facility's annual revenue compared to the Massachusetts SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$105.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #52 / 92Payroll — State benchmarkedThis home is ranked 52nd out of 92 homes in Massachusetts. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #52 / 92Payroll — State benchmarkedThis home is ranked 52nd out of 92 homes in Massachusetts. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.1M
What does this home offer?
Building Type: 2-story
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Dining Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Cape Cod Post Acute Care
5.3 miles from city center
Estimated distance in miles from Brewster's city center to Cape Cod Post Acute Care's address, calculated via Google Maps.
Calculate Travel Distance to Cape Cod Post Acute Care
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Financial Assistance for
Nursing Home in Massachusetts
Cape Cod Post Acute Care is located in Brewster, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Compare Nursing Home around Harwich
The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Filter by care type
| RegalCare at Harwich |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Harwich | 135 | 77.0% | -6% | 3.73 | +28% | -5% | $15.6k | 31 | 6.2 | 3 | 89 | 4 | Regalcare At Harwich Holdings LLC | $14.6M | $9.0M | 61.9% | 225525 | ||||
| Cape Cod Post Acute Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Brewster | 135 | 84.7% | +3% | 3.43 | +40% | -13% | $298.5k | 72 | 9.0 | 8 | 114 | 12 | David A Berkowitz Delta Trust | $18.2M | $9.5M | 52.1% | 225667 |
Frequently Asked Questions about Cape Cod Post Acute Care
Is Cape Cod Post Acute Care in a walkable area?
Cape Cod Post Acute Care has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the address of Cape Cod Post Acute Care?
Cape Cod Post Acute Care is located at 383 S Orleans Rd, Brewster, MA 02631.
What is the phone number of Cape Cod Post Acute Care?
(508) 240-3500 will put you in contact with the team at Cape Cod Post Acute Care.
Is Cape Cod Post Acute Care Medicare or Medicaid certified?
Yes — Cape Cod Post Acute Care is a CMS-certified provider of Medicare and Medicaid.
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