1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 80th out of 93 homes in Massachusetts for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 46m per day | ▲ 18% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▼ 22% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 51m per day | ▼ 18% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
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 50m per day | ▼ 18% State avg: 3h 29m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 6% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 31m per day | ▲ 13% State avg: 27m per day · National avg: 29m per day |
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Massachusetts state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | MA Average | vs. MA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 14 | — | — |
|
Citations per year
Average citations per year since 2025.
| 14 | — | — |
Massachusetts average 4.5
Last Health inspection on May 2025
Massachusetts average 32.7
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.
100% better than Massachusetts averageMassachusetts average: 0.3
433% worse than Massachusetts averageMassachusetts average: 1.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% fewer staff per resident than Massachusetts average
6% better than Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
28 total: 21 full-time employees and 7 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
21 total: 20 full-time employees and 1 contractor.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 65 CNA Staff are full-time employees. No contractors work on this role.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,010 contractor hours this quarter
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 |
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)
315% higher than Massachusetts averageMassachusetts average: $72K
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
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
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 19, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
32.1%
72% worse than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
26.8%
39% worse than Massachusetts averageMassachusetts average: 19.3%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
67% worse than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.0%
14% better than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.1%
47% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
10.1%
96% worse than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
27.4%
157% worse than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
22.2%
10% worse than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
In line with Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.4%
In line with Massachusetts averageMassachusetts average: 94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.2%
10% worse than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
55% worse than Massachusetts averageMassachusetts average: 1.3%
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.
62% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Cape Cod Post Acute Care from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #53 / 96Payroll — State benchmarkedThis home is ranked 53rd out of 96 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.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #37 / 96Payroll % — State benchmarkedThis home is ranked 37th out of 96 homes in Massachusetts. Shows payroll as a percentage of revenue versus the Massachusetts average. Well-run Massachusetts facilities typically land around 54–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: 2-story
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
| RegalCare at Harwich | NH MC | Harwich | 135
Facility
135
MA AVG
94
Rank
#42 / 280 |
77.0%
Facility
77.0%
MA AVG
82%
Rank
#65 / 96 | -6% | 3.73
Facility
3.73
MA AVG
3.93
Rank
#58 / 93 | +28% | -5% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 94 | 31
Facility
31
MA AVG
32.7
Rank
#58 / 93 | 6.2
Facility
6.2
MA AVG
7.2
Rank
#51 / 93 | 3 | 110 | - |
4
Facility
4
MA AVG
53
Rank
#489 / 499 | Regalcare At Harwich Holdings LLC | $13.4M
Facility
$13.4M
MA AVG
$17.4M
Rank
#68 / 96 | $7.7M
Facility
$7.7M
MA AVG
$6.5M
Rank
#56 / 96 | 57.4%
Facility
57.4%
MA AVG
43.6%
Rank
#18 / 96 | 225525 | ||||
| Cape Cod Post Acute Care | NH HC NC PC RC | Brewster | 135
Facility
135
MA AVG
94
Rank
#42 / 280 |
84.7%
Facility
84.7%
MA AVG
82%
Rank
#52 / 96 | +3% | 3.43
Facility
3.43
MA AVG
3.93
Rank
#80 / 93 | +40% | -13% | $298.5k
Facility
$298.5k
MA AVG
$76.6k
Rank
#93 / 94 | 72
Facility
72
MA AVG
32.7
Rank
#91 / 93 | 9.0
Facility
9.0
MA AVG
7.2
Rank
#76 / 93 | 8 | 126 | - |
12
Facility
12
MA AVG
53
Rank
#456 / 499 | David A Berkowitz Delta Trust | $15.1M
Facility
$15.1M
MA AVG
$17.4M
Rank
#57 / 96 | $6.9M
Facility
$6.9M
MA AVG
$6.5M
Rank
#53 / 96 | 45.8%
Facility
45.8%
MA AVG
43.6%
Rank
#37 / 96 | 225667 |
Cape Cod Post Acute Care is located in Brewster, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Cape Cod Post Acute Care has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
Cape Cod Post Acute Care's occupancy is 84.7%.
Cape Cod Post Acute Care is registered as a for-profit in MA.
Cape Cod Post Acute Care is located at 383 S Orleans Rd, Brewster, MA 02631.
(508) 240-3500 will put you in contact with the team at Cape Cod Post Acute Care.
Yes — Cape Cod Post Acute Care is a CMS-certified provider of Medicare and Medicaid.
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