4/5
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.
4/5
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.
Regalcare at Harwich is a nursing home in Harwich, MA, offering memory care, rehabilitation, and skilled nursing. Promoting a nurturing, home-like environment, the community ensures older adults are treated well throughout their stay. High-quality services, including 24-hour support, social services, and recreational opportunities, are also provided to meet residents’ needs and preferences. Following a resident-centered approach to care, the community goes above and beyond to provide customized care plans for recovery and rehabilitation.
Stretching exercises and fun gatherings ensure residents can stay active and happy. With state-of-the-art rehabilitation equipment and lively gathering areas, residents can focus on their recovery and wellness. Residents also experience a stress-free retirement, as it is conveniently located near Cape Cod Hospital, Grand Army of the Republic Highway, and Hinckley’s Pond. This nursing home ensures older adults can live to their potential, making it one of the best options for senior living in Massachusetts.
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 58th 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.
| 50m per day | ▲ 28% 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.
| 27m per day | ▼ 54% 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 48m per day | ▼ 20% 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 44m per day | ▼ 21% 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.
| 3m per day | ▼ 25% 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.
| 38m per day | ▲ 39% 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.
| 9 | — | — |
|
Citations per year
Average citations per year since 2024.
| 4.5 | — | — |
Massachusetts average 4.5
Last Health inspection on Aug 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.
28 of 31 citations resulted from standard inspections; and 3 of 31 resulted from complaint investigations.
100% better than Massachusetts averageMassachusetts average: 0.3
100% 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.
43% fewer staff per resident than Massachusetts average
11% 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.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 39 CNA Staff are full-time employees. No contractors work on this role.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,302 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 18,329 | 92 | 100% | 9 |
| Registered Nurse | 15 | 0 | 15 | 6,175 | 92 | 100% | 10.3 |
| Licensed Practical Nurse | 9 | 0 | 9 | 3,905 | 92 | 100% | 9.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,778 | 67 | 73% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,023 | 91 | 99% | 7.3 |
| Physical Therapy Assistant | 0 | 4 | 4 | 753 | 88 | 96% | 6.1 |
| Occupational Therapy Aide | 2 | 0 | 2 | 604 | 81 | 88% | 6.1 |
| RN Director of Nursing | 2 | 0 | 2 | 588 | 60 | 65% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 583 | 70 | 76% | 6.4 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 484 | 60 | 65% | 8.1 |
| Qualified Social Worker | 0 | 1 | 1 | 480 | 60 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 476 | 61 | 66% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 367 | 50 | 54% | 7.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 247 | 38 | 41% | 6.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 240 | 36 | 39% | 5.5 |
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)
78% lower than Massachusetts averageMassachusetts average: $72K
17% more fines than Massachusetts averageMassachusetts average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Massachusetts averageMassachusetts average: 0.1
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
7.5
26% better than Massachusetts averageMassachusetts average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.4
33% better than Massachusetts averageMassachusetts average: 20.0
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
8% better than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
10.9%
44% better than Massachusetts averageMassachusetts average: 19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.0%
46% better than Massachusetts averageMassachusetts average: 22.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
10% better than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.3%
28% better than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.7%
67% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
3.0%
43% better than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
1.3%
87% better than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
28.5%
41% worse than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
8% better than Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Massachusetts averageMassachusetts average: 94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.1%
18% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
85% worse than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.5%
6% better 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.
73% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
98Residents 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 RegalCare at Harwich 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 #56 / 96Payroll — State benchmarkedThis home is ranked 56th 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 #18 / 96Payroll % — State benchmarkedThis home is ranked 18th 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
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (73% of admissions), and a typical Medicare stay runs around 22 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.2 miles from city center
Estimated distance in miles from Harwich's city center to RegalCare at Harwich'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 |
RegalCare at Harwich is located in Harwich, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
RegalCare at Harwich has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
RegalCare at Harwich's occupancy is 77.0%.
RegalCare at Harwich is registered as a for-profit in MA.
RegalCare at Harwich is located at 111 Headwaters Dr, Harwich, MA 02645.
(508) 430-1717 will put you in contact with the team at RegalCare at Harwich.
Yes — RegalCare at Harwich is a CMS-certified provider of Medicare and Medicaid.
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