Nursing homes › Massachusetts › Cape Cod Post Acute Care
383 South Orleans Road, Brewster, MA 02631 · 5082403500 · 135 certified beds
Per CMS filings, this facility is affiliated with Marquis Health Services, a group operating 89 facilities in 9 states. Group record: average rating 3.1/5, 6 abuse citation icons, 1 facilities on the Special Focus list, $2,835,484 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.35 (Massachusetts median: 3.71). RN hours: 0.79. Weekend total: 3.01. Nursing staff turnover: 50%.
All-time on record: 69 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-08 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2025-06-03 |
| 2025-05-08 | Ensure 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. | E | Health | corrected 2025-06-03 |
| 2025-05-08 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-06-03 |
| 2025-05-08 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2025-06-03 |
| 2025-05-08 | Educate 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. | E | Health | corrected 2025-06-03 |
| 2025-05-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-03 |
| 2025-05-08 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-06-03 |
| 2025-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-06-03 |
| 2025-04-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-05-20 |
| 2024-07-24 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-08-09 |
| 2024-07-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-08-09 |
| 2024-05-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-06-09 |
| 2024-03-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | H | Health | corrected 2024-04-26 |
| 2024-03-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Health | corrected 2024-04-26 |
| 2024-03-19 | Provide enough food/fluids to maintain a resident's health. | H | Health | corrected 2024-04-26 |
| 2024-03-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Health | corrected 2024-04-26 |
| 2024-03-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2024-04-26 |
| 2024-03-19 | Provide activities to meet all resident's needs. | F | Health | corrected 2024-04-26 |
| 2024-03-19 | Ensure the activities program is directed by a qualified professional. | F | Health | corrected 2024-04-24 |
| 2024-03-19 | Conduct 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. | F | Health | corrected 2024-04-24 |
| 2024-03-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2024-04-24 |
| 2024-03-19 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2024-04-26 |
| 2024-03-19 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-05-26 |
| 2024-03-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-04-26 |
| 2024-03-19 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-04-24 |
| 2024-03-19 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-04-26 |
| 2024-03-19 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Provide 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. | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-04-26 |
| 2024-03-19 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-05-26 |
| 2024-03-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-04-26 |
| 2024-03-19 | Ensure 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. | D | Health | corrected 2024-05-24 |
| 2024-03-19 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2024-04-26 |
| 2024-03-19 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Educate 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. | D | Health | corrected 2024-04-24 |
| 2024-03-19 | Ensure each resident receives an accurate assessment. | B | Health | corrected 2024-04-24 |
| Date | Type | Amount |
|---|---|---|
| 2024-03-19 | Fine | $298,483 |
| 2024-03-19 | Payment Denial | 38 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SKILLED VENTURE LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 09/12/2024 |
| KAHANOW, AVIVA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 10/31/2024 |
| ROKEACH, FRAIDE | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 10/31/2024 |
| HARMAN, DINA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/31/2024 |
| LORDAN, NANCY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/17/2025 |
| STEVENS, JOEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/31/2024 |
| VIROJA, YOGESH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/31/2024 |
| MARQUIS LIMITED LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/31/2024 |
| RELIANT PRO REHAB LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/11/2025 |
| LORDAN, NANCY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/17/2025 |
| POSEN, MINDEE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/31/2024 |
| ZANFES, ZACHARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/31/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 225667. Corrections: data@carerecords.org.