Facility profile · CCN 225667
Cape Cod Post Acute Care
69 federal citations on record , and 2 federal enforcement actions totaling $298,483.
Record summary
Federal record · Q1 202669
Total citations
45
Last 3 years
8
Actual harm+
2
Federal penalties
$298,483
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
69 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 8, 2025 | F887 | 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 | Standard |
| May 8, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| May 8, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 8, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| May 8, 2025 | F761 | 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 | Standard |
| May 8, 2025 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| May 8, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 8, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Apr 29, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 24, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 24, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 21, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 19, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | Standard |
| Mar 19, 2024 | F887 | 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 | Standard |
| Mar 19, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Mar 19, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 19, 2024 | F849 | 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 | Standard |
| Mar 19, 2024 | F838 | 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 | Standard |
| Mar 19, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 19, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Mar 19, 2024 | F761 | 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 | Standard |
| Mar 19, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Mar 19, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 19, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 19, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | H | Standard |
| Mar 19, 2024 | F690 | 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 | Standard |
| Mar 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Standard |
| Mar 19, 2024 | F688 | 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 | Standard |
| Mar 19, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Mar 19, 2024 | F680 | Ensure the activities program is directed by a qualified professional. | F | Standard |
| Mar 19, 2024 | F679 | Provide activities to meet all resident's needs. | F | Standard |
| Mar 19, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Mar 19, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 19, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard |
| Mar 19, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 19, 2024 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Mar 19, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Mar 19, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | H | Standard |
| Mar 19, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Mar 19, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Mar 19, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Sep 20, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 20, 2023 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint |
| Sep 20, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Sep 20, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Aug 24, 2022 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Aug 24, 2022 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Aug 24, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 24, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 24, 2022 | F838 | 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 | Standard |
| Aug 24, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 24, 2022 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Aug 24, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Aug 24, 2022 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Aug 24, 2022 | F761 | 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 | Standard |
| Aug 24, 2022 | F758 | Implement 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. | E | Standard |
| Aug 24, 2022 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Aug 24, 2022 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard |
| Aug 24, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Aug 24, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | H | Standard |
| Aug 24, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Standard |
| Aug 24, 2022 | F688 | 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 | Standard |
| Aug 24, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Aug 24, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Aug 24, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Aug 24, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 24, 2022 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Aug 24, 2022 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard |
| Aug 24, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $298,483 and 1 payment-denial actions spanning 38 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 19, 2024 | Fine | $298,483 | — |
| Mar 19, 2024 | Payment Denial | — | May 2, 2024 · 38 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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