nursing home in Sandwich, MA
Cape Heritage Rehabilitation & Health Care Center
37 Route 6A, Sandwich, MA 02563 · (508) 888-8222
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cape Heritage Rehabilitation & Health Care Center at a glance
Cape Heritage Rehabilitation & Health Care Center is a 123-bed for-profit nursing home in Sandwich, Massachusetts (Barnstable County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Massachusetts average of 3.
Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 21, 2025) found 7 health citations. The Massachusetts average is 6.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 40.4% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 123
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Athena Healthcare Systems
- Medicare-certified since
- February 24, 1989
- Resident/family council
- Resident
- County
- Barnstable County
- CMS Certification Number
- 225337
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.10 hrs | 3.86 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.58 hrs | 0.65 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.79 hrs | 2.25 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.76 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40.4% | 38.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 45.5% | 42.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 70 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $34,265 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 123 | 120 | 107 | |
| Average residents per day | 110 | 99 | 86 | |
| Occupancy | 89.3% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 17.8% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.1% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.1% | 16.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 15.7% | 15.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.2% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 11.3% | 15.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.7% | 19.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 21.6% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 94.1% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.2% | 92.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 72.7% | 77.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 64.7% | 78.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 57 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 29, 2026 Complaint | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected August 3, 2026 |
| May 21, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected June 13, 2025 |
| May 21, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected June 13, 2025 |
| May 21, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected July 1, 2025 |
| May 21, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 1, 2025 |
| May 21, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 1, 2025 |
| May 21, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 13, 2025 |
| April 10, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | E Potential harm, pattern | Corrected May 31, 2024 |
| April 10, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected May 22, 2024 |
| April 10, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 22, 2024 |
| April 10, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 10, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 10, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 10, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 10, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 22, 2024 |
| April 10, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | B No harm, pattern | Corrected May 22, 2024 |
| November 16, 2023 Standard · Infection control | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 20, 2023 |
| October 5, 2022 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | E Potential harm, pattern | Corrected November 18, 2022 |
| October 5, 2022 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | G Actual harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected December 30, 2022 |
| October 5, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Report COVID19 data to residents and families. Infection Control Deficiencies · Tag F0885 | F Potential harm, widespread | Corrected November 19, 2022 |
| October 5, 2022 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 30, 2022 |
| October 5, 2022 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected November 19, 2022 |
| October 5, 2022 Standard | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Tag F0886 | F Potential harm, widespread | Corrected December 30, 2022 |
| October 5, 2022 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected November 19, 2022 |
| October 5, 2022 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected November 19, 2022 |
| October 5, 2022 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected November 19, 2022 |
| October 5, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected November 19, 2022 |
| October 5, 2022 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected December 30, 2022 |
| October 5, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 30, 2022 |
| October 5, 2022 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected December 30, 2022 |
| October 5, 2022 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | E Potential harm, pattern | Corrected December 30, 2022 |
| October 5, 2022 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected November 19, 2022 |
| October 5, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected December 30, 2022 |
| October 5, 2022 Standard | 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected December 20, 2022 |
| October 5, 2022 Standard | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Tag F0888 | E Potential harm, pattern | Corrected November 19, 2022 |
| October 5, 2022 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected November 19, 2022 |
| October 5, 2022 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 30, 2022 |
| October 5, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 30, 2022 |
| October 5, 2022 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected November 19, 2022 |
| October 5, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 30, 2022 |
| October 5, 2022 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected November 19, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ATHENA HEALTH CARE SYSTEMS MA R LLC Organization | 5% or greater direct ownership interest | 100% | 09/25/2012 |
| CHAKALOS-SANTILLI, VALERIE Individual | 5% or greater indirect ownership interest | 5% | 09/25/2012 |
| CURTIS, DIANE Individual | 5% or greater indirect ownership interest | — | 09/25/2012 |
| MOSIER, MICHAEL Individual | 5% or greater indirect ownership interest | 6% | 09/25/2012 |
| REZENDES, LORRIE Individual | 5% or greater indirect ownership interest | — | 09/25/2012 |
| SANTILLI, LAWRENCE Individual | 5% or greater indirect ownership interest | 74% | 05/04/2020 |
| SANTILLI, LAWRENCE Individual | corporate officer | NOT APPLICABLE | 09/25/2012 |
| ATHENA HEALTH CARE ASSOCIATES, INC. Organization | operational/managerial control | NOT APPLICABLE | 09/25/2012 |
| MOSIER, MICHAEL Individual | w-2 managing employee | NOT APPLICABLE | 09/25/2012 |
Other nursing homes near Cape Heritage Rehabilitation & Health Care Center
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★★★★★1Much below averageRoyal Cape Cod Nursing & Rehabilitation Center
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★★★★★3AverageRoyal of Cotuit
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★★★★★2Below averageRoyal Megansett Nursing & Rehabilitation
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★★★★★4Above averageTremont Rehabilitation & Skilled Care Center
605 Main Street, Wareham, MA 02571 · 11.2 mi
For-profit · 104 beds · Part of Athena Healthcare Systems
★★★★★3AverageCape Regency Rehabilitation & Health Care Center
120 S Main Street, Centerville, MA 02632 · 12 mi
For-profit · 120 beds · Part of Athena Healthcare Systems
★★★★★1Much below average
Frequently asked questions
What is Cape Heritage Rehabilitation & Health Care Center's rating?
Cape Heritage Rehabilitation & Health Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Cape Heritage Rehabilitation & Health Care Center receive?
Its most recent standard health inspection found 7 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Cape Heritage Rehabilitation & Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cape Heritage Rehabilitation & Health Care Center?
It is for profit - limited liability company and part of Athena Healthcare Systems. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cape Heritage Rehabilitation & Health Care Center and how do I contact it?
Cape Heritage Rehabilitation & Health Care Center is at 37 Route 6A, Sandwich, MA 02563. Phone: (508) 888-8222.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.