Massachusetts ›Sandwich

Cape Heritage Rehabilitation & Health Care Center

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37 Route 6a, Sandwich, MA 02563 (opens Google Maps) · Barnstable County · (508) 888-8222· 123 certified beds · avg 110 residents/day · certified since Feb 24, 1989 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: ATHENA HEALTHCARE SYSTEMS (22 facilities, chain avg rating 1.5★)

2/5
Health inspection rating (on-site)
inspected May 21, 2025
3
Serious findings on record
most recent Oct 5, 2022
$0
Fines, last 3 years
3.09
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Oct 5, 2022 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Nov 19, 2022 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Oct 5, 2022 · F-0692

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 30, 2022 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Oct 5, 2022 · F-0725

The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.

Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Nov 19, 2022 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 57 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint F-0807

  2. F · Potential for more than minimal harm, widespread

    The facility did not dispose of garbage and refuse properly. F-0814

  3. F · Potential for more than minimal harm, widespread

    The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. F-0908

View all 57 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 29, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint · F-0807
May 21, 2025F · Potential for more than minimal harm, widespreadThe facility did not dispose of garbage and refuse properly. · F-0814
May 21, 2025F · Potential for more than minimal harm, widespreadThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
May 21, 2025F · Potential for more than minimal harm, widespreadThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
May 21, 2025E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
May 21, 2025E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 21, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 10, 2024E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Apr 10, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Apr 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Apr 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Apr 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Apr 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 10, 2024B · Potential for minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Nov 16, 2023F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Oct 5, 2022▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 5, 2022▲ G · Actual harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Oct 5, 2022▲ G · Actual harm, isolatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · F-0865
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. · F-0885
Oct 5, 2022F · Potential for more than minimal harm, widespreadThe facility did not perform required COVID-19 testing on residents and staff. · F-0886
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888
Oct 5, 2022E · Potential for more than minimal harm, patternThe facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Oct 5, 2022D · Potential for more than minimal harm, isolatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 41
Serious citations (G–L): 3
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2022413G ▲
202310F
202480E
202560F
202610D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMassachusetts averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.09
Massachusetts average: 3.89
U.S. average: 3.95
Registered Nurse hours
This facility: 0.58
Massachusetts average: 0.65
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.76
Massachusetts average: 3.51
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMassachusetts avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.093.893.95bottom 10% in Massachusetts; bottom 17% in the U.S.
Registered Nurse hours0.580.650.69bottom 49% in Massachusetts; bottom 49% in the U.S.
Weekend total nurse staffing2.763.513.50bottom 10% in Massachusetts; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)0.350.460.48bottom 36% in Massachusetts; bottom 41% in the U.S.
Total nursing staff turnover (%)40.438.245.8bottom 41% in Massachusetts; top 37% in the U.S.
RN turnover (%)45.542.642.9bottom 42% in Massachusetts; bottom 43% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.10, RN 0.58, weekend 2.76.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.10 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Cape Heritage Rehabilitation & Health Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Athena Health Care Systems Ma R LLCOrganization5% or Greater Direct Ownership Interest100%09/25/2012
Chakalos-Santilli, ValerieIndividual5% or Greater Indirect Ownership Interest5%09/25/2012
Curtis, DianeIndividual5% or Greater Indirect Ownership Interest—09/25/2012
Mosier, MichaelIndividual5% or Greater Indirect Ownership Interest6%09/25/2012
Rezendes, LorrieIndividual5% or Greater Indirect Ownership Interest—09/25/2012
Santilli, LawrenceIndividual5% or Greater Indirect Ownership Interest74%05/04/2020
Athena Health Care Associates, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE09/25/2012
Mosier, MichaelIndividualW-2 Managing EmployeeNOT APPLICABLE09/25/2012
Santilli, LawrenceIndividualCorporate OfficerNOT APPLICABLE09/25/2012

All 9 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Athena Healthcare Systems — 22 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 21 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
  • "Can I see where garbage is stored and how often it's removed?"
  • "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
  • "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Massachusetts midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 17 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Bourne Manor Extended Care Facility4.3 miBourne, MA★☆☆☆☆1/5
Royal Cape Cod Nursing & Rehabilitation Center4.9 miBuzzards Bay, MA★★★☆☆3/5
Royal of Cotuit9.6 miMashpee, MA★★☆☆☆2/5
Royal Megansett Nursing & Rehabilitation9.8 miN Falmouth, MA★★★★☆4/5
Tremont Rehabilitation & Skilled Care Center11.2 miWareham, MA★★★☆☆4/5
Cape Regency Rehabilitation & Health Care Center12.0 miCenterville, MA★☆☆☆☆1/5
Pavilion , the12.4 miHyannis, MA★★★★★5/5
Sippican Rehabilitation and Healthcare Center13.8 miMarion, MA★★★★☆3/5
Life Care Center of Plymouth14.0 miPlymouth, MA★★★★★5/5
Plymouth Harborside Healthcare14.2 miPlymouth, MA★☆☆☆☆1/5abuseSFF
Plymouth Rehabilitation & Health Care Center14.4 miPlymouth, MA★★☆☆☆2/5
Royal Nursing Center, LLC14.9 miFalmouth, MA★★★☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Barnstable, MA — 15 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Sandwich →

Facility data as of CMS processing date 2026-08-01. CCN 225337.

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