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C
Below Standard

CAPE HERITAGE REHABILITATION & HEALTH CARE CENTER

37 ROUTE 6A · SANDWICH, MA 02563

5088888222 · For profit - Limited Liability company

123 beds108.3 residents131 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CAPE HERITAGE REHABILITATION & HEALTH CARE CENTER receives an overall staffing grade of C (Below Standard). With 3.1914 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6573 HPRD, below the recommended 0.75. It is 0.70 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.93% compared to weekdays. The facility has low agency staff usage (2.76% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1914 HPRD — needs 0.29 more hours per resident per day.
⚠️RN staffing (0.6573 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.76%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1914hrs/resident/day▼ 0.70
CMS benchmark: 3.48
RN HPRD
0.6573hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
17.93%
3.3618 weekday → 2.759 weekend
Agency Staff
2.76%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8627hrs/resident/day
Direct care aides
LPN HPRD
0.6715hrs/resident/day
Licensed practical nurses
Consistency
0.3436std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Barnstable County Average-0.53 HPRD
3.72
03.19 HPRD
vs. Massachusetts State Average-0.68 HPRD
3.87
03.19 HPRD
vs. National Average-0.70 HPRD
3.90
03.19 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CAPE HERITAGE REHABILITATION & HEALTH CARE CENTER ★
SANDWICH · This facility
—
C
3.19140.6573★★☆☆☆
BOURNE MANOR EXTENDED CARE FACILITY
BOURNE
4.2 mi
C
3.64210.4224★☆☆☆☆
CAPE REGENCY REHABILITATION & HEALTH CARE CENTER
CENTERVILLE
12 mi
C
3.47650.5487★☆☆☆☆
PLYMOUTH HARBORSIDE HEALTHCARE
PLYMOUTH
14.2 mi
C
3.18350.5977★☆☆☆☆
PLYMOUTH REHABILITATION & HEALTH CARE CENTER
PLYMOUTH
14.4 mi
C
3.2050.417★☆☆☆☆
ROYAL NURSING CENTER, LLC
FALMOUTH
14.8 mi
C
3.43880.6883★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
56
Total Deficiencies
$0
Fines Assessed
May 21, 2025Health
6 deficiencies cited
▼
Apr 10, 2024Health
8 deficiencies cited
▼
Nov 16, 2023Health
1 deficiency cited
▼
Oct 5, 2022Health
41 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.