CCN 225667 · Barnstable County, Massachusetts
Cape Cod Post Acute Care
383 South Orleans Road, Brewster, MA 02631
Cape Cod Post Acute Care is a 135-bed for-profit nursing home in Brewster, Massachusetts, first certified for Medicare or Medicaid in 1995. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 125.4 residents a day, about 93% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 135
- Average residents per day
- 125.4 (92.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Cape Cod Operator LLC
- Certified since
- Feb 16, 1995
- Chain or affiliated group
- Marquis Health Services (90 facilities, chain average 3.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Massachusetts median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 65 at 1, 68 at 2, 62 at 3, 72 at 4, 71 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.35 | 3.70 | 3.68 |
| RN hours per resident per day | 0.79 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.01 | ||
| Nursing staff turnover | 50.0% | 37.7% | 44.9% |
| Occupancy (residents / beds) | 92.9% | 86.9% | 85.7% |
| Fines reported by CMS | 1 totaling $298,483 | ||
| Health deficiencies, latest standard survey | 5 (Jun 10, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Cape Cod Post Acute Care meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Forbright BankOrganization | Mortgage Interest | n/a | 10/31/2024 |
| Marquis Limited LLCOrganization | Operational / Managerial Control | n/a | 10/31/2024 |
| Reliant Pro Rehab LLCOrganization | Operational / Managerial Control | n/a | 01/11/2025 |
| Lordan, NancyIndividual | Operational / Managerial Control | n/a | 02/17/2025 |
| Posen, MindeeIndividual | Operational / Managerial Control | n/a | 10/31/2024 |
| Zanfes, ZacharyIndividual | Operational / Managerial Control | n/a | 10/31/2024 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Forbright Bank.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 31, 2024 | Cape Cod Operator LLC | Pleasant Bay of Brewster Rehab Center LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.