Assisted Living
Victorian Health of Chatham
389 Orleans Road, Chatham, MA 02650 · Map
Licensed for 40 residents
Victorian Health of Chatham is a state-licensed assisted living community in Chatham, Massachusetts. It is licensed for 40 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 40 residents
Certified Assisted Living Residence.
Nearest emergency room
16.2 miles
Cape Cod Hospital, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Victorian Health of Chatham this community | 40 | Not published | Active | 7 findings in latest review | |
| Wingate Residences at Pleasant Bay | 3.3 mi | 59 | Not published | Active | No record |
| Maplewood at Brewster | 6.5 mi | 132 | Not published | Active | No record |
| Thirwood Place | 11.3 mi | 69 | Not published | Active | No record |
| Maplewood at Mayflower Place | 15.3 mi | 38 | Not published | Active | No record |
State inspection record7 findings in latest review
- Last compliance review
- October 8, 2024
- Reports on AGE’s page
- 1
- Latest action (as printed)
- Plan of Correction required
- Certified since 1998
Compliance review, October 8, 2024 (AGE’s report)
- Review on site
- October 8, 2024
- Report dated
- October 9, 2024
- Action taken (as printed)
- Plan of Correction required
- Previous action (as printed)
- No
- Certification (as printed)
- Certified through 11/18/24
- Review before this one
- October 27, 2022
- Corrections due by (as printed)
- November 9, 2024
- Findings cited
- 7 5 marked repeat
Summary: AGE cited 7 findings in this report, 5 of them marked as repeat findings from an earlier review. Plan of Correction required (AGE’s action).
Summary of actions, as written: “EOEA conducted an on-site compliance review on October 8, 2024. Victorian Health of Chatham (Residence) will continue to be certified until the Executive Office of Elder Affairs (Elder Affairs) issues a notice regarding final approval or denial of the application for recertification. Final approval will be granted when the issues discussed below have been clarified or corrected in writing.”
- Finding A: General Requirements for an ALR - Service and Service Coordination Requirements: Emergency Response marked by AGE as a repeat finding
Details
AGE’s finding, as written: “Delayed e-call response time not compliant with the ALR policy.”
Regulation cited, as printed: 651 CMR 12.04(2)(b)(3.)(b.)(c.)
What the cited rule covers (651 CMR 12.00): 651 CMR 12.04(2)(b): Service and Service Coordination Requirements (rule text: “The Sponsor of the Assisted Living Residence shall provide or arrange for the provision of the following services by personnel meeting standards for professional qualifications and training set forth in 651 CMR 12.05, 12.07, and 12.08: 1. [...]”)
Corrective action: See IV A (sections of the report)
- Finding B: General Requirements for an ALR: -Service Plan Development -Bed Rail Assessments marked by AGE as a repeat finding
Details
AGE’s finding, as written: “Inconsistent with documenting all requirements of Assessments and Service Plans. Missing Bed Rail Assessments.”
Regulation cited, as printed: 651 CMR 12.04(6) 651 CMR 12.04(7) 651 CMR 12.04(8)(a)(3)(c)
What the cited rule covers (651 CMR 12.00): 651 CMR 12.04(6): Screening and Assessment; 651 CMR 12.04(7): Service Plan Development (rule text: “The nurse and Service Coordinator shall develop an individualized Service Plan for each Resident in accordance with the findings of the initial screening described in 651 CMR 12.04(6). [...]”); 651 CMR 12.04(8)(a): Service Plan Requirements (rule text: “Each service plan shall be based on a current assessment of the Resident, and indicate the following: 1. The services needed, including the minimum service package provided for a monthly fee and any additional services the Resident needs; [...]”)
Corrective action: See IV A (sections of the report)
- Finding C: General Requirements for an ALR: Quality Assurance and Performance Improvement marked by AGE as a repeat finding
Details
AGE’s finding, as written: “Missing or incomplete components of the Quality Assurance and Performance Improvement requirements.”
Regulation cited, as printed: 651 CMR 12.04(10)(a)-(c)
What the cited rule covers (651 CMR 12.00): 651 CMR 12.04(10)(a): Quality Assurance and Performance Improvement › Service Planning (rule text: “The Residence shall review a random sample of Resident assessments, service plans and progress notes at least once each year to ensure that the Residents' service plans have been implemented and meet the Resident's general needs and any [...]”)
Corrective action: See IV A (sections of the report)
- Finding D: General Requirements for an ALR: Controlled Substances marked by AGE as a repeat finding
Details
AGE’s finding, as written: “Controlled Substance policy is not being followed. Missing disposal policy.”
Regulation cited, as printed: 651 CMR 12.04(14)(a)(b)
What the cited rule covers (651 CMR 12.00): 651 CMR 12.04(14)(a): Controlled Substances (rule text: “a reporting process by which any such incidents of theft or diversion are reported, documented and investigated; and”)
Corrective action: See IV A (sections of the report)
- Finding E: Record Requirements: -Personnel Record Requirements -Correspondence Log
Details
AGE’s finding, as written: “Missing documentation required for Personnel Records. Inconsistent documentation of information necessary for the continuity of care.”
Regulation cited, as printed: 651 CMR12.05(3)(a) 651 CMR 12.05(4)
What the cited rule covers (651 CMR 12.00): 651 CMR 12.05(3)(a): Personnel Record Requirements (rule text: “Job description;”); 651 CMR 12.05(4): Record Requirements (rule text: “The Residence must maintain a staff correspondence log for each 24 hour period that communicates information necessary to maintain the continuity of care for all Residents. The correspondence log must be maintained for no less than 90 days.”)
Corrective action: See IV A&B (sections of the report)
- Finding F: Staffing Requirements: Staffing Levels
Details
AGE’s finding, as written: “Missing documentation of staffing levels analysis.”
Regulation cited, as printed: 651 CMR 12.06(4)
What the cited rule covers (651 CMR 12.00): 651 CMR 12.06(4): Staffing Levels
- Finding G: Training Requirements: LBGTQ marked by AGE as a repeat finding
Details
AGE’s finding, as written: “Missing LGBTQ training.”
Regulation cited, as printed: M.G.L. c. 19A, § 43 651 CMR 12.04(1)(e)
What the cited rule covers (651 CMR 12.00): 651 CMR 12.04(1)(e): Physical Requirements (rule text: “Every Assisted Living Residence shall meet the requirements, of all applicable federal and state laws and regulations including, but not limited to, the state sanitary codes, state building and fire safety codes and laws and regulations [...]”)
Corrective action: See IV A (sections of the report)
What AGE reviewed and found (AGE’s words)
A. Service and Service Coordination Requirements - Emergency Response
- EOEA reviewed response times and tests of the emergency response system from the calendar years 2023 to 2024 to determine compliance with Service Coordination requirements.
- In the month of June 2023 there were 26 e-call response times over the 7 minutes required by the Residence policy.
- In the month of August 2024 there were 28 e-call response times over the 7 minutes required by the Residence policy.
B. General Requirements for an Assisted Living Residence
- EOEA reviewed the records of five Residents to determine compliance with requirements for Screening and Assessment, Service Plan Development and Service Plan Requirements.
Service Plan Development
- Two records were missing a physician evaluation completed prior to three months prior to move-in.
Bed Rail Assessments
- EOEA reviewed the Residence records of seven Residents utilizing bed rails / U-bars or similar devices for the period of 2023 through the date of the Compliance Review to determine compliance with the required assessment by a physical/occupational therapist every six months.
- Documentation of an assessment conducted by a physical/occupational therapist determining that the Resident can independently navigate around the bed rail / assistive device was missing for six Residents.
C. Quality Assurance and Performance Improvement
- EOEA reviewed documentation to ensure the Residence has established an effective, ongoing quality improvement and assurance program for Service Planning, Resident Safety Assurances and Medication Quality for the calendar years 2022, 2023 and 2024.
Service Planning
- Documentation of the date of the review and the person conducting the review was missing in calendar year 2023.
Resident Safety Assurances
- Documentation of a set target date for follow-up action and person responsible for follow up action was missing in calendar year 2023.
- Documentation of management evaluating the effectiveness of the Evidence Informed Falls Prevention Program was missing in calendar year 2023.
Medication Quality Plan
- Documentation of the person responsible for follow up action and a set target date for follow-up action was missing all four quarters of calendar year 2023 and the first three quarters of calendar year 2024.
D. Controlled Substances
- EOEA reviewed the Controlled Substance (CS) policy and procedure to provide safeguards to prevent theft and dispose of controlled substances prescribed to Residents who participate in SAMM.
- The Residence policy does not include steps regarding the disposal of controlled substances.
- EOEA observed documentation which did not meet the policy requirements intended to prevent the theft or diversion of controlled substances.
Personnel Record Requirements
- EOEA reviewed the personnel records of five staff members to determine compliance with Personnel Record requirements.
- Three Personnel records did not contain signed and dated job descriptions.
Correspondence Log
- EOEA reviewed the current 90-day Correspondence Log required to communicate information necessary to maintain the continuity of care for all Residents.
- The Residence did not use the Correspondence Logs to communicate all significant or pertinent information necessary to maintain the continuity of care for all Residents.
F. Staffing Requirements – Staffing Levels
- EOEA reviewed the Residence quarterly staffing level assessments for the calendar years 2023 through the date of the Compliance Review to determine compliance with training requirements.
- Documentation confirming the Residence conducted quarterly staffing level assessments for the first two quarters in calendar year 2023 was missing.
G. Training Requirements - LBGTQ Training
- EOEA reviewed five personnel records to determine compliance with training requirements.
- Three records were missing documentation to confirm completion of required LGBTQ training.
Summaries are ours and are marked “Summary”; quoted text is AGE’s own, as printed in reports scanned to text (spelling slips are AGE’s or the scan’s), shortened where marked [...]. Rule descriptions come from 651 CMR 12.00 as in force on the report date. AGE’s page for this residence links each report.
What these terms mean
651 CMR 12.09(2): AGE "shall conduct compliance reviews of Assisted Living Residences no less than once every two years. In addition, [AGE] may conduct a compliance review any time it has cause to believe that an Assisted Living Residence is in violation" of the law or its regulations.
651 CMR 12.09(4)(b): a notice of noncompliance "shall describe the noncompliance with particularity, indicate the specific portion of the law(s) or regulation(s) which have been violated, and shall include the corrective action to be taken."
651 CMR 12.09(4)(c) and (d): AGE may require corrective action, including "Ceasing the enrollment of new Residents" or "Reducing the number of Residents served", and may "deny, revoke, suspend, modify or refuse to issue or renew a Certification."
A finding marked repeat is one AGE also cited at an earlier review. AGE does not rate findings by severity in these reports; the action taken is AGE's overall response.
AGE posts these reports on each residence’s mass.gov page and keeps no public index, so older reports may not be listed. Massachusetts posts no complaint results for assisted living. This residence is certified for 40 units; larger residences have more records to review, so read counts with size in mind. Source: Massachusetts Executive Office of Aging & Independence (AGE), Assisted Living Residence certification, residence pages read October 16, 2026. Always visit in person and ask the residence about anything listed here.
License and ownershipActive license
- License type
- Certified Assisted Living Residence
- License status
- Active
- Licensed capacity
- 40
- County
- Barnstable County
Source: Massachusetts state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in Massachusetts, and other programs
How Medicaid pays for care in Massachusetts
- Group Adult Foster Care (GAFC), a MassHealth program. Most people pay privately. MassHealth (Medicaid) can help through Group Adult Foster Care (GAFC) at residences that accept it, but not all ALRs do. Ask before you sign a residency agreement. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 16.2 mi, nursing home 0.0 mi, pharmacy 3.1 mi
- Nearest hospital with an emergency room
- Cape Cod Hospital, Hyannis. 16.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Liberty Commons, North Chatham. 0.0 miles away, straight line.
- Nearest home health agency office
- Vna Of Cape Cod, South Dennis. 9.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 3.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02650 as metropolitan (metropolitan core).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 02650.
Broad Reach Hospice, office in Chatham, 1.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Visiting Nurse Association Of Cape Cod Hospice, office in Hyannis, 16.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Harbor Health Services Inc, Hyannis. 17.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively high, coastal flooding relatively high, wildfire very low, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour9 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Massachusetts Executive Office of Aging & Independence (AGE), Assisted Living Residence certification inspection records | Oct 16, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Victorian Health of Chatham provide?
Victorian Health of Chatham is licensed by the state of Massachusetts for assisted living in Chatham, Massachusetts. Its licensed capacity is 40 residents.
Does Lilisity rate Victorian Health of Chatham?
No. We publish state licensing details for Victorian Health of Chatham but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Victorian Health of Chatham cost?
Assisted Living in Massachusetts typically starts at $5,300 to $7,800 a month. Based on 31 communities that publish prices. These are area figures, not this community's price. Victorian Health of Chatham does not publish its prices.
How do I contact Victorian Health of Chatham?
Use Victorian Health of Chatham's website, mass.gov/locations/victorian-health-of-chatham, or visit at 389 Orleans Road, Chatham, MA 02650.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid