Royal Cape Cod Nursing & Rehabilitation Center

Name: Royal Cape Cod Nursing & Rehabilitation Center
Address: 8 LEWIS POINT ROAD, Buzzards Bay, MA, 02532, US
Telephone: 5087595752

8 Lewis Point Road, Buzzards Bay, MA 02532 · Barnstable County · 99 certified beds · avg 91 residents/day · certified since Oct 1, 1991

Part of chain: ROYAL HEALTH GROUP (12 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

$9,004

Fines, last 3 years

3.16

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 1, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 10, 2025 (Past Non-Compliance)

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 20, 2026	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jan 20, 2026	E · Potential for harm, repeated	The 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.
Jan 20, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jan 20, 2026	D · Potential for harm, one-off	The 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.
Jan 20, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 20, 2026	D · Potential for harm, one-off	The 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.
Jul 15, 2025	D · Potential for harm, one-off	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint
Jul 15, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Apr 1, 2025	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Nov 21, 2023	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Nov 21, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 21, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 21, 2023	D · Potential for harm, one-off	The 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.
Nov 21, 2023	D · Potential for harm, one-off	The 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.
Nov 21, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 21, 2023	D · Potential for harm, one-off	The 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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	0	E
2025	3	1	G ▲
2026	6	0	E

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)

1 fine totaling $9,004.

Date	Type	Amount / length
Apr 1, 2025	Fine	$9,004

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

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.16	3.89	3.95	bottom 14% in Massachusetts; bottom 20% in the U.S.
Registered Nurse hours	0.41	0.65	0.69	bottom 15% in Massachusetts; bottom 23% in the U.S.
Weekend total nurse staffing	2.80	3.51	3.50	bottom 11% in Massachusetts; bottom 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.46	0.48	bottom 30% in Massachusetts; bottom 35% in the U.S.
Total nursing staff turnover (%)	39.3	38.2	45.8	bottom 44% in Massachusetts; top 35% in the U.S.
RN turnover (%)	40.0	42.6	42.9	top 46% in Massachusetts; top 46% in the U.S.

Hours are per resident per day, 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 3.28, RN 0.42, weekend 2.91. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Mamary, James	Individual	5% or Greater Direct Ownership Interest	100%	11/01/2000
Mamary, James	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2000
Mamary, James	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2000

Questions to ask on your visit

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

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How often does each resident's doctor visit and review their care in person?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Bourne Manor Extended Care Facility	2.0 mi	Bourne, MA	★☆☆☆☆	1/5
Cape Heritage Rehabilitation & Health Care Center	4.9 mi	Sandwich, MA	★★☆☆☆	2/5
Tremont Rehabilitation & Skilled Care Center	6.3 mi	Wareham, MA	★★★☆☆	4/5
Royal Megansett Nursing & Rehabilitation	7.5 mi	N Falmouth, MA	★★★★☆	4/5
Sippican Rehabilitation and Healthcare Center	8.9 mi	Marion, MA	★★★★☆	3/5
Royal of Cotuit	11.4 mi	Mashpee, MA	★★☆☆☆	2/5
Life Care Center of Plymouth	12.7 mi	Plymouth, MA	★★★★★	5/5
Plymouth Harborside Healthcare	13.1 mi	Plymouth, MA	★☆☆☆☆	1/5	abuseSFF
Plymouth Rehabilitation & Health Care Center	13.1 mi	Plymouth, MA	★★☆☆☆	2/5
JML Care Center INC	13.2 mi	Falmouth, MA	★☆☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Buzzards Bay →

Facility data as of CMS processing date 2026-08-01. CCN 225538.

The Care File

Visit checklist — Royal Cape Cod Nursing & Rehabilitation Center

8 Lewis Point Road, Buzzards Bay, MA 02532 · 5087595752

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $9,004

Most serious findings on record:

▲ Apr 1, 2025 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How often does each resident's doctor visit and review their care in person?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225538 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)