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Part of chain: ROYAL HEALTH GROUP (12 facilities, chain avg rating 3.1★)
3/5
Health inspection rating (on-site)
inspected Jan 20, 2026
1
Serious findings on record
most recent Apr 1, 2025
$9,004
Fines, last 3 years
3.16
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 · 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): 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: Mar 10, 2025 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
E · Potential for more than minimal harm, pattern
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. F-0605
E · Potential for more than minimal harm, pattern
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. F-0686
D · Potential for more than minimal harm, isolated
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. F-0558
View all 16 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.
Date
Severity
What the facility was cited for
Jan 20, 2026
E · Potential for more than minimal harm, pattern
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. · F-0605
Jan 20, 2026
E · Potential for more than minimal harm, pattern
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. · F-0686
Jan 20, 2026
D · Potential for more than minimal harm, isolated
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. · F-0558
Jan 20, 2026
D · Potential for more than minimal harm, isolated
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. · F-0580
Jan 20, 2026
D · Potential for more than minimal harm, isolated
The 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
Jan 20, 2026
D · Potential for more than minimal harm, isolated
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. · F-0761
Jul 15, 2025
D · Potential for more than minimal harm, isolated
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 · F-0711
Jul 15, 2025
D · Potential for more than minimal harm, isolated
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 · F-0760
Apr 1, 2025
▲ G · Actual harm, isolated
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 · F-0760
Nov 21, 2023
E · Potential for more than minimal harm, pattern
The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Nov 21, 2023
E · Potential for more than minimal harm, pattern
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Nov 21, 2023
E · Potential for more than minimal harm, pattern
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. · F-0812
Nov 21, 2023
D · Potential for more than minimal harm, isolated
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. · F-0580
Nov 21, 2023
D · Potential for more than minimal harm, isolated
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. · F-0656
Nov 21, 2023
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Nov 21, 2023
D · Potential for more than minimal harm, isolated
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. · F-0761
Inspection trend by year
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
7
Serious citations (G–L):
0
2025
All citations:
3
Serious citations (G–L):
1
2026
All citations:
6
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Apr 1, 2025
Fine
$9,004
Nurse staffing (from payroll records, adjusted for how much care residents need)
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:
3.16
Massachusetts average:
3.89
U.S. average:
3.95
Registered Nurse hours
This facility:
0.41
Massachusetts average:
0.65
U.S. average:
0.69
Weekend total nurse staffing
This facility:
2.80
Massachusetts average:
3.51
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 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 3.28, RN 0.42, weekend 2.91.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.28 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.
No verified facility-specific private-pay price is available in our data for Royal Cape Cod Nursing & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
All 3 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 Royal Health Group — 12 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.
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.
Facility data as of CMS processing date 2026-08-01. CCN 225538.
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The Care File
Visit checklist — Royal Cape Cod Nursing & Rehabilitation Center
8 Lewis Point Road, Buzzards Bay, MA 02532 · (508) 759-5752
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, isolated): 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?"
☐ "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 39% 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?"
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)