Royal Megansett Nursing & Rehabilitation

Name: Royal Megansett Nursing & Rehabilitation
Address: 209 COUNTY ROAD BOX 408, N Falmouth, MA, 02556, US
Telephone: 5085634015

209 County Road Box 408, N Falmouth, MA 02556 · Barnstable County · 90 certified beds · avg 66 residents/day · certified since Aug 1, 1995

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.57

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (23)

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
Apr 8, 2025	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.
Apr 8, 2025	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.
Apr 8, 2025	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.
Apr 8, 2025	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.
Apr 8, 2025	B · Minimal risk, repeated	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
May 24, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 24, 2024	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.
May 24, 2024	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
May 24, 2024	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.
May 24, 2024	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.
May 24, 2024	B · Minimal risk, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jan 27, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 27, 2023	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 27, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 27, 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.
Jan 27, 2023	E · Potential for harm, repeated	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Jan 27, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 27, 2023	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jan 27, 2023	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jan 27, 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.
Jan 27, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 27, 2023	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 27, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).

Year	Citations	Worst severity that year
2023	12	E
2024	6	E
2025	5	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)

No fines or payment denials in the published 3-year window.

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)	3.57	3.89	3.95	bottom 37% in Massachusetts; bottom 40% in the U.S.
Registered Nurse hours	0.58	0.65	0.69	bottom 49% in Massachusetts; bottom 49% in the U.S.
Weekend total nurse staffing	3.18	3.51	3.50	bottom 38% in Massachusetts; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.46	0.48	top 42% in Massachusetts; top 42% in the U.S.
Total nursing staff turnover (%)	48.1	38.2	45.8	bottom 22% in Massachusetts; bottom 42% in the U.S.
RN turnover (%)	66.7	42.6	42.9	bottom 12% in Massachusetts; bottom 15% 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 3.92, RN 0.63, weekend 3.49. 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 - Partnership

Owner / manager	Type	Role	Stake	Since
Mamary, James	Individual	5% or Greater Direct Ownership Interest	100%	07/01/1997
Reid, Paula	Individual	W-2 Managing Employee	NOT APPLICABLE	08/11/1998

Questions to ask on your visit

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

"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?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How often does the attending doctor physically see each resident, and how is that documented?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"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
JML Care Center INC	5.8 mi	Falmouth, MA	★☆☆☆☆	3/5
Bourne Manor Extended Care Facility	6.2 mi	Bourne, MA	★☆☆☆☆	1/5
Royal Nursing Center, LLC	6.2 mi	Falmouth, MA	★★★☆☆	3/5
Royal Cape Cod Nursing & Rehabilitation Center	7.5 mi	Buzzards Bay, MA	★★★☆☆	3/5
Royal of Cotuit	8.2 mi	Mashpee, MA	★★☆☆☆	2/5
Sippican Rehabilitation and Healthcare Center	8.8 mi	Marion, MA	★★★★☆	3/5
Tremont Rehabilitation & Skilled Care Center	9.8 mi	Wareham, MA	★★★☆☆	4/5
Cape Heritage Rehabilitation & Health Care Center	9.8 mi	Sandwich, MA	★★☆☆☆	2/5
Our Ladys Haven of Fairhaven INC	14.2 mi	Fairhaven, MA	★★★★★	4/5
Alden Court Nursing Care & Rehabilitation Center	14.4 mi	Fairhaven, MA	★★★★☆	4/5
Royal of Fairhaven Nursing Center	14.6 mi	Fairhaven, MA	★★☆☆☆	3/5
Cape Regency Rehabilitation & Health Care Center	14.7 mi	Centerville, MA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in N Falmouth →

Facility data as of CMS processing date 2026-08-01. CCN 225679.

The Care File

Visit checklist — Royal Megansett Nursing & Rehabilitation

209 County Road Box 408, N Falmouth, MA 02556 · 5085634015

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often does the attending doctor physically see each resident, and how is that documented?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "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 225679 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)