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Royal Megansett Nursing & Rehabilitation
209 County Road Box 408, N Falmouth, MA 02556 (opens Google Maps) · Barnstable County · (508) 563-4015· 90 certified beds · avg 66 residents/day · certified since Aug 1, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ROYAL HEALTH GROUP (12 facilities, chain avg rating 3.1★)
4/5
Health inspection rating (on-site)
inspected Apr 8, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.57
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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.
Inspection findings in the public record
Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.
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
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
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
View all 23 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 |
|---|---|---|
| Apr 8, 2025 | 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 |
| Apr 8, 2025 | 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 |
| Apr 8, 2025 | 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 |
| Apr 8, 2025 | 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 |
| Apr 8, 2025 | B · Potential for minimal harm, pattern | 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. · F-0712 |
| May 24, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| May 24, 2024 | 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 |
| May 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557 |
| May 24, 2024 | 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 |
| May 24, 2024 | 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 |
| May 24, 2024 | B · Potential for minimal harm, pattern | 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. · F-0640 |
| Jan 27, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0756 |
| Jan 27, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0757 |
| Jan 27, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0758 |
| Jan 27, 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 |
| Jan 27, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0847 |
| Jan 27, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jan 27, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0881 |
| Jan 27, 2023 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Jan 27, 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 |
| Jan 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jan 27, 2023 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Jan 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0849 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
All citationsSerious citations (G–L)
2023
All citations: 12
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 5
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 | 12 | 0 | E |
| 2024 | 6 | 0 | E |
| 2025 | 5 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMassachusetts averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.57
Massachusetts average: 3.89
U.S. average: 3.95
Registered Nurse hours
This facility: 0.58
Massachusetts average: 0.65
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.18
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) | 3.57 | 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 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 3.92, RN 0.63, weekend 3.49.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.92 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.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Royal Megansett Nursing & Rehabilitation. 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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 2 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.
- Royal Norwell Nursing & Rehabilitation Center LLC — Norwell, MA · overall 3/5
- Royal Nursing Center, LLC — Falmouth, MA · overall 3/5
- Royal of Cotuit — Mashpee, MA · overall 2/5
- Royal of Fairhaven Nursing Center — Fairhaven, MA · overall 2/5
- Royal Wayland Rehabilitation and Nursing Center — Wayland, MA · overall 5/5
- Royal Wood Mill Center — Lawrence, MA · overall 3/5
- Royal Middletown Nursing Center — Middletown, RI · overall 2/5
- Royal of Westerly Nursing Center — Westerly, RI · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "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 48% 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?"
Nearby facilities (12 closest of 24 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 →
Other facilities in the same county
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.
- Windsor Nursing & Retirement Home — South Yarmouth, MA · overall 2/5
- Adviniacare at Provincetown — Provincetown, MA · overall 1/5
- Cape Cod Post Acute Care — Brewster, MA · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 225679.
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