Elder Care Record

Massachusetts › Barnstable County › Buzzards Bay

Royal Cape Cod Nursing & Rehabilitation Center

8 Lewis Point Road, Buzzards Bay, MA 02532

CCN 225538 · For-profit, limited liability company · 99 certified beds · chain Royal Health Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Royal Cape Cod Nursing & Rehabilitation Center is a For-profit, limited liability company nursing home in Buzzards Bay, Massachusetts, certified for 99 beds and caring for about 91 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Massachusetts median; the health inspection rating is 3, staffing 2 and quality measures 3.

Inspectors recorded 16 health deficiencies across the three most recent survey cycles (6, 3, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 16.2 per 100 beds, fewer than the state median of 21.7.

CMS lists 1 penalty in the period covered: fines totalling $9K.

Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 39.3%.

16health deficiencies, 3 survey cycles1 at actual harm or worse
$9Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 3.7
92%occupancy (residents ÷ beds)91 residents a day

Compared with county, state and nation

MeasureThis facilityBarnstable Co. medianMassachusetts medianUS average
Overall star rating3233.0
Health citations, 3 cycles16242728.7
Citations per 100 beds16.220.421.726.8
Total nurse hours per resident day3.33.43.73.9
RN hours per resident day0.40.60.60.7
Nursing staff turnover39.3%40.4%37.7%45.8%
Fines listed$9,004$0$0—

County and state figures are medians across facilities (15 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 23
Cycle 37

Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Jan 2026, 30 Jan 2025.

Severity mix: G ×1 D ×10 E ×5

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
20 Jan 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey9 Feb 2026
20 Jan 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey9 Feb 2026
20 Jan 2026F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey9 Feb 2026
20 Jan 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey9 Feb 2026
20 Jan 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey9 Feb 2026
20 Jan 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey9 Feb 2026
15 Jul 2025F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint investigation15 Jul 2025
15 Jul 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation15 Jul 2025
1 Apr 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation10 Mar 2025
21 Nov 2023F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey8 Dec 2023
21 Nov 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey8 Dec 2023
21 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Dec 2023
21 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey8 Dec 2023
21 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Dec 2023
21 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 Dec 2023
21 Nov 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey8 Dec 2023

Penalties

DateTypeAmountDetail
1 Apr 2025Fine$9,004

Staffing

Total nursing3.28 h
Nurse aides1.77 h
LPN1.09 h
RN0.42 h
Weekend total2.91 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 39.3%, RNs 40.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMassachusetts medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.7%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.7%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.7%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.8%14.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.4%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.4%19.6%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Royal Health Group Llc. Chain: Royal Health Group (12 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Barnstable County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Pavilion , TheHyannis8255344.9—13 Jun 2024
Royal Megansett Nursing & RehabilitationN Falmouth904422325.6—8 Apr 2025
Liberty CommonsNorth Chatham1323251612.1—9 Jan 2026
Mayflower Place Nursing & Rehabilitation CenterWest Yarmouth723344055.6—14 Nov 2025
Regalcare At HarwichHarwich1353342417.8—7 Apr 2026
Royal Nursing Center, LLCFalmouth1213332117.4$8K18 Dec 2025
Cape Heritage Rehabilitation & Health Care CenterSandwich1232225746.3—29 Jun 2026
Royal of CotuitMashpee1202223529.2$8K31 Mar 2026

All 15 facilities in Barnstable County

Questions and answers

How many deficiencies has Royal Cape Cod Nursing & Rehabilitation Center been cited for?

16 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.

Has Royal Cape Cod Nursing & Rehabilitation Center been fined?

Yes. CMS lists fines totalling $9K in the period covered.

How does staffing at Royal Cape Cod Nursing & Rehabilitation Center compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.

Who operates Royal Cape Cod Nursing & Rehabilitation Center?

It is part of the Royal Health Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Royal Cape Cod Nursing & Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 20 Jan 2026; the most recent standard health survey was 20 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.