Royal Megansett Nursing & RehabilitationCMS ratings, inspections and fines
- Address
- 209 County Road Box 408, N Falmouth, MA 02556
- CCN
- 225679
- Ownership type
- For-profit, partnership
- Certified beds
- 90
- Chain
- Royal Health Group
- Residents per day
- 66
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Royal Megansett Nursing & Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 8 Apr 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Massachusetts is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Barnstable County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 15 homes in the county, 341 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 8 Apr 2025 | 5 | 6 |
| Cycle 2 | 24 May 2024 | 6 | 8 |
| Cycle 3 | No date | 12 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 22 Apr 2025 |
| 8 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Apr 2025 |
| 8 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 15 Apr 2025 |
| 8 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Apr 2025 |
| 8 Apr 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | B | Standard survey | 18 Apr 2025 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 May 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 12 Jun 2024 |
| 24 May 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 10 Jun 2024 |
| 24 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 Jun 2024 |
| 24 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 7 Jun 2024 |
| 24 May 2024 | F0761 | Ensure 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. | D | Standard survey | 7 Jun 2024 |
| 24 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Jun 2024 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Jan 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 30 Jan 2023 |
| 27 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Feb 2023 |
| 27 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Jan 2023 |
| 27 Jan 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 1 Feb 2023 |
| 27 Jan 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 14 Feb 2023 |
| 27 Jan 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 14 Feb 2023 |
| 27 Jan 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 3 Feb 2023 |
| 27 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Jan 2023 |
| 27 Jan 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 15 Feb 2023 |
| 27 Jan 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 3 Feb 2023 |
| 27 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Feb 2023 |
| 27 Jan 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 14 Feb 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.92 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 1.05 | 0.95 | |
| Nurse aides | 2.23 | 2.26 | |
| All nurse staff, weekends | 3.49 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 48.1%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.4% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.0% | 19.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, partnership
- Legal business name
- J & B Partnership LLP
- Chain
- Royal Health Group (12 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Barnstable County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| JML Care Center Inc | Falmouth | 1 of 5 | 5 | $0 | 24 Mar 2026 | |
| Bourne Manor Extended Care Facility | Bourne | 1 of 5 | 10 | $48,575 | 11 May 2026 | |
| Royal Nursing Center, LLC | Falmouth | 3 of 5 | 7 | $8,278 | 18 Dec 2025 | |
| Royal Cape Cod Nursing & Rehabilitation Center | Buzzards Bay | 3 of 5 | 6 | $9,004 | 20 Jan 2026 | |
| Royal of Cotuit | Mashpee | 2 of 5 | 10 | $7,901 | 31 Mar 2026 | |
| Cape Heritage Rehabilitation & Health Care Center | Sandwich | 2 of 5 | 7 | $0 | 21 May 2025 | |
| Cape Regency Rehabilitation & Health Care Center | Centerville | 1 of 5 | 16 | $0 | 20 May 2025 | |
| Pavilion , The | Hyannis | 5 of 5 | 0 | $0 | 17 Jun 2025 | |
| Mayflower Place Nursing & Rehabilitation Center | West Yarmouth | 3 of 5 | 6 | $0 | 14 Nov 2025 | |
| Windsor Nursing & Retirement Home | South Yarmouth | 2 of 5 | 6 | $12,386 | 19 Mar 2026 | |
| Regalcare at Harwich | Harwich | 3 of 5 | 7 | $0 | 3 Dec 2025 | |
| Cape Cod Post Acute Care | Brewster | 1 of 5 | 8 | $298,483 | 8 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Royal Megansett Nursing & Rehabilitation (CCN 225679). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/royal-megansett-nursing-rehabilitation-n-falmouth-ma-225679/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Royal Megansett Nursing & Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 8 Apr 2025. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 24 May 2024.
- Who operates Royal Megansett Nursing & Rehabilitation?
- The CMS record gives the ownership type as for-profit, partnership. CMS lists the home in the chain Royal Health Group. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Royal Megansett Nursing & Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.