Massachusetts › Barnstable County › Mashpee
Royal of Cotuit
161 Falmouth Road, Mashpee, MA 02649
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 of Cotuit, in Mashpee, Massachusetts, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Royal Health Group chain.
CMS gives it 2 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (10, 12, 13 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 29.2 per 100 beds, more than the state median of 21.7.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 47.7%.
Compared with county, state and nation
| Measure | This facility | Barnstable Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 24 | 27 | 28.7 |
| Citations per 100 beds | 29.2 | 20.4 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.4 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 47.7% | 40.4% | 37.7% | 45.8% |
| Fines listed | $7,901 | $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
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Mar 2026, 7 Feb 2025.
Severity mix: G ×2 D ×22 E ×9 F ×1 B ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 31 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 4 May 2026 |
| 31 Mar 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 4 May 2026 |
| 31 Mar 2026 | 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 | 4 May 2026 |
| 31 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 4 May 2026 |
| 31 Mar 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 4 May 2026 |
| 31 Mar 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 4 May 2026 |
| 31 Mar 2026 | 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 | 4 May 2026 |
| 31 Mar 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 4 May 2026 |
| 31 Mar 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 4 May 2026 |
| 31 Mar 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | B | Standard survey | 4 May 2026 |
| 15 Jul 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 3 Aug 2025 |
| 15 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 3 Aug 2025 |
| 15 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Aug 2025 |
| 7 Feb 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 14 Mar 2025 |
| 7 Feb 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 7 Mar 2025 |
| 7 Feb 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 7 Mar 2025 |
| 7 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 7 Mar 2025 |
| 7 Feb 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 14 Mar 2025 |
| 7 Feb 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 7 Mar 2025 |
| 7 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 14 Mar 2025 |
| 7 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 7 Mar 2025 |
| 7 Feb 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 14 Mar 2025 |
| 29 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Jun 2024 |
| 5 Dec 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 29 Dec 2023 |
| 5 Dec 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 4 Jan 2024 |
| 5 Dec 2023 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 29 Dec 2023 |
| 5 Dec 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 | 4 Jan 2024 |
| 5 Dec 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 4 Jan 2024 |
| 5 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Dec 2023 |
| 5 Dec 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 | 29 Dec 2023 |
| 5 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Dec 2023 |
| 5 Dec 2023 | 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 | 29 Dec 2023 |
| 5 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Dec 2023 |
| 16 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 7 Nov 2023 |
| 16 Oct 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | G | Complaint investigation | 7 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Oct 2023 | Fine | $7,901 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 47.7%, RNs 57.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.4% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.6% | 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: Mashpee Acquisition 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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pavilion , The | Hyannis | 82 | 5 | 5 | 3 | 4 | 4.9 | — | 13 Jun 2024 |
| Royal Megansett Nursing & Rehabilitation | N Falmouth | 90 | 4 | 4 | 2 | 23 | 25.6 | — | 8 Apr 2025 |
| Liberty Commons | North Chatham | 132 | 3 | 2 | 5 | 16 | 12.1 | — | 9 Jan 2026 |
| Mayflower Place Nursing & Rehabilitation Center | West Yarmouth | 72 | 3 | 3 | 4 | 40 | 55.6 | — | 14 Nov 2025 |
| Regalcare At Harwich | Harwich | 135 | 3 | 3 | 4 | 24 | 17.8 | — | 7 Apr 2026 |
| Royal Cape Cod Nursing & Rehabilitation Center | Buzzards Bay | 99 | 3 | 3 | 2 | 16 | 16.2 | $9K | 20 Jan 2026 |
| Royal Nursing Center, LLC | Falmouth | 121 | 3 | 3 | 3 | 21 | 17.4 | $8K | 18 Dec 2025 |
| Cape Heritage Rehabilitation & Health Care Center | Sandwich | 123 | 2 | 2 | 2 | 57 | 46.3 | — | 29 Jun 2026 |
All 15 facilities in Barnstable County
Questions and answers
How many deficiencies has Royal of Cotuit been cited for?
35 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Royal of Cotuit been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Royal of Cotuit 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 of Cotuit?
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 of Cotuit last inspected?
The most recent survey or investigation in the CMS record is dated 31 Mar 2026; the most recent standard health survey was 31 Mar 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.