facebook tracking Royal of Cotuit, Mashpee MA: CMS Ratings & Inspections
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Royal of Cotuit

All states › Massachusetts › Mashpee › Royal of Cotuit

161 Falmouth Road Mashpee, MA 02649 · Barnstable County

(508) 477-2490

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 225689 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Royal of Cotuit a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Royal of Cotuit as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Massachusetts average of 3.1. Inspectors issued 35 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.53 hours per resident per day at Royal of Cotuit, below the Massachusetts median of 3.72 (US median: 3.72). About 0.76 of those hours are from registered nurses. On weekends it falls to 3.06 hours, 13% below its all-week average. 43.9% of nursing staff left within a year (Massachusetts median 36.1%).

Nursing care per resident per day 3.53 hours
Below the Massachusetts median of 3.72 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.76 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.06 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 43.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 68 About 57% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1995
Part of a chainRoyal Health Group
Legal business nameMASHPEE ACQUISITION LLC

Paying for care at Royal of Cotuit: Medicare and Medicaid

Royal of Cotuit is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Massachusetts's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 31, 2026 and found 10 deficiencies. In total, inspectors issued 35 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 35 citations at Royal of Cotuit across 6 inspection dates, 6 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on October 16, 2023. The most common areas cited were resident assessment and care planning (9) and resident rights (8). The most serious was cited under the CMS rule to "ensure services provided by the nursing facility meet professional standards of quality" (tag F0658, level G, October 16, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.

March 31, 2026 · 10 citations

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (May 4, 2026)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (May 4, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 4, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (May 4, 2026)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (May 4, 2026)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (May 4, 2026)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 4, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (May 4, 2026)

DEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (May 4, 2026)

BMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (May 4, 2026)

July 15, 2025 · 3 citations · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Aug 3, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Aug 3, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Aug 3, 2025)

February 7, 2025 · 9 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Mar 14, 2025)

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Mar 7, 2025)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Mar 7, 2025)

EProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Mar 7, 2025)

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Mar 14, 2025)

DEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has date of correction (Mar 7, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Mar 14, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Mar 7, 2025)

DProvide routine and 24-hour emergency dental care for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0790 · Deficient, Provider has date of correction (Mar 14, 2025)

May 29, 2024 · 1 citation · includes complaint inspection

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Jun 22, 2024)

December 5, 2023 · 10 citations

EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Dec 29, 2023)

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Jan 4, 2024)

EKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Dec 29, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 4, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Jan 4, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Dec 29, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Dec 29, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 29, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 29, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 29, 2023)

October 16, 2023 · 2 citations, includes actual harm · includes complaint inspection

GEnsure services provided by the nursing facility meet professional standards of quality.

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Nov 7, 2023)

GEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Actual harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Nov 7, 2023)

Questions to ask on a tour of Royal of Cotuit

  1. Inspectors cited the home at the actual-harm level on October 16, 2023 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on February 7, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. The home averages about 57% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 3/5 2/5
August 2026 2/5 2/5 2/5 2/5
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Location

Hospitals near Royal of Cotuit

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Cape Regency Rehabilitation & Health Care Center Centerville · 6.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 120 beds · Medicaid
The Pavilion Hyannis · 7.9 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 82 beds · Medicaid
Royal Megansett Nursing & Rehabilitation N Falmouth · 8.2 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 90 beds · Medicaid
Royal Nursing Center Falmouth · 8.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 121 beds · Medicaid
JML Care Center Falmouth · 9.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 132 beds · Medicaid

More nursing homes near Royal of Cotuit ›   All nursing homes in Mashpee ›

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Other Royal Health Group nursing homes in Massachusetts

Affiliation comes from CMS's affiliated-entity data, October 2026. All 12 Royal Health Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/massachusetts/mashpee/royal-of-cotuit/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.