All states › Massachusetts › Mashpee › Royal of Cotuit
161 Falmouth Road Mashpee, MA 02649 · Barnstable County
CMS certification number 225689 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
DProvide care or services that was trauma informed and/or culturally competent.
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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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.
BMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
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.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure residents have reasonable access to and privacy in their use of communication methods.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide routine and 24-hour emergency dental care for each resident.
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.
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.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EKeep residents' personal and medical records private and confidential.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
DProvide and implement an infection prevention and control program.
October 16, 2023 · 2 citations, includes actual harm · includes complaint inspection
GEnsure services provided by the nursing facility meet professional standards of quality.
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.
Questions to ask on a tour of Royal of Cotuit
- 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?
- CMS cited the home under its abuse and neglect rules on February 7, 2025. How are staff trained, and how are concerns reported?
- 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?
- The home averages about 57% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
- 8.0 mi
-
9.2 mi
Falmouth Hospital FalmouthEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 40m for patients treated and sent home
-
10.2 mi
Cape Cod Hospital HyannisEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 21m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Royal of Cotuit › All nursing homes in Mashpee ›
Compare Royal of Cotuit with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Pavilion · Hyannis · 5 stars · 7.9 mi
- Royal Megansett Nursing & Rehabilitation · N Falmouth · 4 stars · 8.2 mi
- Royal Nursing Center · Falmouth · 3 stars · 8.5 mi
- JML Care Center · Falmouth · 3 stars · 9.2 mi
Other Royal Health Group nursing homes in Massachusetts
- Royal Wayland Rehabilitation and Nursing Center · Wayland · 5 stars
- Royal Megansett Nursing & Rehabilitation · N Falmouth · 4 stars
- Royal Meadow View Center · North Reading · 4 stars
- Royal Norwell Nursing & Rehabilitation Center · Norwell · 3 stars
- Royal of Fairhaven Nursing Center · Fairhaven · 3 stars
- Royal Nursing Center · Falmouth · 3 stars
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.