All states › Massachusetts › N Falmouth › Royal Megansett Nursing & Rehabilitation
209 County Road Box 408 N Falmouth, MA 02556 · Barnstable County
CMS certification number 225679 · See this home on Medicare Care Compare
Is Royal Megansett Nursing & Rehabilitation 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 Megansett Nursing & Rehabilitation as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 4.05 hours per resident per day at Royal Megansett Nursing & Rehabilitation, above the Massachusetts median of 3.72 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 3.55 hours, 12% below its all-week average. 53.5% of nursing staff left within a year (Massachusetts median 36.1%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Royal Megansett Nursing & Rehabilitation: Medicare and Medicaid
Royal Megansett Nursing & Rehabilitation 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 May 20, 2026 and found 1 deficiency. In total, inspectors issued 12 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 12 citations at Royal Megansett Nursing & Rehabilitation across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were resident assessment and care planning (4) and pharmacy service (2). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level E, April 8, 2025).
May 20, 2026 · 1 citation
DEnsure services provided by the nursing facility meet professional standards of quality.
April 8, 2025 · 5 citations
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DReasonably accommodate the needs and preferences of each resident.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
BEnsure that the resident and his/her doctor meet face-to-face at all required visits.
May 24, 2024 · 6 citations
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 be treated with respect and dignity and to retain and use personal possessions.
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.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Questions to ask on a tour of Royal Megansett Nursing & Rehabilitation
- Nursing staff turnover was 53.5% a year. How many of the staff come from agencies?
- 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 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 2/5 | 3/5 |
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Location
Hospitals near Royal Megansett Nursing & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.9 mi
-
5.9 mi
Falmouth Hospital FalmouthEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 40m for patients treated and sent home
-
13.3 mi
Martha's Vineyard Hospital INC Vineyard HavenEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 37m 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 Megansett Nursing & Rehabilitation › All nursing homes in N Falmouth ›
Compare Royal Megansett Nursing & Rehabilitation with the 3 closest homes side by side ›
Other Royal Health Group nursing homes in Massachusetts
- Royal Wayland Rehabilitation and Nursing Center · Wayland · 5 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
- Royal Wood Mill Center · Lawrence · 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.