Federal inspection record · CMS data as of October 1, 2026
Royal Cape Cod Nursing and Rehabilitation Center
8 Lewis Point Road, Buzzards Bay, MA · (508) 759-5752
- Certified beds
- 99
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- Royal Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1991
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Royal Cape Cod Nursing and Rehabilitation Center carries 31 inspection points. That is fewer than 56% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care3E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights3D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service3D
- D
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
Ensure that residents are free from significant medication errors.
- D
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.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nursing and Physician Services1D
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspection history
2026-01-20
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2025-01-30
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-11-21
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 22 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 39% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$9,004 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-01 | Fine | $9,004 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.8 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 96.4% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.1 pts worse | 85.4% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts worse | 5.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20.8 pts worse | 38.2% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 3.5% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.7 pts worse | 21.2% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.8 pts better | 18.7% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.6 pts better | 10.3% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts better | 15.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 2.7% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.1 pts worse | 26.5% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 3.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.6 pts better | 87.5% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts worse | 12.4% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.6 pts better | 87.7% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 21.8% | 25.7% | 23.4% |
·
Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mamary, James | 5% Or Greater Direct Ownership Interest · Individual | 100% | 12 facilities |
| Mamary, James | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Mamary, James | Adp Of The SNF · Individual | 0% | 12 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2F
- F
Establish policies and procedures including evacuation.
- F
Address patient/client population and determine types of services needed.
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
·
Other homes nearby
-
Bourne Manor Extended Care Facility
Bourne, MA · Integritus Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 10 min
- Fines
- $0
-
Cape Heritage Rehabilitation & Health Care Center
Sandwich, MA · Athena Healthcare Systems
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 10 min
- Fines
- $0
-
Tremont Rehabilitation & Skilled Care Center
Wareham, MA · Athena Healthcare Systems
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 3 min
- Fines
- $285,936