Federal inspection record · CMS data as of October 1, 2026
ROYAL Cotuit Nursing and Rehabilitation Center
161 Falmouth Road, Mashpee, MA · (508) 477-2490
- Certified beds
- 120
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- Royal Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 23, 1995
1
How this home got 2 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.
-
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
ROYAL Cotuit Nursing and Rehabilitation Center carries 60 inspection points. That is fewer than 29% 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
35 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 (2)
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
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G
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.
Everything else, by area of care
Resident Assessment and Care Planning8D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights8E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Keep residents' personal and medical records private and confidential.
- D
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.
Quality of Life and Care5E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide routine and 24-hour emergency dental care for each resident.
Infection Control3D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2D
- 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 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.
Nursing and Physician Services2F
- F
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental1B
- B
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-31
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-02-07
12 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-12-05
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 32 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 50% 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
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 days0.7 pts worse | 2.5 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 1.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 94.4% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine18.5 pts worse | 75.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 7.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.9 pts better | 7.5% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 6.5% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts better | 14.9% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.2 pts better | 20.3% | 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 worsened0.4 pts better | 13.5% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3 pts worse | 18.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 1.8% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 22.8% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.4% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts worse | 78.7% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts worse | 16.0% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.5 pts worse | 72.6% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better | 23.3% | 25.7% | 23.4% |
·
Who owns and runs it
4 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 |
| Batilo, Maria | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Reid, Paula | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Weeks, Shauna | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Establish emergency prep training and testing.
- F
Include a process for Emergency Preparedness collaboration.
- C
Create arrangements with other facilities to receive patients.
- C
List the names and contact information of those in the facility.
·
Other homes nearby
-
Cape Regency Rehabilitation & Health Care Center
Centerville, MA · Athena Healthcare Systems
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Pavilion , The
Hyannis, MA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 11 min
- Fines
- $0
-
Royal Megansett Nursing and Rehabilitation Center
N Falmouth, MA · Royal Health Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0