Federal inspection record · CMS data as of October 1, 2026
Royal Megansett Nursing and Rehabilitation Center
209 County Road Box 408, N Falmouth, MA · (508) 563-4015
- Certified beds
- 90
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- Royal Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1995
1
How this home got 4 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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Royal Megansett Nursing and Rehabilitation Center carries 8 inspection points. That is fewer than 86% 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
12 health citations on record since 2024. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care2E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Pharmacy Service2E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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 Services1B
- B
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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
2026-05-20
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2025-04-08
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-24
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
4 h 3 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 61% of registered nurses left in the past year, along with 1 administrator.
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 days1.4 pts worse | 3.2 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.4 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 100.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 100.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 4.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 13.9% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts worse | 6.7% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.3 pts better | 8.2% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse | 25.8% | 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 worsened2.4 pts better | 11.5% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.8 pts better | 9.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.6% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 1.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.3 pts worse | 28.7% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.1% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.3 pts better | 88.2% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts worse | 15.4% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 83.2% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 26.6% | 25.7% | 23.4% |
·
Who owns and runs it
2 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 |
| Reid, Paula | W-2 Managing Employee · Individual | 0% | 3 facilities |
·
Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1F
- F
Establish policies and procedures including evacuation.
·
Other homes nearby
-
Jml Care Center Inc
Falmouth, MA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0
-
Bourne Manor Extended Care Facility
Bourne, MA · Integritus Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 10 min
- Fines
- $0
-
Royal Falmouth Nursing and Rehabilitation Center
Falmouth, MA · Royal Health Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 28 min
- Fines
- $8,278