Nursing home
Royal Megansett Nursing & Rehabilitation
209 County Road Box 408, N Falmouth, MA 02556 · Map
For profit - Partnership · Part of Royal Health Group (12 facilities) · 90 certified beds
Royal Megansett Nursing & Rehabilitation is a Medicare-certified nursing home in N Falmouth, Massachusetts. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.90 hours per resident per day, above the Massachusetts average of 3.86. Its most recent inspection on Apr 8, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royal Megansett Nursing & Rehabilitation compares
This facility vs. the Massachusetts and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Massachusetts avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.90 | 3.86 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.64 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.18 | 2.26 | 2.34 | below avg |
| Nursing staff turnover | 49.4% | 39.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 8.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Royal Megansett Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Apr 8, 2025 · Full report (PDF) - Minimal
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Apr 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 24, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · May 24, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 24, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 24, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · May 24, 2024 · Full report (PDF) - Minimal
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · May 24, 2024 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jan 27, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 209 County Road Box 408
N Falmouth, MA 02556 - CMS certification #
- 225679
- Ownership
- For profit - Partnership
- Certified beds
- 90
- Avg residents/day
- 64.8
- Provider type
- Medicare and Medicaid
- First certified
- 1995-08-01
- Chain
- Royal Health Group (12 facilities)
- Setting
- Urban
Part of Royal Health Group
Royal Health Group operates 12 nursing facilities across the United States. View all Royal Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Royal Megansett Nursing & Rehabilitation using Google Maps.
Other public records
- Emergency In hurricane evacuation Zone A
Full public records, with dates and sources
Care and services
From the community’s website
What Royal Megansett Nursing & Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: private room.
Megansett boasts 28 private rooms, and its third floor apartments are dedicated to assisted living residents who enjoy the best views in the building, and a restful, homelike environment, allowing residents to relax and maintain their lifestyle among friends and devoted caregivers.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Falmouth Hospital, Falmouth. 5.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- JML Care Center INC, Falmouth. 5.8 miles away, straight line.
- Nearest home health agency office
- Blue Hills Therapeutics Inc, Forestdale. 6.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 6.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02556 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Of Mashpee, Mashpee, 7.2 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Of Wareham, Wareham, 10.2 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Of Fairhaven, Fairhaven, 13.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 02556.
Trinity Hospice, LLC, office in Falmouth, 3.2 miles away, straight line
Visiting Nurse Association Of Cape Cod Hospice, office in Hyannis, 17.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Martha'S Vineyard Hospital Inc, Oak Bluffs. 13.3 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zone A on the Massachusetts hurricane evacuation zones. (Massachusetts Emergency Management Agency (via MassGIS), map updated May 22, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively high, coastal flooding relatively high, wildfire relatively low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Royal Megansett Nursing & Rehabilitation a good nursing home?
CMS gives Royal Megansett Nursing & Rehabilitation an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royal Megansett Nursing & Rehabilitation staffed?
Royal Megansett Nursing & Rehabilitation reports 3.90 total nurse hours per resident per day, compared with the Massachusetts average of 3.86.
Has Royal Megansett Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Royal Megansett Nursing & Rehabilitation have?
Royal Megansett Nursing & Rehabilitation is certified for 90 beds.