Nursing home
Royal of Cotuit
161 Falmouth Road, Mashpee, MA 02649 · Map
For profit - Limited Liability company · Part of Royal Health Group (12 facilities) · 120 certified beds
Royal of Cotuit is a Medicare-certified nursing home in Mashpee, Massachusetts. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.54 hours per resident per day, below the Massachusetts average of 3.86. Its most recent inspection on Feb 7, 2025 cited 12 deficiencies.
- 1 fine totaling $7,901In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royal of Cotuit 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) | 3.54 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.63 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.02 | 2.26 | 2.34 | below avg |
| Nursing staff turnover | 55.4% | 39.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 8.9 | 9.5 | above 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.
Penalties in CMS records: 1 fine totaling $7,901, 1 total penalty.
What inspectors found at Royal of Cotuit
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
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 15, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 15, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jul 15, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Feb 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Feb 7, 2025 · Full report (PDF)
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
- 161 Falmouth Road
Mashpee, MA 02649 - CMS certification #
- 225689
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 72.0
- Provider type
- Medicare and Medicaid
- First certified
- 1995-08-23
- 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 of Cotuit using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Falmouth Hospital, Falmouth. 9.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Cape Regency Rehabilitation & Health Care Center, Centerville. 6.7 miles away, straight line.
- Nearest home health agency office
- Blue Hills Therapeutics Inc, Forestdale. 4.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02649 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Of Mashpee, Mashpee, 1.6 miles away, straight line (CMS rating 4 of 5 stars)
Fmc - Cape Cod Artificial Kidney Center (Bma Cape Cod), Yarmouthport, 11.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Martha'S Vineyard Hospital, Oak Bluffs, 13.6 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 02649.
Trinity Hospice, LLC, office in Falmouth, 8.8 miles away, straight line
Visiting Nurse Association Of Cape Cod Hospice, office in Hyannis, 10.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Harbor Health Services Inc, Hyannis. 9.3 miles away, straight line. 1 geriatric medicine doctor 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.
- 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 low. By hazard: hurricane relatively moderate, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave very low, earthquake very 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 | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very 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 | Could not read the site |
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Frequently asked questions
Is Royal of Cotuit a good nursing home?
CMS gives Royal of Cotuit an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royal of Cotuit staffed?
Royal of Cotuit reports 3.54 total nurse hours per resident per day, compared with the Massachusetts average of 3.86.
Has Royal of Cotuit had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Royal of Cotuit have?
Royal of Cotuit is certified for 120 beds.