Home / Massachusetts / N Falmouth
Royal Megansett Nursing & Rehabilitation
209 County Road Box 408, N Falmouth, MA 02556 · Barnstable County · (508) 563-4015
90 certified beds, about 66 residents a day · For profit - Partnership · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225679 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 20, 2026, inspectors cited 1 health deficiency (the Massachusetts average is 6.8, the national average 9.2).
None of its 12 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.92 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
48.1% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Royal Health Group, an affiliated group of 12 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
605/24
504/25
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
3E
0F
Potential for minimal harm
0A
2B
0C
May 20, 2026Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, interview, and record review, the facility failed to provide services that met professional standards of practice for two Residents (#40 and #18), out of 19 sampled residents. Specifically,1. For Resident #40, the facility failed to follow physician's orders for a palm protector to left hand; and2. For Resident #18, the facility failed to follow manufacturer's guidelines for administration of an extended-release medication.
April 8, 2025Standard inspection · 5 citations
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, and records reviewed, the facility failed to ensure one Resident (#56), out of 17 sampled residents, received care and treatment to promote healing of a pressure ulcer. Specifically, the facility failed to implement a treatment that included an antimicrobial wash to a Stage 4 pressure ulcer (full-thickness skin and tissue loss) on the sacrum (bone located at the base of the spine).
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, interviews, and records reviewed, the facility failed to ensure reasonable accommodations were made for three Residents (#35, #11, and #42), of 17 sampled residents. Specifically, the facility failed: 1. For Resident #35, to ensure the Resident's augmentative and alternative communication (AAC) system (an electronic speech-generating device) was offered/utilized to enhance communication, socialization, and independence to control the television; and 2. For Residents #11 and #42, to ensure the call light button was accessible.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services that met professional standards of practice for one Resident (#42), out of a 17 sampled residents. Specifically, the facility failed to follow physician's orders for a resting hand splint.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement safe smoking for two Residents (#212 and #57), out of three sampled residents who smoked cigarettes. Specifically, the facility failed: 1. For Resident #212, to ensure a smoking assessment was completed prior to the Resident smoking at the facility, the Resident was provided the smoking policy, the smoking safety apron was worn as indicated on the care plan, and the Resident did not possess lighting materials (lighter); and 2. For Resident #57, to ensure a smoking assessment was completed prior to the Resident smoking at the facility and the Resident was provided and educated on the smoking policy.
- B Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on interviews and record review, the facility failed to ensure one Resident (#6), in a sample of 17 residents, had required physician visits which alternated between the Physician and the Nurse Practitioner.
May 24, 2024Standard inspection · 6 citations
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, document review, and policy review, the facility failed to ensure an accurate account of all controlled medications was maintained. Specifically, the facility failed to ensure an accurate account of lorazepam (Ativan) (schedule IV-controlled drug with low potential for abuse, treats anxiety) oral concentrate was maintained in the controlled substance accountability record book, as required.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and interview, the facility failed to follow their policy and professional standards of practice for food safety and sanitation to prevent the potential spread of foodborne illness to residents who are at high risk. Specifically, the facility failed to ensure that one of two resident kitchenette refrigerators maintained a safe temperature of below 41 degrees Fahrenheit (°F).
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation, interview, and record review, the facility failed to treat the Resident's clothing items with respect. Specifically, the facility failed to label the Resident's clothing to ensure prompt return of the clean laundry, for one Resident (#35), out of a total sample of 17 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to follow professional standards of practice for three Residents (#27, #216, and #35), out of a total sample of 17 residents. Specifically, the facility failed: 1. For Resident #27, to ensure medications were administered under direct supervision and not left at the bedside; 2. For Resident #216, to ensure medications were administered under direct supervision and not left at the bedside; and 3. For Resident #35, to ensure medications were administered in accordance with physician's orders.
- 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.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure staff stored all drugs and biologicals used in the facility in accordance with currently accepted professional principles. Specifically, the facility failed: 1. For Resident #27, to ensure a bottle of Echinacea Complex (used for healthy immune function) tablets, Breztri Aerosphere inhaler, albuterol inhaler, and nasal spray bottle were stored in the medication cart and not left at the bedside; and 2. To ensure a schedule-IV controlled substance medication was maintained in a separately locked, permanently affixed compartment.
- B Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on Minimum Data Set (MDS) assessment review and staff interview, the facility failed to encode and electronically transmit MDS data to the Centers for Medicare and Medicaid Services (CMS) processing system, for one Resident (#19), out of one resident assessment reviewed.
Fire safety inspections
1 fire safety citation on file: 1 on April 8, 2025.
Every fire safety citation1 citation
- F Establish policies and procedures including evacuation.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.92 | 3.86 | 3.86 |
| Registered nurses | 0.63 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.49 | 3.48 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 48.1% | 38.2% | 45.8% |
| Registered nurse turnover | 66.7% | 42.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.20 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.09 on weekdays and 3.49 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.90 in April to June 2025 to 3.92 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.92 | 0.63 | 4.09 | 3.49 | 17.4% | 0 of 90 | 66 |
| Oct to Dec 2025 | 3.82 | 0.72 | 4.03 | 3.29 | 10.8% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.90 | 0.64 | 4.11 | 3.35 | 10.2% | 0 of 92 | 65 |
| Apr to Jun 2025 | 3.90 | 0.65 | 4.13 | 3.33 | 10.1% | 0 of 91 | 67 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.6 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.4 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.3 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.5 | 1.8 |
Owners and operators
Legal business name: J & B PARTNERSHIP LLP. CMS links this home to Royal Health Group, a group of 12 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mamary, James | 5% or greater direct ownership interest | Individual | 100% | 07/01/1997 |
| Reid, Paula | W-2 managing employee | Individual | 08/11/1998 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 20, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 8, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 8, 2025: "Reasonably accommodate the needs and preferences of each resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 24, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Jml Care Center Inc Falmouth, 5.8 mi · 1 of 5 stars · 23 citations
- Bourne Manor Extended Care Facility Bourne, 6.2 mi · 1 of 5 stars · 29 citations
- Royal Nursing Center, LLC Falmouth, 6.2 mi · 3 of 5 stars · 21 citations
- Royal Cape Cod Nursing & Rehabilitation Center Buzzards Bay, 7.5 mi · 3 of 5 stars · 16 citations
- Royal of Cotuit Mashpee, 8.2 mi · 2 of 5 stars · 35 citations
- Sippican Rehabilitation and Healthcare Center Marion, 8.8 mi · 4 of 5 stars · 17 citations
- Tremont Rehabilitation & Skilled Care Center Wareham, 9.8 mi · 3 of 5 stars · 21 citations
- Cape Heritage Rehabilitation & Health Care Center Sandwich, 9.8 mi · 2 of 5 stars · 57 citations
Common questions
- What is Royal Megansett Nursing & Rehabilitation's Medicare star rating?
- CMS rates Royal Megansett Nursing & Rehabilitation 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Royal Megansett Nursing & Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on May 20, 2026. The Massachusetts average is 6.8.
- Has Royal Megansett Nursing & Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Royal Megansett Nursing & Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Royal Megansett Nursing & Rehabilitation?
- CMS lists 2 owners and managers, and links the home to Royal Health Group. Legal business name: J & B PARTNERSHIP LLP.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.