nursing home in Mashpee, MA
Royal of Cotuit
161 Falmouth Road, Mashpee, MA 02649 · (508) 477-2490
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Royal of Cotuit at a glance
Royal of Cotuit is a 120-bed for-profit nursing home in Mashpee, Massachusetts (Barnstable County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Massachusetts average of 3.
Residents receive about 3.3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (March 31, 2026) found 10 health citations. The Massachusetts average is 6.8.
Federal regulators fined it 1 time in the past three years, totaling $7,901.
Nursing staff turnover is 47.7% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Royal Health Group
- Medicare-certified since
- August 23, 1995
- Resident/family council
- Resident
- County
- Barnstable County
- CMS Certification Number
- 225689
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.32 hrs | 3.86 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.63 hrs | 0.65 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.85 hrs | 2.25 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.90 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 47.7% | 38.2% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 42.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 60 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $7,901 | $34,265 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 120 | 107 | |
| Average residents per day | 73 | 99 | 86 | |
| Occupancy | 61% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.7% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.1% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 19.6% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.1% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.6% | 16.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.4% | 15.4% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 5.5% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.6% | 15.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.9% | 19.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27.9% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 85.5% | 94.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.3% | 92.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.8% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 64.5% | 77.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 77.3% | 78.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 35 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 31, 2026 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected May 15, 2026 |
| March 31, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected May 4, 2026 |
| March 31, 2026 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected May 4, 2026 |
| March 31, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | B No harm, pattern | Corrected May 4, 2026 |
| July 15, 2025 Complaint | 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 · Tag F0580 | D Potential harm, isolated | Corrected August 3, 2025 |
| July 15, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 3, 2025 |
| July 15, 2025 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected August 3, 2025 |
| February 7, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected February 16, 2025 |
| February 7, 2025 Standard | 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 · Tag F0727 | F Potential harm, widespread | Corrected March 14, 2025 |
| February 7, 2025 Standard | 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 · Tag F0585 | E Potential harm, pattern | Corrected March 7, 2025 |
| February 7, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected March 7, 2025 |
| February 7, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected March 7, 2025 |
| February 7, 2025 Standard | 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 · Tag F0725 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 7, 2025 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected March 14, 2025 |
| February 7, 2025 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | D Potential harm, isolated | Corrected March 7, 2025 |
| February 7, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 14, 2025 |
| February 7, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 7, 2025 |
| May 29, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 22, 2024 |
| December 5, 2023 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | C No harm, widespread | Corrected December 13, 2023 |
| December 5, 2023 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | C No harm, widespread | Corrected December 13, 2023 |
| December 5, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 4, 2024 |
| December 5, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected December 29, 2023 |
| December 5, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected January 4, 2024 |
| December 5, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected December 29, 2023 |
| December 5, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 29, 2023 |
| December 5, 2023 Standard | 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 · Tag F0585 | D Potential harm, isolated | Corrected January 4, 2024 |
| December 5, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 29, 2023 |
| December 5, 2023 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected December 29, 2023 |
| December 5, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 29, 2023 |
| December 5, 2023 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected December 29, 2023 |
| October 16, 2023 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | G Actual harm, isolated | Corrected November 7, 2023 |
| October 16, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | G Actual harm, isolated | Corrected November 7, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $7,901 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 16, 2023 | Fine | $7,901 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MAMARY, JAMES Individual | 5% or greater direct ownership interest | 100% | 07/01/2014 |
| BATILO, MARIA Individual | contracted managing employee | NOT APPLICABLE | 01/01/2020 |
| REID, PAULA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2014 |
| WEEKS, SHAUNA Individual | w-2 managing employee | NOT APPLICABLE | 04/10/2023 |
Other nursing homes near Royal of Cotuit
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★★★★★1Much below average- ★★★★★5Much above average
Royal Megansett Nursing & Rehabilitation
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★★★★★4Above averageRoyal Nursing Center, LLC
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Bourne Manor Extended Care Facility
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Frequently asked questions
What is Royal of Cotuit's rating?
Royal of Cotuit has 2 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Royal of Cotuit receive?
Its most recent standard health inspection found 10 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Royal of Cotuit accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Royal of Cotuit?
It is for profit - limited liability company and part of Royal Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Royal of Cotuit and how do I contact it?
Royal of Cotuit is at 161 Falmouth Road, Mashpee, MA 02649. Phone: (508) 477-2490.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.