Nursing HomeInspections

Royal of Cotuit

Nursing home in Mashpee, MA

Medicare & Medicaid certified2★ overall (CMS)

Call (508) 477-2490Send a messageMap ↗

Public-record details

Address
161 Falmouth Road, Mashpee, MA 02649
Phone
(508) 477-2490
Listed under
For-profit
Medicare CCN
225689
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
120
Average residents per day
73
Ownership
For-profit, limited Liability company
Legal business name
Mashpee Acquisition LLC
Chain
Royal Health Group (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 23, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225689. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 31, 2026. CMS lists 35 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 16, 2023 to Mar 31, 2026): 6 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 31, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		B
Potential for minimal harm, pattern
Mar 31, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 31, 2026Develop 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		D
Potential for more than minimal harm, isolated
Mar 31, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 31, 2026Provide 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		D
Potential for more than minimal harm, isolated
Mar 31, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 31, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 31, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 31, 2026Educate 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…
Infection Control		D
Potential for more than minimal harm, isolated
Mar 31, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jul 15, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 15, 2025Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 35. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $7,901 in the last three years.

Oct 16, 2023Fine: $7,901

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.32 hours
Registered nurse (RN) time per resident per day
0.63 hours
Nurse aide time per resident per day
1.85 hours
Total nurse staffing on weekends
2.90 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
57%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.