Home›Browse›Massachusetts›Mashpee›Royal Cotuit Nursing and Rehabilitation Center

Nursing homeFAID #5945

Royal Cotuit Nursing and Rehabilitation Center

161 FALMOUTH ROAD, MASHPEE, MA, 02649

(508) 477-2490

www.royalhealthgroup.com

120 licensed beds

CMS rates Royal Cotuit Nursing and Rehabilitation Center 2 out of 5 overall. Federal inspectors issued 39 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo of ROYAL Cotuit Nursing and Rehabilitation Center

Photo via Google · Sheila Forrester

Address

161 Falmouth Road

Mashpee, MA 02649

Get directions

Map facilities in this area

All facilities in Mashpee

Public record summary

What we can show you for free.

Bed capacity

120

CMS facility ID

225689

Care type

Nursing home

County

Barnstable

Facility name

Royal Cotuit Nursing and Rehabilitation Center

Street address

161 FALMOUTH ROAD

City / state / ZIP

Mashpee, MA 02649

Phone

(508) 477-2490

Website

www.royalhealthgroup.com

About this facility — Royal Cotuit Nursing and Rehabilitation Center

Royal Cotuit Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Mashpee, Massachusetts. It is licensed for 120 beds — close to the median for skilled nursing facilities in Massachusetts (123 beds).

It is one of 3 senior care facilities in Mashpee and 341 skilled nursing facilities across Massachusetts. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Royal Health Group, a group of 12 facilities on this site.

Federal inspectors have cited Royal Cotuit Nursing and Rehabilitation Center 39 times across 9 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Royal Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Mamary, James

Direct owner — 100% stake — since 2014

Batilo, Maria

Managing employee — since 2020

Reid, Paula

Operational control — since 2014

Weeks, Shauna

Managing employee — since 2023

Regulatory standing

Federal court records

3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1995-08-23

CMS overall rating

2 of 5 stars

Health deficiencies

10 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-31

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$434 per day (≈ $13,190/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

68% Medicaid · 20% Medicare · 12% private/other

Occupancy

78% (fiscal year 2023)

Vs. state median

11% below the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-03-31Health inspection10 citations

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-05-04

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-05-04

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-05-04

F-0688

D · No harm found

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.

Corrected 2026-05-04

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-04

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2026-05-04

F-0761

D · No harm found

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.

Corrected 2026-05-04

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-05-04

F-0887

D · No harm found

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.

Corrected 2026-05-04

F-0921

B · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-05-04

2025-07-15Health inspectionComplaint-triggered3 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-03

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-03

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-08-03

7 earlier / fire-safety inspections (26 citations)

2025-02-07Health inspection9 citations

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-03-07

F-0576

D · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-03-07

F-0585

E · No harm found

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.

Corrected 2025-03-07

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-14

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2025-03-07

F-0686

E · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-07

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-03-14

F-0727

F · No harm found

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.

Corrected 2025-03-14

F-0790

D · No harm found

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-03-14

2024-05-29Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-06-22

2023-12-05Health inspection10 citations

F-0561

E · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-12-29

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-01-04

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-12-29

F-0585

D · No harm found

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.

Corrected 2024-01-04

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-12-29

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-29

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-29

F-0761

D · No harm found

Corrected 2023-12-29

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-04

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-29

2023-10-16Health inspectionComplaint-triggered2 citations

F-0658

G · Actual harmFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-11-07

F-0726

G · Actual harmFrom a 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.

Corrected 2023-11-07

2026-03-31Fire-safety inspection1 citation

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2026-05-15

2025-02-07Fire-safety inspection1 citation

E-0009

F · No harm found

Include a process for Emergency Preparedness collaboration.

Corrected 2025-02-16

2023-12-05Fire-safety inspection2 citations

E-0025

C · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2023-12-13

E-0030

C · No harm found

List the names and contact information of those in the facility.

Corrected 2023-12-13

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 225689.

Quality of care & staffing

How it compares in Massachusetts.

Inspection citations, 3 years

More than 53% of nursing homes in the state

State median: 36

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.5

Higher than 23% of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

44%

Higher than 71% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the Massachusetts average on 5 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	18.8%	15.8%	13.5%	Worse than state
Lose too much weight	6.5%	5.0%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.3%	0.7%	0.7%	Better than state
With a urinary tract infection	1.8%	1.7%	1.5%	Near state average
Have depressive symptoms	7.5%	17.4%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	7.7%	3.4%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	94.4%	92.9%	93.7%	Near state average
Ability to walk independently worsened	13.5%	13.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	14.9%	19.5%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	75.0%	93.5%	95.3%	Worse than state
With pressure ulcers	2.4%	4.2%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	22.8%	20.4%	18.3%	Worse than state
Received an antipsychotic medication	20.3%	21.5%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	2.49	1.84	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.86	1.45	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	78.7%	78.9%	82.3%	Near state average
Newly received an antipsychotic medication	1.5%	1.4%	1.5%	Near state average
Were assessed and appropriately given the seasonal influenza vaccine	72.6%	78.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	23.3%	25.7%	23.4%	Near state average
Had an outpatient emergency department visit	16.0%	11.8%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 4 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0761 2 inspections. 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.
F-0565 2 inspections. Honor the resident's right to organize and participate in resident/family groups in the facility.
F-0585 2 inspections. 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.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Verify & compare

Where to check, and what's nearby.

Who to contact in Massachusetts

Licensing: Massachusetts Department of Public Health, Division of Health Care Facility Licensure and Certification
File a complaint: 800-462-5540 · Online
Long-Term Care Ombudsman: 617-222-7495. A free advocate for residents and families.
Adult Protective Services: 800-922-2275. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Falmouth Hospital, about 9.2 miles. CMS rating 4 of 5.
Cape Cod Hospital, about 10 miles. CMS rating 2 of 5.
Martha's Vineyard Hospital Inc, about 13 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Cape Regency Rehabilitation & Health Care Center, Centerville, about 6.7 miles. CMS rating 1 of 5.
The Pavilion, Hyannis, about 7.9 miles. CMS rating 5 of 5.
Royal Megansett Nursing and Rehabilitation Center, N Falmouth, about 8.2 miles. CMS rating 4 of 5.
Royal Falmouth Nursing and Rehabilitation Center, Falmouth, about 8.5 miles. CMS rating 3 of 5.
Jml Care Center, Falmouth, about 9.2 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.541 ratings on Google

★★★★★BRIAN HILL · 2025-10-29 · via Google
“--- ⭐⭐⭐⭐⭐ 5-Star Nursing Home Review Title: Compassionate Care and Wonderful Staff My wife Nancy has been a resident at Royal Cotuit Skilled Nursing Facility in Mashpee for over a year, and we couldn’t be more grateful for the care she receives. The nursing staff is kind, attentive, and always takes time to make her feel comfortable. They communicate well with our family, keeping us updated abo…”

★★★★jodi baptiste · 2025-10-28 · via Google
“I want to thank all of you for the excellent, compassionate care you all provided for my stepdad . I had such peace of mind while he was there until the end of his life. He enjoyed the activities and all of the staff.”

★★★★★Anonymous · 2025-10-20 · via Google
“my mom recently passed at this facility. She had previously spent about 8 months there. Putting her in a nursing home at her age was an extremely tough decision, even though she wasn’t previously home. She was on the rehabilitation floor and she had consistent caregivers everyday. To them, she became like family and the staff there cared for her endlessly. she was adored by everyone there and I ca…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered