Home›Browse›Massachusetts›N Falmouth›Royal Megansett Nursing and Rehabilitation Center

Nursing homeFAID #5940

Royal Megansett Nursing and Rehabilitation Center

209 COUNTY ROAD BOX 408, N FALMOUTH, MA, 02556

(508) 563-4015

90 licensed beds

CMS rates Royal Megansett Nursing and Rehabilitation Center 4 out of 5 overall. Federal inspectors issued 13 citations across 6 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

209 County Road Box 408

N Falmouth, MA 02556

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

225679

Care type

Nursing home

County

Barnstable

Facility name

Royal Megansett Nursing and Rehabilitation Center

Street address

209 COUNTY ROAD BOX 408

City / state / ZIP

N Falmouth, MA 02556

Phone

(508) 563-4015

About this facility — Royal Megansett Nursing and Rehabilitation Center

Royal Megansett Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in N Falmouth, Massachusetts. It is licensed for 90 beds — below the median for skilled nursing facilities in Massachusetts (123 beds).

It is one of 1 senior care facility in N Falmouth 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 Megansett Nursing and Rehabilitation Center 13 times across 6 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 - Partnership

Registered owners & officers

Mamary, James

Direct owner — 100% stake — since 1997

Reid, Paula

Managing employee — since 1998

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

1995-08-01

CMS overall rating

4 of 5 stars

Health deficiencies

1 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-05-20

Nurse staffing

4.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$448 per day (≈ $13,620/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

57% Medicaid · 16% Medicare · 27% private/other

Occupancy

81% (fiscal year 2023)

Vs. state median

8% below the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · 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.

2026-05-20Health inspection1 citation

F-0658

D · No harm found

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

Corrected 2026-06-12

2025-04-08Health inspection5 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-22

F-0658

D · No harm found

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

Corrected 2025-04-15

F-0686

E · No harm found

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

Corrected 2025-04-15

F-0689

D · No harm found

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

Corrected 2025-04-09

F-0712

B · No harm found

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2025-04-18

2 earlier / fire-safety inspections (7 citations)

2024-05-24Health inspection6 citations

F-0557

D · No harm found

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-06-12

F-0640

B · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-06-10

F-0658

D · No harm found

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

Corrected 2024-06-07

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-07

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 2024-06-07

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 2024-06-07

2025-04-08Fire-safety inspection1 citation

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2025-05-16

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 225679.

Quality of care & staffing

How it compares in Massachusetts.

Inspection citations, 3 years

More than 9% 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

4.0

Higher than 73% of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

54%

Higher than 89% 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 10 and worse on 6. 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	9.0%	15.8%	13.5%	Better than state
Lose too much weight	6.7%	5.0%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.6%	0.7%	0.7%	Better than state
With a urinary tract infection	1.5%	1.7%	1.5%	Better than state
Have depressive symptoms	13.9%	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	4.9%	3.4%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	92.9%	93.7%	Near state average
Ability to walk independently worsened	11.5%	13.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	8.2%	19.5%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5%	95.3%	Near state average
With pressure ulcers	2.1%	4.2%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	28.7%	20.4%	18.3%	Worse than state
Received an antipsychotic medication	25.8%	21.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	3.25	1.84	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.39	1.45	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	88.2%	78.9%	82.3%	Better than state
Newly received an antipsychotic medication	1.2%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	83.2%	78.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	26.6%	25.7%	23.4%	Near state average
Had an outpatient emergency department visit	15.4%	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 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.

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 5.8 miles. CMS rating 4 of 5.
Martha's Vineyard Hospital Inc, about 13 miles. CMS rating 4 of 5.
Cape Cod Hospital, about 18 miles. CMS rating 2 of 5.

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

Nearby facilities with inspection records

Jml Care Center, Falmouth, about 5.8 miles. CMS rating 3 of 5.
Bourne Manor Extended Care Facility, Bourne, about 6.2 miles. CMS rating 1 of 5.
Royal Falmouth Nursing and Rehabilitation Center, Falmouth, about 6.2 miles. CMS rating 3 of 5.
Royal Cape Cod Nursing and Rehabilitation Center, Buzzards Bay, about 7.5 miles. CMS rating 3 of 5.
Royal Cotuit Nursing and Rehabilitation Center, Mashpee, about 8.2 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 13 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

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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

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