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Nursing homeFAID #5940

Royal Megansett Nursing & Rehabilitation

209 COUNTY ROAD BOX 408, N FALMOUTH, MA, 02556
(508) 563-4015
90 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
90
CMS facility ID
225679
Care type
Nursing home
County
Barnstable
Facility name
Royal Megansett Nursing & Rehabilitation
Street address
209 COUNTY ROAD BOX 408
City / state / ZIP
N Falmouth, MA 02556
Phone
(508) 563-4015

Royal Megansett Nursing & Rehabilitation 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.

Federal inspectors have cited Royal Megansett Nursing & Rehabilitation 24 times across 7 inspections in the last three years, including 2 food-safety citations; 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 August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

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
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-04-08
Nurse staffing
3.9 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
90
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 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
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
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
2 earlier / fire-safety inspections (13 citations)
2023-01-27Health inspection12 citations
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-01-30
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 2023-02-01
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-30
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-02-01
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-02-14
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-02-14
F-0758
E · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-02-03
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 2023-01-30
F-0847
E · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-02-15
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-02-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-02-03
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2023-02-14
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.
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 24 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.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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