Royal of Cotuit
161 Falmouth Road, Mashpee, MA 02649 · (508) 477-2490
For profit - Limited Liability company · 120 certified beds
Royal of Cotuit has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 10 citations (the Massachusetts average is 6.8). It was fined 1 time in the last three years, $7,901 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 31, 2026 found 10 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 31, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.March 31, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 31, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 31, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 31, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.March 31, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 31, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.March 31, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 31, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.March 31, 2026 · F0921 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 15, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 15, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 15, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 29, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.October 16, 2023 · F0658 · Level of harm: Actual harm · Residents affected: Few
- 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.October 16, 2023 · F0726 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $7,901October 16, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Massachusetts average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.32 | 3.86 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.65 | 0.69 |
| Licensed practical nurses (LPN) | 0.84 | 0.95 | 0.86 |
| Nurse aides | 1.85 | 2.25 | 2.32 |
| Total nursing staff turnover | 47.7% | 38.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 120 |
| Average residents per day | 73.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Cape Cod Post Acute Care Brewster · ★★★★★ 3 out of 5 stars
- Royal Cape Cod Nursing & Rehabilitation Center Buzzards Bay · ★★★★★ 3 out of 5 stars
- Bourne Manor Extended Care Facility Buzzards Bay · ★★★★★ 1 out of 5 stars
- Cape Regency Rehabilitation & Health Care Center Centerville · ★★★★★ 1 out of 5 stars
- Royal Nursing Center, LLC Falmouth · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Royal of Cotuit on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.