ROYAL OF COTUIT

161 FALMOUTH ROAD, MASHPEE, MA 02649 · CCN 225689 · 120 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

35 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2023-10-16 — ACTUAL HARM (tag F0658, severity G)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

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

2023-10-16 — ACTUAL HARM (tag F0726, severity G)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

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.

Staffing, from payroll records

Nursing hours / resident / day

2.92

state median 3.36

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.40

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

48%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $7,901 in fines.

Date	Type	Amount
2023-10-16	Fine	$7,901

Ownership

Ownership type: For profit - Limited Liability company. Part of the ROYAL HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

ROYAL BRAINTREE NURSING AND REHABILITATION CENTER (BRAINTREE, MA) — CMS overall2 of 5
Royal of Fairhaven Nursing Center (FAIRHAVEN, MA) — CMS overall2 of 5
ROYAL NURSING CENTER, LLC (FALMOUTH, MA) — CMS overall3 of 5
ROYAL MEADOW VIEW CENTER (NORTH READING, MA) — CMS overall4 of 5
ROYAL NORWELL NURSING & REHABILITATION CENTER LLC (NORWELL, MA) — CMS overall3 of 5
ROYAL WOOD MILL CENTER (LAWRENCE, MA) — CMS overall3 of 5
Royal Cape Cod Nursing & Rehabilitation Center (BUZZARDS BAY, MA) — CMS overall3 of 5
ROYAL WAYLAND REHABILITATION AND NURSING CENTER (WAYLAND, MA) — CMS overall5 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 2 · Potential for more than minimal harm: 32

Survey date	Tag	Category	Severity	Corrected
2026-03-31	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-31	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-31	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-31	F0688	Quality of Life and Care Deficiencies	D	not recorded
2026-03-31	F0689	Quality of Life and Care Deficiencies	E	not recorded
2026-03-31	F0699	Quality of Life and Care Deficiencies	D	not recorded
2026-03-31	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-03-31	F0883	Infection Control Deficiencies	D	not recorded
2026-03-31	F0887	Infection Control Deficiencies	D	not recorded
2026-03-31	F0921	Environmental Deficiencies	B	not recorded
2025-07-15	F0580	Resident Rights Deficiencies	D	not recorded
2025-07-15	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-07-15	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-07	F0565	Resident Rights Deficiencies	E	not recorded
2025-02-07	F0576	Resident Rights Deficiencies	D	not recorded
2025-02-07	F0585	Resident Rights Deficiencies	E	not recorded
2025-02-07	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-02-07	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-02-07	F0686	Quality of Life and Care Deficiencies	E	not recorded
2025-02-07	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-02-07	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2025-02-07	F0790	Quality of Life and Care Deficiencies	D	not recorded
2024-05-29	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-05	F0561	Resident Rights Deficiencies	E	not recorded
2023-12-05	F0565	Resident Rights Deficiencies	E	not recorded
2023-12-05	F0583	Resident Rights Deficiencies	E	not recorded
2023-12-05	F0585	Resident Rights Deficiencies	D	not recorded
2023-12-05	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-05	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-05	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-05	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-12-05	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-12-05	F0880	Infection Control Deficiencies	D	not recorded
2023-10-16	F0658	Resident Assessment and Care Planning Deficiencies	G	not recorded
2023-10-16	F0726	Nursing and Physician Services Deficiencies	G	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ROYAL OF COTUIT, MASHPEE” at medicare.gov/care-compare.