Royal Megansett Nursing & Rehabilitation
209 County Road Box 408, N Falmouth, MA 02556
Royal Megansett Nursing & Rehabilitation, a 90-bed for profit - partnership nursing facility in N Falmouth, MA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #136 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5085634015
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #136 of 338
- In-state rank among rated MA homes
- 3.92
- About average · nurse hrs/day · nat'l 3.86
- 23
- Inspection findings
The verdict
Royal Megansett Nursing & Rehabilitation, a 90-bed for profit - partnership nursing facility in N Falmouth, MA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #136 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #136 of 338
- In-state rank among rated MA homes
- 3.92
- Nurse hrs/resident-day · national 3.86
- 23
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 341 MA nursing homes split by ownership sector
This facility is recorded as For profit - Partnership. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 225679
- Ownership
- For profit - Partnership
- Provider Type
- Medicare and Medicaid
- Beds
- 90
- Residents
- 66
- In Hospital
- No
- County
- Barnstable
- Last Inspection
- Apr 8, 2025
Staffing Data
How the 3.92 total nursing hours per resident-day are staffed:
- RN Hours
- 0.63 (nat'l avg: 0.69)
- LPN Hours
- 1.05
- CNA Hours
- 2.23
- Total Nursing Hours
- 3.92 (nat'l avg: 3.86)
- PT Hours
- 0.04
- Nursing Turnover
- 48.1%
- RN Turnover
- 66.7%
What the CMS Record Reveals About Royal Megansett Nursing & Rehabilitation
According to CMS Nursing Home Compare, Royal Megansett Nursing & Rehabilitation ranks #136 of 338 rated nursing homes in MA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Royal Megansett Nursing & Rehabilitation operates 90 certified beds in N Falmouth, MA with approximately 66 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 2★ · quality 3★).
The inspection file contains 23 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 3.92 total hours per resident day (national average 3.86); RN hours specifically are 0.63 per resident day.
Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, Royal Megansett Nursing & Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.1% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (23 most recent)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 9, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 15, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Apr 22, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 15, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 10, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Jun 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 7, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category: Resident Rights Deficiencies
Corrected: Jun 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 7, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 7, 2024
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.
Category: Administration Deficiencies
Corrected: Feb 3, 2023
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 1, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 30, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 1, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 30, 2023
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Feb 14, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 3, 2023
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Category: Administration Deficiencies
Corrected: Feb 15, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 30, 2023
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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 3, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Feb 14, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Feb 14, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.0% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 9.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 15.9% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 9.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 96.1% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 30.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 88.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 87.5% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Royal Megansett Nursing & Rehabilitation, both outside MA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MA (90 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MA (3.57 here).
Nearby Nursing Homes in MA
340 other nursing homes are on record in MA; 6 are shown here.
Abbott Skilled Nursing & Rehabilitation Center
Lynn, MA
Aberjona Rehabilitation and Nursing Center
Winchester, MA
Adviniacare at Northbridge
Northbridge, MA
Adviniacare at Provincetown
Provincetown, MA
Adviniacare Newburyport
Newburyport, MA
Adviniacare Newton Wellesley
Wellesley, MA
Understanding Nursing Home Data
What the CMS records show for Royal Megansett Nursing & Rehabilitation
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MA registry aggregates state averages and the highest-rated homes in this cohort. View MA registry
- Peer homes near 90 beds show how CMS stars vary at a similar scale in MA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Royal Megansett Nursing & Rehabilitation?
Where does Royal Megansett Nursing & Rehabilitation rank among nursing homes in MA?
What are the staffing levels at Royal Megansett Nursing & Rehabilitation?
How many beds does Royal Megansett Nursing & Rehabilitation have?
Does Royal Megansett Nursing & Rehabilitation have any deficiencies on record?
Has Royal Megansett Nursing & Rehabilitation received any fines or penalties?
Who owns Royal Megansett Nursing & Rehabilitation?
When was Royal Megansett Nursing & Rehabilitation last inspected?
What quality measures are tracked for Royal Megansett Nursing & Rehabilitation?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
