Total health inspections
3
Massachusetts average 4.5
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Royal Megansett Nursing Home
Nursing Home
Royal Megansett Nursing Home
Nursing Home
Based in North Falmouth, MA, Royal Megansett Nursing Home is a renowned senior living community that offers exceptional skilled nursing and rehabilitation services. Boasting 28 excellently designed private rooms, the community warrants for a truly personalized care and focused attention to its residents. Residents enjoy relaxing views and compassionate assistance from a team of highly-skilled care professionals available 24 hours a day and 7 days a week.
With a strong dedication to nurturing its residents’ well-being, Royal Megansett Nursing Home also provides a wide array of life-enriching activities designed based on residents’ interests and current capabilities. Residents’ nutrition is monitored and considered when preparing their meals, ensuring they always eat balanced and delicious meals. Here, residents are treated like royalties within an enriching environment that encourages them to lead a vibrant retirement life.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
87
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
80.9%
Residents per day (avg)
67
Occupancy rate
80.9%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
32% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Partnership
Home revenue
$11.8M
Profit
$647.6K
Proprietary home
Partnership
Home revenue
$11,790,024.00
Profit
$647,624.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.1M
What does this home offer?
Accept Medicaid: Accept Medicaid
Total Residents: 90 Residents
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise Building
Types of Care at Royal Megansett Nursing Home
Nursing Home
Compare Nursing Homes around Falmouth
The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Royal Megansett Nursing Home
-21%
-13%
-1%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
North Falmouth (North Falmouth)
87
No
37
80.9%
$11,519,348.00
$4,104,066.00
35.6%
66.70
3.4208
1
23
-21%-13%-1%Studio / 1 Bed / 2 Bed
Royal Megansett Nursing Home
Type of care:
AL
IL
MC
SNF
Community:
North Falmouth (North Falmouth)
Bed Count:
87
Pets Allowed:
No
CCN:
225679
Occupancy:
80.9%
Home Revenue:
$11,519,348.00
Payroll Costs:
$4,104,066.00
Payroll %:
35.6%
Avg Residents/Day:
66.70
Overall Rating:
Adj Nurse Hours:
3.4208
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
23
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
-13%
-13%
Occupancy vs State Avg:
-1%
-1%
Bed Options:
Studio / 1 Bed / 2 Bed
Places of interest near Royal Megansett Nursing Home
1.0 miles from city center
209 County Rd, North Falmouth, MA 02556
Calculate Travel Distance to Royal Megansett Nursing Home
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
176
Total Staff
106
Employees
70
Contractors
28,767
Total Hours (Quarter)
46
Avg Staff/Day
6.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 7.9 | Yes |
| Licensed Practical Nurse | 31 | 8.1 | Yes |
| Certified Nursing Assistant | 68 | 7.9 | Yes |
Staff by Category
Administration ⓘ
2 staff
7hs shift avg
Nursing Staff ⓘ
137 staff
7.4hs shift avg
Physicians & Practitioners ⓘ
10 staff
3.6hs shift avg
Therapy Services ⓘ
17 staff
6.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2hs shift avg
Dietary Services ⓘ
7 staff
6.7hs shift avg
Other Services ⓘ
1 staff
9.9hs shift avg
Contractor Analysis
15.5%
of total hours from contractors
4,452 contractor hours this quarter
Certified Nursing Assistant: 31
Licensed Practical Nurse: 12
Registered Nurse: 6
Physical Therapy Assistant: 3
Physical Therapy Aide: 3
Speech Language Pathologist: 4
Respiratory Therapy Technician: 6
Qualified Social Worker: 2
Other Physician: 1
Occupational Therapy Assistant: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 37 | 31 | 68 | 10,101 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 19 | 12 | 31 | 4,737 | 91 | 100% | 8.1 |
| Nurse Aide in Training | 12 | 0 | 12 | 3,320 | 91 | 100% | 7.8 |
| Registered Nurse | 12 | 6 | 18 | 2,557 | 89 | 98% | 7.9 |
| RN Director of Nursing | 8 | 0 | 8 | 1,561 | 76 | 84% | 4.2 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,560 | 90 | 99% | 6.4 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 862 | 85 | 93% | 2.8 |
| Speech Language Pathologist | 0 | 4 | 4 | 759 | 80 | 88% | 6.3 |
| Nurse Practitioner | 1 | 0 | 1 | 513 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 505 | 51 | 56% | 9.9 |
| Dietitian | 1 | 0 | 1 | 502 | 64 | 70% | 7.8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 486 | 62 | 68% | 7.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 348 | 46 | 51% | 7.6 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 227 | 44 | 48% | 4.9 |
| Qualified Social Worker | 0 | 2 | 2 | 123 | 61 | 67% | 2 |
| Medical Director | 0 | 1 | 1 | 58 | 17 | 19% | 3.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 6 | 7% | 5.8 |
| Other Physician | 0 | 1 | 1 | 27 | 13 | 14% | 2 |
Health Inspection History
Inspections
Total health citations
23
Citations per inspection
7.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 23 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 0.3
Serious Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 1.5
0 critical citations
0 serious citations
21 moderate citations
2 minor citations
Citations history (last 3 years)
Nursing Services minor citation
Apr 08, 2025
Corrected
Quality of Care moderate citation
Apr 08, 2025
Corrected
Quality of Care moderate citation
Apr 08, 2025
Corrected
Care Planning moderate citation
Apr 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Partnership
Part of: Royal Health Group
Resident Census by Payment Source
68
Total Residents
Medicare
13
(19.1%)
ⓘ
Medicaid
31
(45.6%)
ⓘ
Private Pay/Other
24
(35.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
10% worse than Massachusetts averageMassachusetts average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
18% worse than Massachusetts averageMassachusetts average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
16% worse than Massachusetts averageMassachusetts average: 18.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.4%
Percent of long-stay residents whose ability to move independently worsened
19.4%
In line with Massachusetts averageMassachusetts average: 19.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
34% worse than Massachusetts averageMassachusetts average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
25% worse than Massachusetts averageMassachusetts average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.3%
Percent of long-stay high risk residents with pressure ulcers
1.3%
71% better than Massachusetts averageMassachusetts average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
50% better than Massachusetts averageMassachusetts average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.2%
Percent of long-stay residents who lose too much weight
9.2%
77% worse than Massachusetts averageMassachusetts average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
16.9%
Percent of long-stay residents who have depressive symptoms
16.9%
58% worse than Massachusetts averageMassachusetts average: 10.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.3%
Percent of long-stay residents who received an antipsychotic medication
19.3%
5% better than Massachusetts averageMassachusetts average: 20.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
8% better than Massachusetts averageMassachusetts average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
In line with Massachusetts averageMassachusetts average: 94.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.97
Number of hospitalizations per 1,000 long-stay resident days.
1.97
6% worse than Massachusetts averageMassachusetts average: 1.86
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
In line with Massachusetts averageMassachusetts average: 1.54
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
15% better than Massachusetts averageMassachusetts average: 76.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
53% better than Massachusetts averageMassachusetts average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
13% better than Massachusetts averageMassachusetts average: 77.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
In line with Massachusetts averageMassachusetts average: 25.8%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
5% worse than Massachusetts averageMassachusetts average: 11.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Massachusetts averageMassachusetts average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
In line with Massachusetts averageMassachusetts average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
66.6%
Rate of successful return to home or community from a skilled nursing facility.
66.6%
32% better than Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$3K
95% lower than Massachusetts averageMassachusetts average: $72K
Number of fines
1
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Massachusetts averageMassachusetts average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$3K
Massachusetts average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 27, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 27, 2023
$3K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Royal Megansett Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
80.9%
↑ 2.1pp vs 2022
Net Income
$647,624
↓ ~$847K vs 2022
Total Payroll
$5,665,957
↑ ~$338K vs 2022
Profit Margin
5.6%
↓ 9.0pp vs 2022
Loading trend charts...
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