Royal Megansett Nursing Home

Royal Megansett Nursing Home is a Nursing Home in Massachusetts

Royal Megansett Nursing Home is a Nursing Home in Massachusetts

Royal Megansett Nursing Home

209 County Rd, North Falmouth, MA 02556 View Map

Royal Megansett Nursing Home is a Nursing Home in Massachusetts

Royal Megansett Nursing Home is a Nursing Home in Massachusetts

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Overview of Royal Megansett 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.

+1 508-563-5913
Home Information ROYAL MEGANSETT NURSING & REHABILITATION
  • Occupancy trails most facilities in the state, suggesting excess open capacity. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Resident stays are comparable to other state facilities, implying stable turnover.

  • Home revenue sits below most peers, indicating modest billing throughput. Payroll costs fall below most facilities, hinting at lean staffing budgets. Total income exceeds the majority of state facilities, highlighting strong profitability.

  • Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights are roughly in line with the state middle third, maintaining a balanced safety-net share. Private pay nights hover around the statewide average, supporting a diversified mix.

Occupancy
Beds
90 Residents
Occupancy
74.0%
Total Bed Days Available
31755
Avg. Length of Stay
116 days
Avg. Residents per Day
67
Finance
Home Revenue
$10,260,482.00
Payroll Costs
$3,943,548.00
Profit
$1,494,856.00
Total Home Costs
$9,406,602.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
38.4%
House Specifics:
CCN
225679
Rural vs. Urban
Urban
County
Barnstable
Type of Control
Proprietary — Corporation
Operations
Total Admissions
150
Total Discharges
210
% Medicaid Admissions
4%
% Medicare Admissions
73%
% Private Pay Admissions
23%
% Medicaid Discharges
12%
% Medicare Discharges
67%
% Private Pay Discharges
22%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
4 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
4 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
2 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
3 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
3.42 hrs
Number of Fines
1
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
14429
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
3740
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
6841

What does this home offer?

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Accept Medicaid: Accept Medicaid

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Total Residents: 90 Residents

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Mid-rise Building

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Accept Medicaid

Types of Care at Royal Megansett Nursing Home

Nursing Home
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Address 1.0 miles from city center

Address 209 County Rd, North Falmouth, MA 02556

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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

Source: CMS Health Citations (Jan 2023 – Apr 2025)

3
Inspections
23
Total Citations
0
Critical (J-L)
0
Serious (G-I)
7.67
Citations/Inspection
Apr 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
2
Moderate (D-F)
21
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Pharmacy Services
5
22% of total
Quality of Life & Care
4
17% of total
Infection Control
2
9% of total
Resident Rights
2
9% of total
Administration
2
9% of total
Abuse, Neglect & Exploitation
1
4% of total
Citation Sources
Standard Inspections 23
Complaint Investigations 0
State Comparison (MA)
Avg Citations (State)
32.7
This Facility: 23
Avg Critical (State)
0.3
This Facility: 0
Recent Citations (Last 3 Years)
Date Severity ? Category Tag Status
Apr 08, 2025 B Nursing Services F0712 Corrected
Apr 08, 2025 E Quality of Care F0686 Corrected
Apr 08, 2025 D Quality of Care F0689 Corrected
Apr 08, 2025 D Care Planning F0658 Corrected
Apr 08, 2025 D Resident Rights F0558 Corrected
May 24, 2024 E Nutrition F0812 Corrected
May 24, 2024 E Pharmacy F0755 Corrected
May 24, 2024 D Pharmacy F0761 Corrected
May 24, 2024 B Care Planning F0640 Corrected
May 24, 2024 D Care Planning F0658 Corrected
May 24, 2024 D Resident Rights F0557 Corrected
Jan 27, 2023 D Abuse/Neglect F0604 Corrected
Jan 27, 2023 E Administration F0847 Corrected
Jan 27, 2023 D Administration F0849 Corrected
Jan 27, 2023 E Infection Control F0880 Corrected
Jan 27, 2023 E Infection Control F0881 Corrected
Jan 27, 2023 E Nutrition F0812 Corrected
Jan 27, 2023 E Pharmacy F0756 Corrected
Jan 27, 2023 E Pharmacy F0757 Corrected
Jan 27, 2023 E Pharmacy F0758 Corrected
Jan 27, 2023 D Quality of Care F0677 Corrected
Jan 27, 2023 D Quality of Care F0685 Corrected
Jan 27, 2023 D Care Planning F0656 Corrected

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.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
11.2 Score
10% worse than avg State avg: 10.2

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
23.5 Score
18% worse than avg State avg: 20.0

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
21.6%
Lost Too Much Weight
9.2%
Urinary Tract Infection
1.0%
Depressive Symptoms
16.9%
Falls with Major Injury
4.5%
Pneumococcal Vaccine
99.5%
Antipsychotic Use
19.3%
Walking Ability Worsened
19.4%
Influenza Vaccine
96.1%
High Risk Residents with Pressure Ulcers
1.3%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
29.5%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
88.4% 15% better than avg State: 76.7%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.6% 53% better than avg State: 1.3%
Influenza Vaccine
87.5% 13% better than avg State: 77.7%

Penalties & 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 $3K State avg: $72K 95% better than avg
Number of Fines 1 State avg: 1.7
Compared to State Average Facility: $3K | State Avg: $72K
Penalty History

Showing all 1 penalties (Jan 2023 - Jan 2023)

Jan 27, 2023 Civil Money Penalty
$3K
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Claim What’s Yours: Financial Aid for Massachusetts Seniors

Program
State Program Name
Eligibility
Benefits
Home Care Program
  • General: Age 60+, Massachusetts resident, at risk of nursing home placement.
  • Income Limits (2025): ~$1,500/month (individual, varies by region).
  • Asset Limits: $2,000 (individual, excludes home, car).
  • MA Specifics: Coordinated through Aging Services Access Points (ASAPs); high demand in urban areas.
  • Services: In-home care (3-5 hours/day), homemaker services, respite care (up to 14 days/year), adult day care (~$75/day).
Frail Elder Waiver
Massachusetts Medicaid FE Waiver
Official government program page
  • General: Age 65+, Massachusetts resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • MA Specifics: Requires clinical eligibility determination.
  • Services: Personal care (5-7 hours/day), respite care (240 hours/year), adult day care (~$75/day), home health services.
Senior Care Options (SCO)
Massachusetts Senior Care Options
Official government program page
  • General: Age 65+, Massachusetts resident, eligible for MassHealth (Medicare optional), nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual); QIT allowed.
  • Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home up to $713,000, car).
  • MA Specifics: Not available in Dukes/Nantucket Counties; multiple SCO providers (e.g., CCA, Tufts).
  • Services: Personal care (5-7 hours/day), medical care, respite (240 hours/year), adult
Medicare Savings Program (MSP)
Massachusetts Medicare Savings Program (MassHealth Buy-In)
Official government program page
  • General: Age 65+ or disabled, Massachusetts resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • MA Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
National Family Caregiver Support Program (NFCSP) Respite
Massachusetts NFCSP Respite Care
Official government program page
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; Massachusetts resident; functional needs (2+ ADLs).
  • Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits: Not assessed; need-based.
  • MA Specifics: 27 ASAPs; prioritizes low-income, rural caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), caregiver training, supplies (~$500/year).
Prescription Advantage
Massachusetts Prescription Advantage
Official government program page
  • General: Age 65+ or disabled, Massachusetts resident, enrolled in Medicare Part D (or ineligible for Medicare).
  • Income Limits (2025): No strict limit; copays vary by income (~$24,980-$75,000/year individual).
  • Asset Limits: Not assessed.
  • MA Specifics: Supplements Medicare Part D; no enrollment fee for low-income.
  • Services: Covers prescription copays ($5-$40/drug), fills coverage gaps, catastrophic cost protection ($4,000+ covered).
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, Massachusetts resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • MA Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$15/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Massachusetts VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Massachusetts resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • MA Specifics: High veteran demand statewide.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Massachusetts Seniors

MassHealth Home Care

Home Care Program

Requirements:
  • General:
    Age 60+, Massachusetts resident, at risk of nursing home placement.
  • Income Limits (2025):
    ~$1,500/month (individual, varies by region).
  • Asset Limits:
    $2,000 (individual, excludes home, car).
  • MA Specifics:
    Coordinated through Aging Services Access Points (ASAPs); high demand in urban areas.
Benefits without Contact:
  • Services: In-home care (3-5 hours/day), homemaker services, respite care (up to 14 days/year), adult day care (~$75/day).
Massachusetts Medicaid FE Waiver

Frail Elder Waiver

Requirements:
  • General:
    Age 65+, Massachusetts resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • MA Specifics:
    Requires clinical eligibility determination.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite care (240 hours/year), adult day care (~$75/day), home health services.
Massachusetts Senior Care Options

Senior Care Options (SCO)

Requirements:
  • General:
    Age 65+, Massachusetts resident, eligible for MassHealth (Medicare optional), nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual); QIT allowed.
  • Asset Limits:
    $2,000 (individual), $3,000 (couple) (excludes home up to $713,000, car).
  • MA Specifics:
    Not available in Dukes/Nantucket Counties; multiple SCO providers (e.g., CCA, Tufts).
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), medical care, respite (240 hours/year), adult
Massachusetts Medicare Savings Program (MassHealth Buy-In)

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Massachusetts resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • MA Specifics:
    Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Massachusetts NFCSP Respite Care

National Family Caregiver Support Program (NFCSP) Respite

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; Massachusetts resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits:
    Not assessed; need-based.
  • MA Specifics:
    27 ASAPs; prioritizes low-income, rural caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), caregiver training, supplies (~$500/year).
Massachusetts Prescription Advantage

Prescription Advantage

Requirements:
  • General:
    Age 65+ or disabled, Massachusetts resident, enrolled in Medicare Part D (or ineligible for Medicare).
  • Income Limits (2025):
    No strict limit; copays vary by income (~$24,980-$75,000/year individual).
  • Asset Limits:
    Not assessed.
  • MA Specifics:
    Supplements Medicare Part D; no enrollment fee for low-income.
Benefits without Contact:
  • Services: Covers prescription copays ($5-$40/drug), fills coverage gaps, catastrophic cost protection ($4,000+ covered).
Massachusetts SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Massachusetts resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • MA Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$15/hour), job placement.
Massachusetts VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Massachusetts resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • MA Specifics:
    High veteran demand statewide.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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