4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 73rd out of 86 homes in Massachusetts for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ▲ 11% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 56m per day | ▼ 3% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 10m per day | ▼ 4% State avg: 2h 16m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 17m per day | ▼ 5% State avg: 3h 27m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 40% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 30m per day | ▲ 5% State avg: 28m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
45% more staff per resident than Massachusetts average
6% worse than Massachusetts average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
26 total: 13 full-time employees and 13 contractors.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
29 total: 16 full-time employees and 13 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
53 total: 36 full-time employees and 17 contractors.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,736 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 17 | 53 | 12,317 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 16 | 13 | 29 | 4,255 | 92 | 100% | 8.8 |
| Registered Nurse | 13 | 13 | 26 | 2,852 | 92 | 100% | 7.3 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,958 | 91 | 99% | 6.4 |
| RN Director of Nursing | 6 | 0 | 6 | 1,243 | 69 | 75% | 7.4 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 924 | 80 | 87% | 3.1 |
| Speech Language Pathologist | 0 | 9 | 9 | 847 | 80 | 87% | 6.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 554 | 71 | 77% | 6.3 |
| Administrator | 1 | 0 | 1 | 492 | 62 | 67% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 478 | 50 | 54% | 9.6 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 438 | 52 | 57% | 8.4 |
| Physical Therapy Assistant | 0 | 6 | 6 | 312 | 60 | 65% | 5.1 |
| Dietitian | 1 | 0 | 1 | 272 | 34 | 37% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 236 | 50 | 54% | 4.7 |
| Qualified Social Worker | 0 | 3 | 3 | 227 | 48 | 52% | 4.5 |
| Medical Director | 0 | 1 | 1 | 51 | 16 | 17% | 3.2 |
| Other Physician | 0 | 1 | 1 | 46 | 22 | 24% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 7 | 8% | 4.9 |
| Feeding Assistant | 0 | 1 | 1 | 3 | 1 | 1% | 3 |
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)
95% lower than Massachusetts averageMassachusetts average: $72K
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
16% worse than Massachusetts averageMassachusetts average: 18.7%
Percent of long-stay residents whose ability to move independently worsened
19.4%
In line with Massachusetts averageMassachusetts average: 19.3%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
25% worse than Massachusetts averageMassachusetts average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
1.3%
71% better than Massachusetts averageMassachusetts average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.0%
50% better than Massachusetts averageMassachusetts average: 2.1%
Percent of long-stay residents who lose too much weight
9.2%
77% worse than Massachusetts averageMassachusetts average: 5.2%
Percent of long-stay residents who have depressive symptoms
16.9%
58% worse than Massachusetts averageMassachusetts average: 10.7%
Percent of long-stay residents who received an antipsychotic medication
19.3%
5% better than Massachusetts averageMassachusetts average: 20.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
8% better than Massachusetts averageMassachusetts average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
In line with Massachusetts averageMassachusetts average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.97
6% worse than Massachusetts averageMassachusetts average: 1.86
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
In line with Massachusetts averageMassachusetts average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
15% better than Massachusetts averageMassachusetts average: 76.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
53% better than Massachusetts averageMassachusetts average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
13% better than Massachusetts averageMassachusetts average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
In line with Massachusetts averageMassachusetts average: 25.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
5% worse than Massachusetts averageMassachusetts average: 11.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Massachusetts averageMassachusetts average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
In line with Massachusetts averageMassachusetts average: 53.7%
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.
61% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
68Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Royal Megansett Nursing Home from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #81 / 89Payroll — State benchmarkedThis home is ranked 81st out of 89 homes in Massachusetts for payroll. Shows total annual staff payroll benchmarked to the Massachusetts average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #50 / 89Payroll % — State benchmarkedThis home is ranked 50th out of 89 homes in Massachusetts for payroll %. Shows payroll as a percentage of revenue versus the Massachusetts average. Well-run Massachusetts facilities typically land around 54–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Massachusetts that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise Building
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (61% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.0 miles from city center
Estimated distance in miles from North Falmouth's city center to Royal Megansett Nursing Home's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the MA Executive Office of Elder Affairs, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Royal Megansett Nursing Home | NH AL HOS MC PC RC SNF | North Falmouth | 90
Facility
90
MA AVG
94
Rank
#125 / 276 |
71.1%
Facility
71.1%
MA AVG
78.3
Rank
#61 / 81 | -9% | 3.42
Facility
3.42
MA AVG
3.93
Rank
#73 / 86 | +26% | -13% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 87 | 23
Facility
23
MA AVG
32.7
Rank
#34 / 86 | 7.7
Facility
7.7
MA AVG
7.2
Rank
#55 / 86 | - | 64 | - |
37
Facility
37
MA AVG
53
Rank
#328 / 498 | - | $10.5MFiscal year ending 12/2023
Facility
$10.5MFiscal year ending 12/2023
MA AVG
$17.4M
Rank
#72 / 89 | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
MA AVG
$6.5M
Rank
#81 / 89 | 44.5%Fiscal year ending 12/2023
Facility
44.5%Fiscal year ending 12/2023
MA AVG
43.6%
Rank
#50 / 89 | 225679 | ||||
| JML Care Center | NH | Falmouth | 132
Facility
132
MA AVG
94
Rank
#46 / 276 |
68.3%
Facility
68.3%
MA AVG
78.3
Rank
#63 / 81 | -13% | 4.47
Facility
4.47
MA AVG
3.93
Rank
#13 / 86 | -3% | +14% | $0
Facility
$0
MA AVG
$76.6k
Rank
#1 / 87 | 23
Facility
23
MA AVG
32.7
Rank
#34 / 86 | 5.8
Facility
5.8
MA AVG
7.2
Rank
#40 / 86 | - | 90 | - |
12
Facility
12
MA AVG
53
Rank
#455 / 498 | Colleen Pino | $10.4MFiscal year ending 09/2023
Facility
$10.4MFiscal year ending 09/2023
MA AVG
$17.4M
Rank
#71 / 89 | $9.1MFiscal year ending 09/2023
Facility
$9.1MFiscal year ending 09/2023
MA AVG
$6.5M
Rank
#49 / 89 | 87.2%Fiscal year ending 09/2023
Facility
87.2%Fiscal year ending 09/2023
MA AVG
43.6%
Rank
#2 / 89 | 225369 |
Royal Megansett Nursing Home is located in North Falmouth, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Royal Megansett Nursing Home is in the North Falmouth neighborhood.
Royal Megansett Nursing Home has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Royal Megansett Nursing Home's occupancy is 80.9%.
No, Royal Megansett Nursing Home has a no-pet policy.
Royal Megansett Nursing Home is registered as a for-profit.
Yes — there are 3 photos of Royal Megansett Nursing Home in the photo gallery on this page.
Royal Megansett Nursing Home is located at 209 County Rd, North Falmouth, MA 02556.
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