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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.42/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

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.

Lower demand than the Massachusetts average
Occupancy rate 80.9%
Residents per day (avg) 67
Occupancy rate
80.9%
Residents per day (avg)
67

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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 Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.1M
34.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.0M
Total costs $11.1M

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Accept Medicaid

Total residents icon
Total residents icon

Total Residents: 90 Residents

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Mid-rise Building

Types of Care at Royal Megansett Nursing Home

Nursing Home
Contact Royal Megansett Nursing Home

Places of interest near Royal Megansett Nursing Home

Address 1.0 miles from city center

Address 209 County Rd, North Falmouth, MA 02556

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Address

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 Nurse187.9 Yes
Licensed Practical Nurse318.1 Yes
Certified Nursing Assistant687.9 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 Assistant37316810,10191100%7.9
Licensed Practical Nurse1912314,73791100%8.1
Nurse Aide in Training120123,32091100%7.8
Registered Nurse126182,5578998%7.9
RN Director of Nursing8081,5617684%4.2
Other Dietary Services Staff6061,5609099%6.4
Clinical Nurse Specialist8088628593%2.8
Speech Language Pathologist0447598088%6.3
Nurse Practitioner1015136470%8
Mental Health Service Worker1015055156%9.9
Dietitian1015026470%7.8
Administrator1014886167%8
Physical Therapy Assistant0334866268%7.8
Physical Therapy Aide0333484651%7.6
Respiratory Therapy Technician0662274448%4.9
Qualified Social Worker0221236167%2
Medical Director011581719%3.4
Occupational Therapy Assistant0113567%5.8
Other Physician011271314%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)
Citations
23
Massachusetts average: 32.7
Critical Citations
0
Massachusetts average: 0.3
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Apr 08, 2025 B Nursing ServicesF0712 Corrected
Apr 08, 2025 E Quality of CareF0686 Corrected
Apr 08, 2025 D Quality of CareF0689 Corrected
Apr 08, 2025 D Care PlanningF0658 Corrected
Apr 08, 2025 D Resident RightsF0558 Corrected
May 24, 2024 E NutritionF0812 Corrected
May 24, 2024 E PharmacyF0755 Corrected
May 24, 2024 D PharmacyF0761 Corrected
May 24, 2024 B Care PlanningF0640 Corrected
May 24, 2024 D Care PlanningF0658 Corrected
May 24, 2024 D Resident RightsF0557 Corrected
Jan 27, 2023 D Abuse/NeglectF0604 Corrected
Jan 27, 2023 E AdministrationF0847 Corrected
Jan 27, 2023 D AdministrationF0849 Corrected
Jan 27, 2023 E Infection ControlF0880 Corrected
Jan 27, 2023 E Infection ControlF0881 Corrected
Jan 27, 2023 E NutritionF0812 Corrected
Jan 27, 2023 E PharmacyF0756 Corrected
Jan 27, 2023 E PharmacyF0757 Corrected
Jan 27, 2023 E PharmacyF0758 Corrected
Jan 27, 2023 D Quality of CareF0677 Corrected
Jan 27, 2023 D Quality of CareF0685 Corrected
Jan 27, 2023 D Care PlanningF0656 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 Massachusetts 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 Massachusetts 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 Massachusetts: 76.7%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.6% 53% better than avg Massachusetts: 1.3%
Influenza Vaccine
87.5% 13% better than avg Massachusetts: 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 Massachusetts avg: $72K 95% better than avg
Number of Fines 1 Massachusetts avg: 1.7
Compared to Massachusetts Average Facility: $3K | Massachusetts 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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