Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
163
90 employees · 73 contractors · 41 on an average day Royal Megansett Nursing Home
Nursing Home, Assisted Living, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · North Falmouth, MA
ALM Inspection Grade
A
ALM's inspection grade is 93 / 100, an A — 10 points above the Massachusetts average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 93 / 100, an A — 10 points above the Massachusetts average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Royal Megansett Nursing Home
Nursing Home, Assisted Living, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · North Falmouth, MA
ALM Inspection Grade
A
ALM's inspection grade is 93 / 100, an A — 10 points above the Massachusetts average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 93 / 100, an A — 10 points above the Massachusetts average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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.
Royal Megansett Nursing Home accepts Medicare, Medicaid, and private pay.
Overview of Royal Megansett Nursing Home
Royal Megansett Nursing Home provides nursing home care, assisted living, hospice care, memory care, palliative care, respite care, and skilled nursing in North Falmouth, MA. Assisted living supports residents with daily tasks, while memory care offers supervision for someone who may be at risk of wandering; Skilled nursing provides nursing care on site, and hospice and palliative care address serious illness and comfort needs. Respite care provides a short-term stay when a usual caregiver needs time away.
The home has 90 beds with studio, one-bedroom, and two-bedroom housing. A studio offers one private space, while a two-bedroom can work for a couple moving together or for someone who wants a companion, and the range of care can support changing needs without requiring a move to another community. Medicare, Medicaid, and private pay are accepted; total nurse staffing is 3 hours and 46 minutes per resident per day, meaning that amount of nursing staff time is allocated to each resident daily. A Walk Score of 37 places the area in a car-dependent setting, so most errands require a car or a ride.
Quality ratings
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 52nd out of 83 nursing homes we track 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.
3h 46m
This nursing home is ranked 52nd out of 83 nursing homes we track 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.
3h 46mStandout metric: RN, weekends is +15% above Massachusetts average
4 of 6 metrics below Massachusetts average
Daily care time per resident, by role
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. 26 total: 13 of the facility's own employees and 13 agency contractors.
26 staff · 7.3-hour shifts
44m
↑ 12% · MA 39mThis facility: 44m per resident per day, 12% above the Massachusetts average of 39m (among Massachusetts facilities reporting a recent figure).
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. 26 total: 13 of the facility's own employees and 13 agency contractors.
26 staff · 7.3-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 29 total: 16 of the facility's own employees and 13 agency contractors.
29 staff · 8.8-hour shifts
52m
↓ 11% · MA 58mThis facility: 52m per resident per day, 11% below the Massachusetts average of 58m (among Massachusetts facilities reporting a recent figure).
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. 29 total: 16 of the facility's own employees and 13 agency contractors.
29 staff · 8.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 53 total: 36 of the facility's own employees and 17 agency contractors.
53 staff · 8.3-hour shifts
2h 11m
↓ 4% · MA 2h 16mThis facility: 2h 11m per resident per day, 4% below the Massachusetts average of 2h 16m (among Massachusetts facilities reporting a recent figure).
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. 53 total: 36 of the facility's own employees and 17 agency contractors.
53 staff · 8.3-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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
↓ 38% · MA 4mThis facility: 2m per resident per day, 38% below the Massachusetts average of 4m (among Massachusetts facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 18m
↓ 4% · MA 3h 27mThis facility: 3h 18m per resident per day, 4% below the Massachusetts average of 3h 27m (among Massachusetts facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
32m
↑ 15% · MA 28mThis facility: 32m per resident per day, 15% above the Massachusetts average of 28m (among Massachusetts facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
163
90 employees · 73 contractors · 41 on an average day
163 total staff / 66 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.47 : 1
↑ 51% · MA 1.64This facility: 2.47 staff per resident, 51% above the Massachusetts average of 1.64 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
163 staff ÷ 66 residents
See full Massachusetts ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.4 h
↓ 6% · MA 7.9 hThis facility: 7.4 h, 6% below the Massachusetts average of 7.9 h (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
28,003 staff hours this quarter
See full Massachusetts ranking →83.1% of staff hours were worked by the facility's own employees
Massachusetts average: 91.6% · Contractors this quarter: Certified Nursing Assistant (17), Registered Nurse (13), Licensed Practical Nurse (13), Speech Language Pathologist (9), Physical Therapy Assistant (6), Physical Therapy Aide (4), Respiratory Therapy Technician (4), Qualified Social Worker (3), Other Physician (1), Medical Director (1), Feeding Assistant (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
90
Rank #68 / 93Bed count — State benchmarked This nursing home is ranked 68th out of 93 nursing homes we track in Massachusetts for bed count. Shows this facility's certified or reported bed count compared to other Massachusetts facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
90
Rank #68 / 93Bed count — State benchmarked This nursing home is ranked 68th out of 93 nursing homes we track in Massachusetts for bed count. Shows this facility's certified or reported bed count compared to other Massachusetts facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #72 / 111Walk Score — State benchmarked This nursing home is ranked 72nd out of 111 nursing homes we track in Massachusetts for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Massachusetts facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #72 / 111Walk Score — State benchmarked This nursing home is ranked 72nd out of 111 nursing homes we track in Massachusetts for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Massachusetts facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
37
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #58 / 78Occupancy rate — State benchmarked This nursing home is ranked 58th out of 78 nursing homes we track in Massachusetts for occupancy. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 78. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #58 / 78Occupancy rate — State benchmarked This nursing home is ranked 58th out of 78 nursing homes we track in Massachusetts for occupancy. Shows this facility's occupancy rate versus the Massachusetts average, with its Statewide rank out of 78. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
72.1%
This home usually has availability
Based on residents per day and 90 beds.
Lower than the Massachusetts average: 81.1%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
65
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
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.
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.
91
days
About This Community
U.S. News & World Report Best Senior Living (2012)U.S. News rates communities from independent surveys of residents and their families (the 2025 edition analyzed ~450,000 responses across 3,800+ communities) covering safety, caregiving, activities, dining, management and value. Only communities meeting its data thresholds earn a Best designation for that year.
The Joint Commission (TJC) accreditation — The Joint CommissionVoluntary accreditation from The Joint Commission, the nation's largest healthcare standards body. Earning it requires periodic unannounced on-site surveys against published safety and quality-of-care standards - a meaningfully higher bar than state licensure, which is mandatory.
Resident Council
Russian
Short-Term Rehabilitation
Stroke Recovery
Physical Therapy
Speech Therapy
Attending Physician Coverage
Cardiac Care Management
Remote Telemedicine (Phone Doctor)
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Customized Meal Programs
Discharge Planning and Care Coordination
In-Home Care
Pets not allowed
Manicured Lawn with Water Views
Activities
Music Therapy
Art TherapyA therapeutic activity that uses drawing, painting, or other art to support emotional expression, coping, and engagement. It can be led by a trained therapist or activity professional.
Building TypeMid-rise Building
Room Types
Studio
1 Bed
2 Bed
Private Room
CMS Health Inspection History
ALM Inspection Grade
93 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
10 points above the Massachusetts average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
41 severity-weighted points (23 citations) · 16% lower than the typical CMS-certified MA facility (median: 49)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
11 days to fix issues · much faster than the typical CMS-certified MA facility (median: 33)
Total health inspections
3
↓ 32% · MA 4.4This facility: 3, 32% below the Massachusetts average of 4.4 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
23
Rank #35 / 83Health citations — State benchmarked This nursing home is ranked 35th out of 83 nursing homes we track in Massachusetts for health citations. Shows this facility's total health deficiency citations benchmarked to the Massachusetts State average, with a ranking across all 83 MA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 22% · MA 29.5This facility: 23, 22% below the Massachusetts average of 29.5 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
7.67
Rank #57 / 83Citations per inspection — State benchmarked This nursing home is ranked 57th out of 83 nursing homes we track in Massachusetts for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Massachusetts mean across 83 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 15% · MA 6.69This facility: 7.67, 15% above the Massachusetts average of 6.69 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
23 of 23 citations corrected
Critical
J–L
0
↓ 100% · MA 0.3This facility: 0, 100% below the Massachusetts average of 0.3 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · MA 1.2This facility: 0, 100% below the Massachusetts average of 1.2 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
21
↓ 22% · MA 26.9This facility: 21, 22% below the Massachusetts average of 26.9 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
2
↑ 67% · MA 1.2This facility: 2, 67% above the Massachusetts average of 1.2 (among Massachusetts facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Apr 08, 2025 · 5 citations, all corrected
Most cited category: Pharmacy Services, 5 of 23 citations · 9 categories in total
Citations history
Most recent first
Apr 08, 2025
5 citations
Nursing Services minor citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
May 24, 2024
6 citations
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning minor citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jan 27, 2023
12 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 23 citations
Pharmacy Services
5 deficiencies (22%)
Resident Assessment & Care Planning
4 deficiencies (17%)
Quality of Life & Care
4 deficiencies (17%)
Infection Control
2 deficiencies (9%)
Resident Rights
2 deficiencies (9%)
Nutrition & Dietary
2 deficiencies (9%)
Administration
2 deficiencies (9%)
Abuse, Neglect & Exploitation
1 deficiency (4%)
Nursing & Physician Services
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 23 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
MA avg $71KMassachusetts average: $70,618. Average among the 167 Massachusetts facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
MA avg 1.59Massachusetts average: 1.59. Average among the 167 Massachusetts facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MA avg 0.05Massachusetts average: 0.05. Average among the 167 Massachusetts facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Massachusetts average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 12% · MA 3.6This facility: 4.0, 12% above the MA average of 3.6 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 24% · MA 3.2This facility: 4.0, 24% above the MA average of 3.2 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
7.6
Score · lower is better
↓ 14% · MA 8.9This facility: 7.6, 14% below the MA average of 8.9 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.7
Score · lower is better
≈ 0% · MA 17.6This facility: 17.7, level with the MA average of 17.6 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 6 worse, 3 near MA average
8 short-stay measures: 3 better, 1 worse, 1 near MA average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
↓ 42% · MA 16.4This facility: 9.6, 42% below the MA average of 16.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
↓ 42% · MA 16.4This facility: 9.6, 42% below the MA average of 16.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
13.4%
↓ 13% · MA 15.4This facility: 13.4, 13% below the MA average of 15.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
13.4%
↓ 13% · MA 15.4This facility: 13.4, 13% below the MA average of 15.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
↑ 41% · MA 21.2This facility: 30.0, 41% above the MA average of 21.2 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
↑ 41% · MA 21.2This facility: 30.0, 41% above the MA average of 21.2 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.1%
↑ 16% · MA 1.8This facility: 2.1, 16% above the MA average of 1.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.1%
↑ 16% · MA 1.8This facility: 2.1, 16% above the MA average of 1.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
↑ 31% · MA 3.4This facility: 4.5, 31% above the MA average of 3.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
↑ 31% · MA 3.4This facility: 4.5, 31% above the MA average of 3.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.4%
↓ 66% · MA 4.2This facility: 1.4, 66% below the MA average of 4.2 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.4%
↓ 66% · MA 4.2This facility: 1.4, 66% below the MA average of 4.2 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
9.2%
↑ 81% · MA 5.1This facility: 9.2, 81% above the MA average of 5.1 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
9.2%
↑ 81% · MA 5.1This facility: 9.2, 81% above the MA average of 5.1 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
15.9%
↑ 3% · MA 15.5This facility: 15.9, 3% above the MA average of 15.5 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
15.9%
↑ 3% · MA 15.5This facility: 15.9, 3% above the MA average of 15.5 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
25.0%
↑ 17% · MA 21.4This facility: 25.0, 17% above the MA average of 21.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
25.0%
↑ 17% · MA 21.4This facility: 25.0, 17% above the MA average of 21.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · MA 92.6This facility: 100.0, 8% above the MA average of 92.6 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · MA 92.6This facility: 100.0, 8% above the MA average of 92.6 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
↑ 1% · MA 94.8This facility: 96.1, 1% above the MA average of 94.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
↑ 1% · MA 94.8This facility: 96.1, 1% above the MA average of 94.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.97
↑ 6% · MA 1.86This facility: 1.97, 6% above the MA average of 1.86 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.97
↑ 6% · MA 1.86This facility: 1.97, 6% above the MA average of 1.86 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
↓ 2% · MA 1.54This facility: 1.51, 2% below the MA average of 1.54 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
↓ 2% · MA 1.54This facility: 1.51, 2% below the MA average of 1.54 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
↓ 2% · US 53.7This facility: 52.6, 2% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
↓ 2% · US 53.7This facility: 52.6, 2% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
66.6%
↑ 32% · US 50.6This facility: 66.6, 32% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
66.6%
↑ 32% · US 50.6This facility: 66.6, 32% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
↓ 9% · MA 1.4This facility: 1.2, 9% below the MA average of 1.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
↓ 9% · MA 1.4This facility: 1.2, 9% below the MA average of 1.4 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
↑ 13% · MA 78.3This facility: 88.6, 13% above the MA average of 78.3 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
↑ 13% · MA 78.3This facility: 88.6, 13% above the MA average of 78.3 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
↑ 13% · MA 77.7This facility: 87.5, 13% above the MA average of 77.7 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
↑ 13% · MA 77.7This facility: 87.5, 13% above the MA average of 77.7 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
↓ 4% · MA 25.8This facility: 24.7, 4% below the MA average of 25.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
↓ 4% · MA 25.8This facility: 24.7, 4% below the MA average of 25.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
↑ 5% · MA 11.8This facility: 12.4, 5% above the MA average of 11.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
↑ 5% · MA 11.8This facility: 12.4, 5% above the MA average of 11.8 (among MA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Royal Megansett Nursing Home’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 82 Massachusetts nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
2.2% operating margin
−1.4 pts vs prior year
Positive margin in 6 of the last 8 reported years. Net income $0.3M after other income.
Does it invest in staff?
Spends less on payroll than most Massachusetts homes
43.9% payroll share of revenue
MA average 67.4%Rank #79 / 82Payroll % of net patient revenue — State benchmarked This nursing home is ranked 79th out of 82 nursing homes we track in Massachusetts for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Massachusetts average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.0M while revenue rose $0.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Massachusetts homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MA median | Compared with MA homesRank in MA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.7M | +$0.2M | Trend 20172024 | MA median $15.5M | Rank in MA Rank #60 / 82Net patient revenue — State benchmarked This nursing home is ranked 60th out of 82 nursing homes we track in Massachusetts for net patient revenue. Shows this facility's net patient revenue compared to the Massachusetts average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 27% of homes | Below MA median Higher net patient revenue than 27% of MA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $10.5M | +$0.4M | Trend 20172024 | MA median — | Rank in MA Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.2M | −$0.1M | Trend 20172024 | MA median — | Rank in MA Not ranked | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 2.2% | −1.4 pts | Trend 20172024 | MA median — | Rank in MA Not ranked | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MA median — | Rank in MA Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.3M | −$0.4M | Trend — | MA median — | Rank in MA Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Massachusetts homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | MA median | Compared with MA homesRank in MA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.7M | +$0.0M | Trend 20172024 | MA median $9.7M | Rank in MA Rank #72 / 82Payroll costs — State benchmarked This nursing home is ranked 72nd out of 82 nursing homes we track in Massachusetts for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Massachusetts average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 12% of homes | Below MA median Higher payroll than 12% of MA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 43.9% | −0.6 pts | Trend 20172024 | MA median 61.9% | Rank in MA Rank #79 / 82Payroll % of net patient revenue — State benchmarked This nursing home is ranked 79th out of 82 nursing homes we track in Massachusetts for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Massachusetts average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Massachusetts that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 4% of homes | 23.5 pts under MA average The MA average is 67.4% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · MA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Massachusetts payroll average.
% of net patient revenue
Payroll share Operating margin MA payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.0M | $9.2M | $9.6M | $8.4M | $8.9M | $9.5M | $10.5M | $10.7M |
| Operating expenses | $8.9M | $8.6M | $8.8M | $8.9M | $8.9M | $9.4M | $10.1M | $10.5M |
| Net patient income | $0.1M | $0.7M | $0.7M | −$0.4M | −$0.0M | $0.1M | $0.4M | $0.2M |
| Operating margin | 1.2% | 7.3% | 7.8% | −4.9% | −0.3% | 0.7% | 3.6% | 2.2% |
| Net income | $0.1M | $0.7M | $0.7M | $0.7M | $1.2M | $1.5M | $0.6M | $0.3M |
| Payroll costs | $4.1M | $4.1M | $4.0M | $4.1M | $4.3M | $4.5M | $4.7M | $4.7M |
| Payroll share of revenue | 45.3% | 44.5% | 42.1% | 48.7% | 47.8% | 47.2% | 44.5% | 43.9% |
| Beds | 90 | 90 | 90 | 87 | 87 | 87 | 87 | 87 |
| Gross revenue | $12.3M | $12.1M | $12.8M | $10.3M | $9.8M | $10.3M | $11.5M | $11.8M |
| Salaries | $3.6M | $3.6M | $3.7M | $3.6M | $3.7M | $3.9M | $4.1M | $4.1M |
| Wage-related costs | $0.5M | $0.5M | $0.4M | $0.5M | $0.5M | $0.5M | $0.5M | $0.6M |
| Contract labor | $0.7M | $0.7M | $0.8M | $0.7M | $0.7M | $0.9M | $1.0M | $0.9M |
| Other operating costs | $4.8M | $4.5M | $4.8M | $4.7M | $4.7M | $4.9M | $5.4M | $5.8M |
| Net patient revenue per day | $324 | $315 | $330 | $362 | $363 | $379 | $407 | $415 |
| Cost per day | $320 | $292 | $304 | $380 | $364 | $376 | $393 | $406 |
| Average length of stay | 146.4 days | 121.9 days | 129.8 days | 130.2 days | 160.4 days | 115.9 days | 112.9 days | 91.1 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
231 admissions · FY2024
Residents admitted during the year.
Medicare
129 · 56%
Medicaid
13 · 6%
Private pay & other
89 · 39%
Resident snapshot
66 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
9 · 14%
Medicaid
40 · 61%
Private pay & other
17 · 26%
Leaving
263 discharges · FY2024
Residents discharged during the year.
Medicare
151 · 57%
Medicaid
24 · 9%
Private pay & other
88 · 33%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Royal Megansett Nursing Home
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.
Calculate Travel Distance to Royal Megansett Nursing Home
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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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Massachusetts average is: 67.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Royal Megansett Nursing Home | NH AL HOS MC PC RC SNF | North Falmouth | 90
Facility
90
MA AVG
121
Rank
#68 / 93 | A |
72.1%
Facility
72.1%
MA AVG
81.1%
Rank
#58 / 78 | -11% | 3.76
Facility
3.76
MA AVG
4.00
Rank
#52 / 83 | +26% | -6% | $0
Facility
$0
MA AVG
$71.5k
Rank
#1 / 86 | 23
Facility
23
MA AVG
29.5
Rank
#35 / 83 | 7.7
Facility
7.7
MA AVG
6.7
Rank
#57 / 83 | - | 65 | - |
37
Facility
37
MA AVG
48
Rank
#72 / 111 | - | $10.7MFiscal year ending 12/2024
Facility
$10.7MFiscal year ending 12/2024
MA AVG
$15.9M
Rank
#60 / 82 | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
MA AVG
$10.3M
Rank
#72 / 82 | 43.9%Fiscal year ending 12/2024
Facility
43.9%Fiscal year ending 12/2024
MA AVG
67.4%
Rank
#79 / 82 | 225679 | ||||
| JML Care Center | NH | Falmouth | 132
Facility
132
MA AVG
121
Rank
#39 / 93 | B+ |
74.8%
Facility
74.8%
MA AVG
81.1%
Rank
#65 / 78 | -8% | 3.88
Facility
3.88
MA AVG
4.00
Rank
#80 / 83 | -3% | -3% | $0
Facility
$0
MA AVG
$71.5k
Rank
#1 / 86 | 23
Facility
23
MA AVG
29.5
Rank
#35 / 83 | 5.8
Facility
5.8
MA AVG
6.7
Rank
#43 / 83 | - | 99 | - |
12
Facility
12
MA AVG
48
Rank
#97 / 111 | Colleen Pino | $13.3MFiscal year ending 09/2024
Facility
$13.3MFiscal year ending 09/2024
MA AVG
$15.9M
Rank
#51 / 82 | $9.8MFiscal year ending 09/2024
Facility
$9.8MFiscal year ending 09/2024
MA AVG
$10.3M
Rank
#38 / 82 | 73.4%Fiscal year ending 09/2024
Facility
73.4%Fiscal year ending 09/2024
MA AVG
67.4%
Rank
#16 / 82 | 225369 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MA nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Massachusetts
Royal Megansett Nursing Home is located in North Falmouth, Massachusetts.
Here are the financial assistance programs available to residents in Massachusetts.
Frequently Asked Questions about Royal Megansett Nursing Home
What languages are spoken at Royal Megansett Nursing Home?
The team at Royal Megansett Nursing Home speaks Russian.
Is Royal Megansett Nursing Home in a walkable area?
Royal Megansett Nursing Home has a walk score of 37. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Royal Megansett Nursing Home?
Royal Megansett Nursing Home's occupancy is 72.1%.
Are pets allowed at Royal Megansett Nursing Home?
No, Royal Megansett Nursing Home has a no-pet policy.
Does Royal Megansett Nursing Home operate as a for-profit or non-profit?
Royal Megansett Nursing Home is registered as a for-profit.
What is the overall rating for Royal Megansett Nursing Home?
Royal Megansett Nursing Home received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Royal Megansett Nursing Home have?
Royal Megansett Nursing Home has 90 beds.
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