Total health inspections
3
Massachusetts average 4.5
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Falmouth
CMS overall rating
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.
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.
Royal Megansett Nursing Home
Nursing Home in Falmouth
CMS overall rating
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.
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
87
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
80.9%
Residents per day (avg)
67
Occupancy rate
80.9%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
32% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.8M
Profit
$647.6K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.8M
Profit
$647.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.1M
What does this home offer?
Accept Medicaid: Accept Medicaid
Total Residents: 90 Residents
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise Building
Types of Care at Royal Megansett Nursing Home
Nursing Home
Health Inspection History
Inspections
Total health citations
23
Massachusetts average 32.7
Citations per inspection
7.67
Massachusetts average 7.24
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 23 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 0.3
Serious Health citations
0
0
100% better than Massachusetts averageMassachusetts average: 1.5
0 critical citations
0 serious citations
21 moderate citations
2 minor citations
Citations history (last 3 years)
Nursing Services minor citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 08, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 08, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 08, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 08, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 08, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 08, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Falmouth The information below is reported by the Massachusetts Executive Office of Elder Affairs and Department of Public Health.
Filter by care type
Royal Megansett Nursing Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
North Falmouth (North Falmouth)
87
80.9%
-1%
3.42
-13%
1
23
7.7
0
67
-
37
-
$11.5M
$4.1M
35.6%
225679
JML Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Falmouth
132
51.8%
-37%
4.47
+14%
0
0
0.0
0
93
-
-
Pino, Colleen
$12.2M
$7.2M
59%
225369
Royal Falmouth Nursing & Rehabilitation Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Falmouth
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near Royal Megansett Nursing Home
1.0 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
176
Employees
106
Contractors
70
Staff to resident ratio
2.59:1
52% better than Massachusetts averageMassachusetts average ratio: 1.70:1
Avg staff/day
46
Average shift
6.9 hours
13% worse than Massachusetts averageMassachusetts average: 7.9 hours
Total staff hours (quarter)
28,767
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.5%
4,452 contractor hours this quarter
Certified Nursing Assistant: 31
Licensed Practical Nurse: 12
Registered Nurse: 6
Respiratory Therapy Technician: 6
Speech Language Pathologist: 4
Physical Therapy Assistant: 3
Physical Therapy Aide: 3
Qualified Social Worker: 2
Other Physician: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 37 | 31 | 68 | 10,101 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 19 | 12 | 31 | 4,737 | 91 | 100% | 8.1 |
| Nurse Aide in Training | 12 | 0 | 12 | 3,320 | 91 | 100% | 7.8 |
| Registered Nurse | 12 | 6 | 18 | 2,557 | 89 | 98% | 7.9 |
| RN Director of Nursing | 8 | 0 | 8 | 1,561 | 76 | 84% | 4.2 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,560 | 90 | 99% | 6.4 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 862 | 85 | 93% | 2.8 |
| Speech Language Pathologist | 0 | 4 | 4 | 759 | 80 | 88% | 6.3 |
| Nurse Practitioner | 1 | 0 | 1 | 513 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 505 | 51 | 56% | 9.9 |
| Dietitian | 1 | 0 | 1 | 502 | 64 | 70% | 7.8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 486 | 62 | 68% | 7.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 348 | 46 | 51% | 7.6 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 227 | 44 | 48% | 4.9 |
| Qualified Social Worker | 0 | 2 | 2 | 123 | 61 | 67% | 2 |
| Medical Director | 0 | 1 | 1 | 58 | 17 | 19% | 3.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 6 | 7% | 5.8 |
| Other Physician | 0 | 1 | 1 | 27 | 13 | 14% | 2 |
68 Certified Nursing Assistant
% of Days
100%
31 Licensed Practical Nurse
% of Days
100%
12 Nurse Aide in Training
% of Days
100%
18 Registered Nurse
% of Days
98%
8 RN Director of Nursing
% of Days
84%
6 Other Dietary Services Staff
% of Days
99%
8 Clinical Nurse Specialist
% of Days
93%
4 Speech Language Pathologist
% of Days
88%
1 Nurse Practitioner
% of Days
70%
1 Mental Health Service Worker
% of Days
56%
1 Dietitian
% of Days
70%
1 Administrator
% of Days
67%
3 Physical Therapy Assistant
% of Days
68%
3 Physical Therapy Aide
% of Days
51%
6 Respiratory Therapy Technician
% of Days
48%
2 Qualified Social Worker
% of Days
67%
1 Medical Director
% of Days
19%
1 Occupational Therapy Assistant
% of Days
7%
1 Other Physician
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
68 residents
Residents by payment source
Medicare
13 residents (19.1%)
Medicaid
31 residents (45.6%)
Private pay or other
24 residents (35.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
10% worse than Massachusetts averageMassachusetts average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
18% worse than Massachusetts averageMassachusetts average: 20.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
Percent of long-stay residents whose need for help with daily activities has increased
21.6%
16% worse than Massachusetts averageMassachusetts average: 18.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.4%
Percent of long-stay residents whose ability to move independently worsened
19.4%
In line with Massachusetts averageMassachusetts average: 19.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
34% worse than Massachusetts averageMassachusetts average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
25% worse than Massachusetts averageMassachusetts average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.3%
Percent of long-stay high risk residents with pressure ulcers
1.3%
71% better than Massachusetts averageMassachusetts average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
50% better than Massachusetts averageMassachusetts average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.2%
Percent of long-stay residents who lose too much weight
9.2%
77% worse than Massachusetts averageMassachusetts average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
16.9%
Percent of long-stay residents who have depressive symptoms
16.9%
58% worse than Massachusetts averageMassachusetts average: 10.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.3%
Percent of long-stay residents who received an antipsychotic medication
19.3%
5% better than Massachusetts averageMassachusetts average: 20.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
8% better than Massachusetts averageMassachusetts average: 91.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.1%
In line with Massachusetts averageMassachusetts average: 94.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.97
Number of hospitalizations per 1,000 long-stay resident days.
1.97
6% worse than Massachusetts averageMassachusetts average: 1.86
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
In line with Massachusetts averageMassachusetts average: 1.54
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
15% better than Massachusetts averageMassachusetts average: 76.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
53% better than Massachusetts averageMassachusetts average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
13% better than Massachusetts averageMassachusetts average: 77.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.7%
In line with Massachusetts averageMassachusetts average: 25.8%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.4%
5% worse than Massachusetts averageMassachusetts average: 11.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Massachusetts averageMassachusetts average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
In line with Massachusetts averageMassachusetts average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
66.6%
Rate of successful return to home or community from a skilled nursing facility.
66.6%
32% better than Massachusetts averageMassachusetts average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$3K
95% lower than Massachusetts averageMassachusetts average: $72K
Number of fines
1
42% fewer fines than Massachusetts averageMassachusetts average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Massachusetts averageMassachusetts average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$3K
Massachusetts average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 27, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 27, 2023
$3K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Royal Megansett Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
80.9%
↑ 2.1pp vs 2022
Net Income
$647.6K
↓ ~$847.2K vs 2022
Total Payroll
$5.7M
↑ ~$337.5K vs 2022
Profit Margin
5.6%
↓ 9.0pp vs 2022
Loading trend charts...
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