Royal of Cotuit

161 Falmouth Road · Mashpee, MA · 02649 · 5084772490

120 certified beds For profit - Limited Liability company Chain: Royal Health Group

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 88
Staffing 20% 63
Federal penalties 15% 77
Trend 10% 68
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.353.48 min · 4.1 strong
RN hours / resident-day0.650.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)1 · $7,901

Inspection citations (39 in the current record)

  • Potential for harm · D July 15, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 3, 2025 · Resident Rights

  • Potential for harm · D July 15, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 15, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 7, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected March 7, 2025 · Resident Rights

  • Potential for harm · D February 7, 2025

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected March 7, 2025 · Resident Rights

  • Potential for harm · E February 7, 2025

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected March 7, 2025 · Resident Rights

  • Potential for harm · D February 7, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 7, 2025

    Respond appropriately to all alleged violations.

    Corrected March 7, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 7, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 7, 2025 · Quality of Life and Care

  • Potential for harm · E February 7, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected March 14, 2025 · Nursing and Physician Services

  • Potential for harm · F February 7, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 14, 2025 · Nursing and Physician Services

  • Potential for harm · D February 7, 2025

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D May 29, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E December 5, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 29, 2023 · Resident Rights

  • Potential for harm · E December 5, 2023

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected January 4, 2024 · Resident Rights

  • Potential for harm · E December 5, 2023

    Keep residents' personal and medical records private and confidential.

    Corrected December 29, 2023 · Resident Rights

  • Potential for harm · D December 5, 2023

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 4, 2024 · Resident Rights

  • Potential for harm · D December 5, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 29, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 5, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 29, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D December 5, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 29, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D December 5, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected December 29, 2023 · Pharmacy Service

  • Potential for harm · E December 5, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 4, 2024 · Nutrition and Dietary

  • Potential for harm · D December 5, 2023

    Provide and implement an infection prevention and control program.

    Corrected December 29, 2023 · Infection Control

  • Actual harm · G October 16, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 7, 2023 · Resident Assessment and Care Planning

  • Actual harm · G October 16, 2023 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected November 7, 2023 · Nursing and Physician Services

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 16, 2023Fine$7,901

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225689 · certified since August 23, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.