Royal Cape Cod Nursing & Rehabilitation Center

8 Lewis Point Road · Buzzards Bay, MA · 02532 · 5087595752

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

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

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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 63
Serious harm & abuse 20% 94
Staffing 20% 60
Federal penalties 15% 77
Trend 10% 34
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)1 · $9,004

Inspection citations (16 in the current record)

  • Potential for harm · D January 20, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 9, 2026 · Resident Rights

  • Potential for harm · D January 20, 2026

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

    Corrected February 9, 2026 · Resident Rights

  • Potential for harm · E January 20, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected February 9, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 20, 2026

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

    Corrected February 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 20, 2026

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

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · D January 20, 2026

    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 February 9, 2026 · Pharmacy Service

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

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected July 15, 2025 · Nursing and Physician Services

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

    Ensure that residents are free from significant medication errors.

    Corrected July 15, 2025 · Pharmacy Service

  • Actual harm · G April 1, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 10, 2025 · Pharmacy Service

  • Potential for harm · D November 21, 2023

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

    Corrected December 8, 2023 · Resident Rights

  • Potential for harm · D November 21, 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 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 21, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 8, 2023 · Quality of Life and Care

  • Potential for harm · E November 21, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected December 8, 2023 · Quality of Life and Care

  • Potential for harm · D November 21, 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 8, 2023 · Pharmacy Service

  • Potential for harm · E November 21, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 8, 2023 · Nutrition and Dietary

  • Potential for harm · E November 21, 2023

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

    Corrected December 8, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
April 1, 2025Fine$9,004

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225538 · certified since October 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.