Royal Megansett Nursing & Rehabilitation
209 County Road Box 408 · N Falmouth, MA · 02556 · 5085634015
90 certified beds For profit - Partnership Chain: Royal Health Group
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
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.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.29 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Potential for harm · D April 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 22, 2025 · Resident Rights
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Potential for harm · D April 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 9, 2025 · Quality of Life and Care
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No harm found · B April 8, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected April 18, 2025 · Nursing and Physician Services
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Potential for harm · D May 24, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 12, 2024 · Resident Rights
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Potential for harm · D May 24, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 24, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 7, 2024 · Pharmacy Service
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Potential for harm · D May 24, 2024
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 June 7, 2024 · Pharmacy Service
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Potential for harm · E May 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2024 · Nutrition and Dietary
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No harm found · B May 24, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 27, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 30, 2023 · Quality of Life and Care
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Potential for harm · D January 27, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected February 1, 2023 · Quality of Life and Care
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Potential for harm · E January 27, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 14, 2023 · Pharmacy Service
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Potential for harm · E January 27, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 14, 2023 · Pharmacy Service
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Potential for harm · E January 27, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 3, 2023 · Pharmacy Service
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Potential for harm · E January 27, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 30, 2023 · Nutrition and Dietary
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Potential for harm · E January 27, 2023
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected February 15, 2023 · Administration
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Potential for harm · D January 27, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected February 3, 2023 · Administration
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Potential for harm · E January 27, 2023
Provide and implement an infection prevention and control program.
Corrected February 3, 2023 · Infection Control
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Potential for harm · E January 27, 2023
Implement a program that monitors antibiotic use.
Corrected February 14, 2023 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225679 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.