The nursing home failed to ensure residents were free from significant medication errors. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Royal Cape Cod Nursing & Rehabilitation Center
BUZZARDS BAY, MA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
4 of 5 overall
Royal Cape Cod Nursing & Rehabilitation Center has a 4-star overall rating, with a 4-star health inspection rating but weaker staffing at 2 stars; reported nurse staffing is 3.28 hours per resident per day, below the 4.1 federal benchmark. It also had $9,004 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.281 hrs/resident/day
Quality measures
Last inspection: July 15, 2025Penalties, last 24 months: $9,004recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.281.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 1.06
- Nurse aides
- 1.75
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.5%22.7%Worsening
Residents with a fall causing major injury
2.7%5.4%Worsening
Residents with pressure ulcers (bedsores)
1.3%2.5%Worsening
Residents with a urinary tract infection
4.2%4.1%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.5%17.9%Worsening
Residents whose ability to walk got worse
16.9%11.1%Improving
Long-stay residents on antianxiety or sleep medication
35.2%20.7%Improving
Short-stay residents newly given an antipsychotic
2.6%0%Improving
Residents with a long-term catheter
0%1%Worsening
Residents with new or worsening incontinence
27.3%27.1%No change
Residents with depressive symptoms
50%45.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.7%—
Long-stay residents given the pneumonia vaccine
100%97.3%Worsening
Short-stay residents given the seasonal flu vaccine
—88%—
Short-stay residents given the pneumonia vaccine
94.6%93%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited August 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,004 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,004 in total fines.
- $9,004
Federal fine
Apr 1, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 2.9 stars avg
- Occupancy
- 89.5 residents on an average day (90% of 99 beds)
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.