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 Health Cape Cod
Registered name: Royal Cape Cod Nursing & Rehabilitation Center
BUZZARDS BAY, MA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Royal Health Cape Cod has a 3 out of 5 star overall rating, with a 2-star staffing rating and nurse staffing below the federal benchmark (3.28 vs. 4.1 hours per resident per day). It also has $9,004 in fines in the last 24 months and a recent federal penalty; recent inspection issues included medication errors, unnecessary psychotropic medications, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
3.2801 hrs/resident/day
Quality measures
Last inspection: January 20, 2026Penalties, last 24 months: $9,004recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2801.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 1.09
- Nurse aides
- 1.77
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 40%
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%15.4%Improving
Residents with a fall causing major injury
2.7%6.4%Worsening
Residents with pressure ulcers (bedsores)
3.8%3.3%No change
Residents with a urinary tract infection
2.7%2.6%No change
Residents who lost too much weight
0%3.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.9%21.4%Worsening
Residents whose ability to walk got worse
13.9%13%Improving
Long-stay residents on antianxiety or sleep medication
29.3%19.3%Improving
Short-stay residents newly given an antipsychotic
2.9%0%Improving
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
33.4%22.5%Improving
Residents with depressive symptoms
31%45.3%Worsening
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%94.9%Worsening
Short-stay residents given the seasonal flu vaccine
—88%—
Short-stay residents given the pneumonia vaccine
90.8%85.7%Worsening
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
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 6 health deficiencies.
See what inspectors found
- 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 - Limited Liability company
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 3.1 stars avg
- Occupancy
- 91 residents on an average day (92% 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.