The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
Nursing home report
ROYAL MEGANSETT NURSING & REHABILITATION
N FALMOUTH, MA · Medicare-certified · 90 beds
In good standing
For-profitChain member
4 of 5 overall
Royal Megansett Nursing & Rehabilitation has an overall 4-star rating, with strong health inspection and quality measures scores but a weak 2-star staffing rating. Its reported nurse staffing is 3.82 hours per resident per day, below the federal benchmark of 4.1, and it has had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8189 hrs/resident/day
Quality measures
Last inspection: April 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8189.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.93
- Nurse aides
- 2.17
- Weekend nursing
- 3.29
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 79%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.9%Worsening
Residents with a fall causing major injury
4.5%Steady
Residents with pressure ulcers (bedsores)
1.1%Worsening
Residents with a urinary tract infection
2.6%Improving
Residents who lost too much weight
9.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.1%Improving
Residents whose ability to walk got worse
16.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.6%Improving
Short-stay residents newly given an antipsychotic
0.6%Steady
Residents with a long-term catheter
0.6%Improving
Residents with new or worsening incontinence
26.9%Improving
Residents with depressive symptoms
15%Worsening
Long-stay residents given the seasonal flu vaccine
96.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
87.5%Steady
Short-stay residents given the pneumonia vaccine
88.4%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — 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 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 2.9 stars avg
- Occupancy
- 64 residents on an average day (71% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.