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.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: E
Nursing home report
Royal Health Megansett
Registered name: ROYAL MEGANSETT NURSING & REHABILITATION
N FALMOUTH, MA · Medicare-certified · 90 beds
In good standing
For-profitChain member
Data as of September 1, 2026
4 of 5 overall
Royal Health Megansett in N Falmouth, MA has a 4 out of 5 overall star rating, with solid health inspection results but a lower 2 out of 5 staffing rating and nurse staffing of 3.92 hours per resident per day, below the federal benchmark of 4.1. It had no fines in the last 24 months, and recent inspection citations included pressure ulcer care, pharmaceutical services, and food handling standards.
Facility ratings
Health inspections
Staffing
3.9189 hrs/resident/day
Quality measures
Last inspection: May 20, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9189.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 1.05
- Nurse aides
- 2.23
- Weekend nursing
- 3.49
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 67%
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
16%25.7%Worsening
Residents with a fall causing major injury
2%4.1%Worsening
Residents with pressure ulcers (bedsores)
1.2%1.2%No change
Residents with a urinary tract infection
2.1%0%Improving
Residents who lost too much weight
11.8%8.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.6%8.1%Improving
Residents whose ability to walk got worse
—13.4%—
Long-stay residents on antianxiety or sleep medication
11.1%7.9%Improving
Short-stay residents newly given an antipsychotic
1.2%2.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.4%49.1%Worsening
Residents with depressive symptoms
14.6%11.1%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
—96.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—87.5%—
Short-stay residents given the pneumonia vaccine
87.5%87.2%No change
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.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited May 2026 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
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 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 · 3.2 stars avg
- Occupancy
- 65.6 residents on an average day (73% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.