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 Health Megansett
Registered name: ROYAL MEGANSETT NURSING & REHABILITATION
N FALMOUTH, MA · Medicare-certified · 90 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Royal Health Megansett in N Falmouth, MA has an overall rating of 4 out of 5 stars. Its staffing rating is 2 out of 5 stars, with reported nurse staffing at 3.92 hours per resident per day below the federal benchmark of 4.1, while health inspection is 4 stars, quality measures are 3 stars, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9189 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 3.9189.
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.
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.
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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 · 3.1 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.