The nursing home failed to provide services that met professional standards of quality. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
Nursing home report
ROYAL OF COTUIT
MASHPEE, MA · Medicare-certified · 120 beds
Needs attention
For-profitChain member
1 of 5 overall
ROYAL OF COTUIT in Mashpee, MA has a 1 out of 5 overall star rating, with 1-star staffing and 2-star health inspection and quality ratings. Reported nurse staffing is 3.35 hours per resident per day, below the federal benchmark of 4.1, there were no fines in the last 24 months, and recent inspection citations included nursing competencies and registered nurse coverage requirements.
Facility ratings
Health inspections
Staffing
3.3536 hrs/resident/day
Quality measures
Last inspection: July 15, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3536.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.79
- Nurse aides
- 1.91
- Weekend nursing
- 2.90
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 77%
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
17.1%20%Worsening
Residents with a fall causing major injury
6.2%10.5%Worsening
Residents with pressure ulcers (bedsores)
5.5%4.2%Improving
Residents with a urinary tract infection
4.8%0%Improving
Residents who lost too much weight
4.3%2.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.4%19.1%Improving
Residents whose ability to walk got worse
28.3%15.4%Improving
Long-stay residents on antianxiety or sleep medication
18.8%14.6%Improving
Short-stay residents newly given an antipsychotic
2.1%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.5%21.7%Improving
Residents with depressive symptoms
16.4%1.9%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
—85.5%—
Long-stay residents given the pneumonia vaccine
83.1%91.2%Improving
Short-stay residents given the seasonal flu vaccine
—64.5%—
Short-stay residents given the pneumonia vaccine
73%76.3%Improving
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2025 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,901 in total fines.
- $7,901
Federal fine
Oct 16, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 2.9 stars avg
- Occupancy
- 73.4 residents on an average day (61% of 120 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.