Skilled nursing
ROYAL OF COTUIT
0.00 reviews · 0 verifiedMASHPEE, MALic. 225689
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
VBP-RElevated VBP readmission rate (22.1%)Source: CMS SNF VBP (PDC)
FINECMS fine: $7,901Source: CMS Penalties
VBPLower SNF VBP program ranking (#12,765)Source: CMS SNF VBP (PDC)
Provided by facility
Royal of Cotuit offers high-quality long-term and short-term care, rehabilitation, in-home support, and specialty services for seniors throughout New England. The facility is part of the Royal Health group, which includes several locations across Cape Cod, Boston, South Coast, South Shore, and Rhode Island. They provide a range of services tailored to meet the needs of seniors, ensuring a supportive and caring environment.
Ambulatory Assistance & AccessibilityWheelchair Accessible Facilities
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.18 total HPRDRN 0.65 · weekend 91%Oct 2025 – Dec 2025
Survey history
9 inspections43 deficiencies on record
Federal IDs
CCN 225689
Overall: 1/5 · Health: 2/5 · Staffing: 1/5 · QM: 2/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Fire safetyMar 2026 · STATE FIRE MARSHAL1 deficiencies
- E-36SS F — Establish emergency prep training and testing.
Health surveyJul 2025 · CMS3 deficiencies
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
Health surveyFeb 2025 · CMS9 deficiencies
- F-565SS E — Honor the resident's right to organize and participate in resident/family groups in the facility.
- F-576SS D — Ensure residents have reasonable access to and privacy in their use of communication methods.
- F-585SS E — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-610SS D — Respond appropriately to all alleged violations.
- F-686SS E — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-725SS E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F-727SS F — Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F-790SS D — Provide routine and 24-hour emergency dental care for each resident.
Fire safetyFeb 2025 · STATE FIRE MARSHAL1 deficiencies
- E-9SS F — Include a process for Emergency Preparedness collaboration.
Health surveyMay 2024 · CMS1 deficiencies
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Health surveyDec 2023 · CMS10 deficiencies
- F-561SS E — Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F-565SS E — Honor the resident's right to organize and participate in resident/family groups in the facility.
- F-583SS E — Keep residents' personal and medical records private and confidential.
- F-585SS D — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-761SS D — Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
Fire safetyDec 2023 · STATE FIRE MARSHAL2 deficiencies
- E-25SS C — Create arrangements with other facilities to receive patients.
- E-30SS C — List the names and contact information of those in the facility.
Health surveyOct 2023 · CMS2 deficiencies
- F-658SS G — Ensure services provided by the nursing facility meet professional standards of quality.
- F-726SS G — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Health surveyJun 2021 · CMS14 deficiencies
- F-552SS D — Ensure that residents are fully informed and understand their health status, care and treatments.
- F-554SS D — Allow residents to self-administer drugs if determined clinically appropriate.
- F-655SS E — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F-692SS D — Provide enough food/fluids to maintain a resident's health.
- F-694SS E — Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- F-698SS D — Provide safe, appropriate dialysis care/services for a resident who requires such services.
- F-801SS D — Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F-812SS D — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F-849SS D — Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- F-880SS E — Provide and implement an infection prevention and control program.
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Write a reviewOperated by ROYAL HEALTH GROUP (privately held) since 1995.
- Jul 2014
operator transition — MAMARY, JAMES
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — MAMARY, JAMES