About Royal Of CotuitRoyal Of Cotuit is located at 161 Falmouth Road, Mashpee, MA, reachable at (508) 477-2490. This For profit – Limited Liability company facility operates 120.0 certified beds and serves an average of 72 residents per day. It is part of the Royal Health Group network (12 facilities nationwide). Medicare and Medicaid services have been provided since 1995-08-23. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
#12717 of 14703 nationally – #300 of 341 in Massachusetts
Who Is This Facility Best For?
Royal Of Cotuit may be considered for families with limited options in Mashpee, MA, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★2 / 5
Health Inspection
★★★★★2 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★2 / 5
Long-Stay QM Rating
★★★★★1 / 5
Short-Stay QM Rating
★★★★★2 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightRoyal Of Cotuit currently provides 3 hours 32 minutes of total nurse staffing per resident per day, including 38 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 55.4%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 32 minutes
Nurse Aide Hours2 hours 1 minute
Licensed Practical Nurse (LPN) Hours54 minutes
Registered Nurse (RN) Hours38 minutes
Physical Therapist Hours4 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 3 minutes
Weekend Registered Nurse (RN) Hours28 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $7,901. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Royal Of Cotuit ranks 12717th out of 14,703 facilities (composite score: 57.6/100), placing it in the bottom 25% nationwide. Within MA, it ranks 300th out of 341 nursing homes. For 2026 staffing: total nurse hours rank #8,717 nationally and RN hours rank #6,151 nationally (#145 in MA).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MA State Rank
Note
2022
3.07
#11,277 / 14,703
#293 / 341
⚠️ Bottom 25%
2023
3.33
#9,326 / 14,703
#244 / 341
Below average
2024
3.25
#10,569 / 14,703
#276 / 341
Below average
2025
3.45
#9,318 / 14,703
#241 / 341
Below average
2026
3.54
#8,717 / 14,703
#241 / 341
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MA State Rank
Note
2022
0.66
#5,821 / 14,703
#152 / 341
Above average
2023
0.47
#8,662 / 14,703
#250 / 341
Below average
2024
0.51
#7,897 / 14,703
#216 / 341
Below average
2025
0.64
#5,657 / 14,703
#139 / 341
Above average
2026
0.63
#6,151 / 14,703
#145 / 341
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Royal Of Cotuit is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1995-08-23. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (508) 477-2490 or your local Medicaid office to verify current eligibility.
Royal Of Cotuit holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 57.6/100, placing it #12717 of 14703 facilities nationally and #300 of 341 in Massachusetts. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Royal Of Cotuit receives a reported average of 3 hours 32 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 38 minutes; Licensed Practical Nurse (LPN) — 54 minutes; Nurse Aide — 2 hours 1 minute. On weekends, total nurse staffing is 3 hours 3 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 55.4%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $7,901. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $7,901, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 83.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Royal Of Cotuit ranks 12717th out of 14,703 facilities (composite score: 57.6/100), placing it in the bottom 25% nationwide. Within MA, it ranks 300th out of 341 nursing homes. For 2026 staffing: total nurse hours rank #8,717 nationally and RN hours rank #6,151 nationally (#145 in MA). Our composite quality score of 57.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Mashpee, visit: https://nursinghomesnearme.org/massachusetts/mashpee/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.