ROYAL OF COTUIT – MASHPEE, MA

CMS Verified | 2026-03-01

Royal Of Cotuit

161 FALMOUTH ROAD, Mashpee, MA 2649
(508) 477-2490
120 beds
All Mashpee facilities
2.0*
Overall
2.0*
Health Inspection
2.0*
Quality Care
2.0*
Staffing
57.59
Score /100
#12717
National Rank

#12717
of 14703 facilities
National
13.5% position
#300
of 341 in MA
State Rank
#10
of 15 in Barnstable
County Rank
#1
of 1 in Mashpee
City Rank
#1
of 1 in ZIP 2649
ZIP Rank






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.
Facility

Royal Of Cotuit

Address

161 Falmouth Road, Mashpee, MA 2649

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: ROYAL HEALTH GROUP

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 11 fine(s) over 5 years
5-Year Trend
Declining over 5 years
57.59
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#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.
Number of Fines (current period) 1
Total Fines Amount $7901.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 83.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,717
of 14,703
National
Bottom 14%
#300
of 341
MA State
Bottom 12% in MA
#10
of 15
️ Barnstable County
#10 of 15
#1
of 1
️ Mashpee
Best in city
#1
of 1
ZIP 2649
Best in ZIP

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).

How do we calculate these rankings?

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/

Contact and Location

ADR
Address

161 FALMOUTH ROAD, Mashpee, MA 2649
Get directions on Google Maps

TEL
LLC
Legal Name

MASHPEE ACQUISITION LLC

MAP
Browse by Location

All Massachusetts ·
Barnstable County ·
Mashpee ·
ZIP 2649

Facility Details

Number of Certified Beds 120
Average Residents / Day 72 (60% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Barnstable County, MA
City Mashpee, MA
ZIP Code 2649
Approved Since August 23, 1995
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 225689
Data Processing Date March 1, 2026
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.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org