Royal Cape Cod Nursing & Rehabilitation Center
Strong Medicare quality ratings; families often praise clean, well-maintained facility with scenic views. Still worth an in-person visit.
based on 101 Google reviews

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What this means for your family
This facility is highly regarded for its clean environment and effective rehabilitation therapy, making it a strong candidate for post-hospital recovery. However, given recent reports of staffing shortages affecting basic care and hygiene, we strongly recommend that families conduct a tour and ask specific questions about nurse-to-patient ratios and how the facility manages weekend transport and hygiene schedules.
Google Reviews
Google Reviews
101 reviews on Google“Royal Cape Cod Nursing & Rehabilitation Center receives high praise for its clean, homelike environment and stunning bay views, with many families highlighting the compassionate and attentive nursing and rehab staff. While the majority of reviews are overwhelmingly positive, a small subset of critical feedback points to serious concerns regarding staffing levels, responsiveness, and basic hygiene standards during specific stays.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility with scenic views
- Attentive and professional nursing and CNA staff
- Effective and skilled physical/occupational therapy
- Responsive and helpful administrative leadership
Concerns
- Understaffing leading to poor responsiveness and hygiene issues (mentioned by 3 reviewers)
- Inadequate communication regarding medical care and scheduling (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 103 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how clean and well-maintained the facility is; could you show us some of the areas that highlight those scenic views?
- 2With the nursing and CNA staff being so highly regarded, how do you ensure they have enough support to maintain their usual high standard of attentive care?
- 3How does the administrative team handle communication with families to ensure we are always updated on any changes in medical care or scheduling?
- 4We'd love to hear more about the dining experience and what kind of variety is offered for daily meals.
- 5What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
- 6What kind of daily activities or social outings are available to help residents stay engaged with the community?
Personalized based on this facility's data
Key Review Excerpts
“The nurses, the cna's, and everyone work very hard to please every patient. The physical therapy was aces!! They really made the difference to help get my wife better & stronger to be able to come home.”
“The staff on unit 3 was nothing short of amazing starting from the unit manager Jillian, the nurses Stacey, Danté, Karen, Lisa, Chelsea , the CNAs Trey, Sherri, Rachel, Cynthia, Jeff, Cece, Sandra, the PT and OT staff Sue and Chris to name a few.”
“Spent two weeks here. They did not schedule transport for follow up appointment with surgeon, I didn’t get my sheets changed, not did I get a shower. The food was inedible. Staff was nice and tried hard but are overworked.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints about this facility, including issues with medication management and physician oversight that appeared in both 2025 complaint investigations. The facility shows recurring problems with medication management, care planning, and safety supervision across multiple surveys from 2021-2025. While most deficiencies have correction dates, the pattern of repeated medication errors and the recent complaint-triggered findings suggest ongoing quality concerns families should investigate thoroughly before deciding.
Jul 15, 2025Complaint2
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 1, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 30, 2025Routine3
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Nov 21, 2023Routine7
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Aug 11, 2021Routine15
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
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.
Federal Penalties
Fine
Apr 1, 2025
$9,004
Ownership & Operations
Who Operates This Facility
Royal Cape Cod Nursing & Rehabilitation Center
for profit
Chain Affiliation
Royal Health Group
12 facilities nationwide
Chain avg rating: 3.3/5 · Rank 3 of 12
Ownership & Management
Owners
Mamary, James
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
101 reviews from families & visitors
Official Website
Visit royalhealthgroup.com
Medicare data downloads
Original nursing home datasets
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