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Nursing HomeMedicaid

Royal Megansett Nursing & Rehabilitation

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

209 County Road Box 408, North Falmouth · N Falmouth, MA 0255690 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 60 Google reviews

5
4
3
2
1
Royal Megansett Nursing & Rehabilitation Nursing Home in N Falmouth, MA — Street View
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What this means for your family

While many families appreciate the beautiful location and compassionate staff, recent reports of understaffing and neglect are concerning. We strongly recommend visiting during off-hours or weekends to observe staffing ratios yourself and asking management specifically how they handle patient falls and requests for assistance.

Google Reviews

Google Reviews

60 reviews on Google
Royal Megansett is frequently praised for its stunning waterfront location and a compassionate, attentive nursing staff that many families feel treats residents like family. However, there is a distinct divide in experiences, with some reviewers reporting concerns regarding understaffing, poor food quality, and a lack of responsiveness to patient needs during rehab stays.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean7.0Activities7.0MedsN/AMemory9.0Comms7.0Value8.0

Strengths

  • Compassionate and attentive nursing staff
  • Breathtaking waterfront location and views
  • Welcoming and professional administrative team
  • Strong rehabilitation services

Concerns

  • Inadequate staffing levels leading to neglect (mentioned by 3 reviewers)
  • Low quality or unappealing food (mentioned by 2 reviewers)
  • Lack of responsiveness to patient/family requests (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(5)'24(6)'26(4)

Distribution · 62 analyzed

5
53
4
2
3
1
2
1
1
5

How They Respond to Reviews

23%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1The waterfront views here are absolutely stunning; how much time do residents typically get to spend enjoying the outdoor scenery?
  • 2We've heard wonderful things about the compassion of your nursing team; how do you ensure that level of attentive care remains consistent during busy shifts?
  • 3Could you tell us a bit about the current dining program and how much input residents have in the daily menu options?
  • 4What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
  • 5How does the administrative team stay in touch with families to ensure any specific requests or concerns are addressed promptly?
  • 6What kind of daily activities or social programs are available to help residents stay engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

The nurses specifically Nancy, Melanie my CNA and Issei from physical therapy always treated me with compassion and respect.they gave me hope and strength during my stay.

Rehab patient · 2024★★★★★

The staff is incredibly patient, caring and helpful. My mother having dementia has been incredibly difficult. They have been kind and supportive and have gone far and above.

Memory care family member · 2023★★★★★

The neglect at this facility is egregious and thinly veiled. Without a constant, external presence of advocacy, you or your loved one are likely not to receive the proper care.

Visitor/Family member · 2026☆☆☆☆
Source: 60 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
3.82hrs
93%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
79%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
14.4%
MA
16.9%
Barnstable
22.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MA
92.4%
Barnstable
90.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.6%
Better than Avg
Here
12.6%
US
19.5%
MA
19.4%
Barnstable
20.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.9%
Worse than Avg
Here
26.9%
US
19.4%
MA
21.4%
Barnstable
26.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
US
15.4%
MA
21.3%
Barnstable
21.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.1%
Better than Avg
Here
96.1%
US
95.5%
MA
94.8%
Barnstable
91.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.5%
Better than Avg
Here
87.5%
US
79.7%
MA
77.7%
Barnstable
73.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.4%
Better than Avg
Here
88.4%
US
81.8%
MA
77.6%
Barnstable
77.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
MA
1.3%
Barnstable
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (8.9)

Royal Megansett shows a pattern of recurring issues across multiple surveys, with medication management problems appearing in all three inspections and care planning deficiencies persisting over time. The facility has faced 24 deficiencies spanning medication oversight, resident care planning, and food safety, though all violations have been corrected by the provider with specific completion dates.

Apr 8, 2025Routine
6
0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0712Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

May 24, 2024Routine
6
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0761Potential for harm · IsolatedCorrected

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.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Jan 27, 2023Routine
12
0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0847Potential for harm · PatternCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0849Potential for harm · IsolatedCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Royal Megansett Nursing & Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Royal Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 3.3/5 · Rank 4 of 12

Ownership & Management

Owners

Mamary, James

Owner

100%

Key personnel

Reid, PaulaW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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