Royal of Cotuit
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 42 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (12 vs median 7.0)
- High staff turnover (55%)
- High RN turnover (75%)
Below average in MA · Below recommended RN staffing · Below chain average · $7,901 in fines
What this means for your family
While some families report excellent experiences with the rehabilitation team and individual staff members, there is a recurring pattern of neglect and hygiene issues that cannot be ignored. If you choose this facility, we strongly recommend frequent, unannounced visits to monitor your loved one's personal care and to ensure that personal belongings are tracked closely.
Google Reviews
Google Reviews
42 reviews on Google“The Royal of Cotuit receives highly polarized feedback, with some families praising the compassionate staff and effective rehabilitation, while others report severe neglect and poor hygiene. Recurring complaints highlight issues with cleanliness, missing personal belongings, and inconsistent responsiveness to patient needs. Families considering this facility should be aware of the significant disparity between positive experiences and reports of substandard care.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective rehabilitation therapy programs
- Engaging daily activities for residents
- Welcoming and professional administrative communication
Concerns
- Poor hygiene and lack of basic patient care (mentioned by 5 reviewers)
- Theft or loss of personal clothing and belongings (mentioned by 3 reviewers)
- Rude or dismissive staff behavior (mentioned by 4 reviewers)
- Slow response times to call bells and patient requests (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 38 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about your rehabilitation programs and daily activities; could you tell us more about how residents typically engage with the community during the day?
- 2What specific protocols do you have in place to ensure medication management is handled accurately and consistently for every resident?
- 3How does the nursing team manage call bell response times to ensure that residents' needs are met promptly, especially during busy shifts?
- 4Could you describe your current processes for maintaining room cleanliness and ensuring that personal belongings and clothing are kept secure and organized?
- 5In the event of a medical emergency after hours, what is the specific workflow for coordinating between the on-site staff and physician oversight?
- 6We noticed your administration is very professional in their communications; how do you involve families in the ongoing care planning and feedback process?
Personalized based on this facility's data
Key Review Excerpts
“My mother has been here for a year now, it was rough at the beginning but that was a learning process , for the staff to get to know each patience and their unique needs must be tough, but once they do they are wonderful!!!”
“My bother has mobility issues and Most times I visit my brother in the afternoon, he’s sitting in a chair half naked with an undershirt on and a pull up. He’s not even cleaned up from lunch, has food on his undershirt, his chair, and floor beneath him.”
“My husband was admitted after being hospitalized, with an alarmed bed. I received a call on night two that he had fallen, I asked if he was alarmed, they said no but were going to set it up. That NEVER happened”
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
4
measures
10
measures
3
measures
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents who fell and were seriously hurt
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Royal of Cotuit shows a concerning pattern with families filing complaints that triggered federal investigations, revealing ongoing issues with care planning, nursing staff competency, and family communication across multiple years. The facility has persistent problems in resident rights, care planning, and nursing services that appear repeatedly from 2021 through 2025, suggesting systemic challenges despite reported corrections. While all deficiencies show correction dates, the recurring nature of core care issues warrants careful consideration.
Jul 15, 2025Complaint3
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Feb 7, 2025Routine10
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Nursing and Physician Services Deficiencies
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.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
May 29, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 5, 2023Routine12
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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
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
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Oct 16, 2023Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services Deficiencies
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.
Apr 11, 2023Complaint1
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.
Federal Penalties
Fine
Oct 16, 2023
$7,901
Ownership & Operations
Who Operates This Facility
Royal of Cotuit
for profit
Chain Affiliation
Royal Health Group
12 facilities nationwide
Chain avg rating: 3.3/5 · Rank 10 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
42 reviews from families & visitors
Official Website
Visit royalhealthgroup.com
Medicare data downloads
Original nursing home datasets
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