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Nursing HomeMedicaid Investigative

Royal of Cotuit

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

161 Falmouth Road, Mashpee, MA 02649120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 42 Google reviews

5
4
3
2
1
Royal of Cotuit Nursing Home in Mashpee, MA — Street View
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6/ 10
high Risk

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

Source: Medicare data

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 details
Food4.0Staff5.0Clean3.0Activities8.0Meds3.0MemoryN/AComms5.0ValueN/A

Strengths

  • 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

2342.7'17(3)4.05.0'19(1)1.53.0'23(4)3.04.5'25(10)4.0'26(1)

Distribution · 38 analyzed

5
16
4
6
3
1
2
1
1
14

How They Respond to Reviews

7%response rate

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!!!

Long-term resident's family · 2024★★★★

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.

Long-term resident's family · 2024☆☆☆☆

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

Long-term resident's family · 2023☆☆☆☆
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
86%
Registered nurses for medical care
Total Nursing
3.35hrs
82%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
77%
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
2/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.5%
Worse than Avg
Here
85.5%
US
95.5%
MA
94.8%
Barnstable
91.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
19.4%
MA
21.4%
Barnstable
26.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
12.1%
MA
13.7%
Barnstable
16.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.3%
Worse than Avg
Here
22.3%
US
14.4%
MA
16.9%
Barnstable
21.2%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility10.2%
Worse than Avg
Here
10.2%
US
3.2%
MA
3.5%
Barnstable
4.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.3%
Worse than Avg
Here
87.3%
US
93.4%
MA
92.4%
Barnstable
91.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility64.5%
Worse than Avg
Here
64.5%
US
79.7%
MA
77.7%
Barnstable
75.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.3%
Worse than Avg
Here
75.3%
US
81.8%
MA
77.6%
Barnstable
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
MA
1.3%
Barnstable
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Above state avg (8.9)
7 complaint-triggered
$7,901 in fines

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, 2025Complaint
3
0580Potential for harm · IsolatedCorrected

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.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Feb 7, 2025Routine
10
0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0727Potential for harm · WidespreadCorrected

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.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0585Potential for harm · PatternCorrected

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.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

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.

0576Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

May 29, 2024Complaint
1
0842Potential for harm · IsolatedCorrected

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, 2023Routine
12
0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

0585Potential for harm · IsolatedCorrected

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0025Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0030Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

Oct 16, 2023Complaint
2
0658Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0726Actual harm · IsolatedCorrected

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, 2023Complaint
1
0580Potential for harm · IsolatedCorrected

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

Owner / Operator

Royal of Cotuit

Organization Type

for profit

Chain Affiliation

Chain Name

Royal Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 3.3/5 · Rank 10 of 12

Ownership & Management

Owners

Mamary, James

Owner

100%

Key personnel

Reid, PaulaManagerBatilo, MariaContracted Managing EmployeeWeeks, ShaunaW-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

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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