ROYAL OF COTUIT

📍 161 FALMOUTH ROAD, mashpee, MA 02649 📞 5084772490 🛏️ 120 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

69
Total Violations
10 years of data
$41,775
Total Fines
5 penalties
11
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 9 violations

Tag 0565 E Feb 7, 2025

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

✓ Corrected: Mar 7, 2025
Tag 0576 D Feb 7, 2025

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

✓ Corrected: Mar 7, 2025
Tag 0585 E Feb 7, 2025

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.

✓ Corrected: Mar 7, 2025
Tag 0609 D Feb 7, 2025

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

✓ Corrected: Mar 14, 2025
Tag 0610 D Feb 7, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Mar 7, 2025
Tag 0686 E Feb 7, 2025

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

✓ Corrected: Mar 7, 2025
Tag 0725 E Feb 7, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 14, 2025
Tag 0727 F Feb 7, 2025

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.

✓ Corrected: Mar 14, 2025
Tag 0790 D Feb 7, 2025

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

✓ Corrected: Mar 14, 2025

2024 1 violations

Tag 0842 D May 29, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 22, 2024

2023 13 violations

Tag 0561 E Dec 5, 2023

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

✓ Corrected: Dec 29, 2023
Tag 0565 E Dec 5, 2023

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

✓ Corrected: Jan 4, 2024
Tag 0583 E Dec 5, 2023

Keep residents' personal and medical records private and confidential.

✓ Corrected: Dec 29, 2023
Tag 0585 D Dec 5, 2023

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.

✓ Corrected: Jan 4, 2024
Tag 0609 D Dec 5, 2023

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

✓ Corrected: Dec 29, 2023
Tag 0656 D Dec 5, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 29, 2023
Tag 0658 D Dec 5, 2023

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

✓ Corrected: Dec 29, 2023
Tag 0761 D Dec 5, 2023

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.

✓ Corrected: Dec 29, 2023
Tag 0812 E Dec 5, 2023

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

✓ Corrected: Jan 4, 2024
Tag 0880 D Dec 5, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 29, 2023
Tag 0658 G Oct 16, 2023

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

✓ Corrected: Nov 7, 2023
Tag 0726 G Oct 16, 2023

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.

✓ Corrected: Nov 7, 2023
Tag 0580 D Apr 11, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 12, 2023

2022 4 violations

Tag 0580 D Sep 28, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 6, 2022
Tag 0695 D Jul 7, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jul 25, 2022
Tag 0761 D Jul 7, 2022

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.

✓ Corrected: Jul 25, 2022
Tag 0842 E Feb 3, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 10, 2022

2021 15 violations

Tag 0658 D Oct 12, 2021

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

✓ Corrected: Nov 11, 2021
Tag 0552 D Jun 8, 2021

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jul 9, 2021
Tag 0554 D Jun 8, 2021

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jul 9, 2021
Tag 0655 E Jun 8, 2021

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jul 9, 2021
Tag 0656 D Jun 8, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 9, 2021
Tag 0658 D Jun 8, 2021

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

✓ Corrected: Jul 9, 2021
Tag 0690 D Jun 8, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jul 9, 2021
Tag 0692 D Jun 8, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 9, 2021
Tag 0694 E Jun 8, 2021

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Jul 9, 2021
Tag 0698 D Jun 8, 2021

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jul 9, 2021
Tag 0801 D Jun 8, 2021

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Jul 9, 2021
Tag 0812 D Jun 8, 2021

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

✓ Corrected: Jul 9, 2021
Tag 0842 D Jun 8, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jul 9, 2021
Tag 0849 D Jun 8, 2021

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.

✓ Corrected: Jul 9, 2021
Tag 0880 E Jun 8, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 9, 2021

2020 1 violations

Tag 0880 D Jun 24, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 13, 2020

2019 12 violations

Tag 0551 D Apr 24, 2019

Give the resident's representative the ability to exercise the resident's rights.

✓ Corrected: May 24, 2019
Tag 0552 E Apr 24, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: May 24, 2019
Tag 0580 G Apr 24, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 24, 2019
Tag 0692 G Apr 24, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: May 24, 2019
Tag 0693 D Apr 24, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: May 24, 2019
Tag 0756 D Apr 24, 2019

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

✓ Corrected: May 24, 2019
Tag 0758 D Apr 24, 2019

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.

✓ Corrected: May 24, 2019
Tag 0804 E Apr 24, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: May 30, 2019
Tag 0806 E Apr 24, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: May 30, 2019
Tag 0812 E Apr 24, 2019

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

✓ Corrected: May 24, 2019
Tag 0880 F Apr 24, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: May 24, 2019
Tag 0881 F Apr 24, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: May 24, 2019

2018 7 violations

Tag 0580 D Mar 1, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 16, 2018
Tag 0656 E Mar 1, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 16, 2018
Tag 0658 D Mar 1, 2018

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

✓ Corrected: Mar 16, 2018
Tag 0732 B Mar 1, 2018

Post nurse staffing information every day.

✓ Corrected: Mar 16, 2018
Tag 0758 E Mar 1, 2018

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.

✓ Corrected: Mar 16, 2018
Tag 0812 D Mar 1, 2018

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

✓ Corrected: Mar 16, 2018
Tag 0880 D Mar 1, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 16, 2018

2017 1 violations

Tag 0157 D Jun 21, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 31, 2017

2016 6 violations

Tag 0281 D Nov 10, 2016

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

✓ Corrected: Dec 21, 2016
Tag 0315 D Nov 10, 2016

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Dec 21, 2016
Tag 0371 D Nov 10, 2016

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Dec 21, 2016
Tag 0425 D Nov 10, 2016

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Dec 21, 2016
Tag 0431 D Nov 10, 2016

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Dec 21, 2016
Tag 0441 D Nov 10, 2016

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Dec 21, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $3,900

$3,250
Fine
June 8, 2021
$650
Fine
January 11, 2021
Average: $1,950 | Range: $650 - $3,250

2020 2 penalties totaling $9,600

$5,000
Fine
June 24, 2020
$4,600
Fine
June 24, 2020
Average: $4,800 | Range: $4,600 - $5,000

2019 1 penalties totaling $28,275

$28,275
Fine
April 24, 2019
Average: $28,275 | Range: $28,275 - $28,275

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 29, 2024
0.00

Health

December 5, 2023
0.00

Health

October 16, 2023
0.00

Health

April 11, 2023
0.00

Health

September 28, 2022
0.00

Health

July 7, 2022
0.00

Health

February 3, 2022
0.00

Health

October 12, 2021
0.00

Health

June 8, 2021
0.00

Health

April 24, 2019
0.00

Health

March 1, 2018
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
225689
225689
5084772490
Barnstable

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual