Royal of Cotuit: Staffing, Turnover, and Inspection Record
Royal of Cotuit is a 120-bed for-profit nursing home in Mashpee, Massachusetts, part of Royal Health Group. In the CMS August 2026 release it reported 1.85 nurse aide hours per resident per day, 18% below the Massachusetts average of 2.26, and 47.7% nursing staff turnover (Massachusetts average 38.2%).
Royal of Cotuit
161 Falmouth RoadMashpee, MA 02649
Barnstable County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royal of Cotuit, nurse aides logged 1.85 hours per resident per day, 18% below the Massachusetts average. With about 73 residents a day, that works out to roughly 136 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.85 | 2.26 | 2.32 |
| Licensed practical nurses | 0.84 | 0.95 | 0.86 |
| Registered nurses | 0.63 | 0.65 | 0.69 |
| All nursing staff | 3.32 | 3.86 | 3.86 |
| All nursing staff, weekends | 2.90 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
47.7% of nursing staff at Royal of Cotuit left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 57.1%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 31, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Massachusetts average 7.2). CMS lists 1 fine totaling $7,901 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 16, 2023 | Fine | $7,901 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royal of Cotuit holds 2 of 5 overall; the Massachusetts average is 3.0.
About Royal of Cotuit
- Ownership: For profit - Limited Liability company
- Chain: Royal Health Group, 12 homes
- Legal name: Mashpee Acquisition LLC
- Medicare and Medicaid certified since: Aug 23, 1995
- Councils: resident council
- Area: urban
Nursing homes near Royal of Cotuit
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cape Regency Rehabilitation & Health Care Center Centerville | 6.7 | 120 | 1.98 | 3.35 | 29.1% | 1 | None |
| The Pavilion Hyannis | 7.9 | 82 | 2.28 | 4.22 | 32.9% | 5 | None |
| Royal Megansett Nursing & Rehabilitation N Falmouth | 8.2 | 90 | 2.23 | 3.92 | 48.1% | 4 | None |
| Royal Nursing Center, LLC Falmouth | 8.5 | 121 | 1.69 | 3.13 | 41.5% | 3 | $8,278 |
| JML Care Center Inc Falmouth · many days without an RN | 9.2 | 132 | 1.63 | 2.92 | 40.9% | 1 | None |
| Bourne Manor Extended Care Facility Bourne | 9.4 | 142 | 2.55 | 3.89 | 40.0% | 1 | $48,575 |
| Cape Heritage Rehabilitation & Health Care Center Sandwich | 9.6 | 123 | 1.79 | 3.10 | 40.4% | 2 | None |
| Mayflower Place Nursing & Rehabilitation Center West Yarmouth | 11.1 | 72 | 2.29 | 4.08 | 32.9% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.