Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Royal Megansett Nursing & Rehabilitation during CMS and state inspections, most recent first.
A facility failed to maintain accurate records of controlled medications, specifically lorazepam (Ativan), for a resident who had expired. The medication was found in a locked narcotic box without proper documentation in the accountability record book. The Staff Development Coordinator acknowledged that the medication should have been accounted for and destroyed but was lost during a transition involving a room transfer and change in nurses.
The facility failed to maintain a resident kitchenette refrigerator at the required temperature below 41°F, as observed by a surveyor. The refrigerator's internal temperature was recorded at 48°F, with a carton of milk at 50.4°F and a can of ginger ale at 48.2°F. The Food Service Manager acknowledged the requirement for maintaining temperatures below 41°F, highlighting a lapse in adhering to food safety standards.
A resident experienced a delay in the return of their clean laundry due to the facility's failure to label clothing items. Despite being cognitively intact and requiring assistance with dressing, the resident was left without clean clothes for days. Staff interviews revealed that unlabeled clothes were set aside, causing delays, and the issue was acknowledged by the Director of Laundry. The unit manager confirmed that the resident's clothes were given for labeling, but this was not completed, leading to the deficiency.
A LTC facility failed to follow professional standards for medication administration for three residents. Medications were left unsupervised at the bedside for two residents who were not approved for self-administration, and a nurse administered a chewable aspirin instead of a delayed-release tablet to another resident without clarifying the order. These actions were contrary to the facility's policies and physician's orders.
A facility failed to store medications properly, with a resident self-administering medications without approval, and a schedule-IV controlled substance not securely stored. Medications were found at a resident's bedside, and a narcotic box with lorazepam was not permanently affixed or locked in the medication refrigerator.
A facility failed to transmit the discharge MDS data to CMS for a resident with chronic kidney disease and a urinary tract infection, who was discharged after being admitted in December 2023. The MDS Nurse confirmed that the required submission was not completed within 14 days of the MDS completion date.
Failure to Maintain Accurate Controlled Medication Records
Penalty
Summary
The facility failed to maintain an accurate account of controlled medications, specifically lorazepam (Ativan), a Schedule IV-controlled drug used to treat anxiety. The facility's policy required controlled substances to be counted upon delivery and at the end of each shift, with any discrepancies reported to the Director of Nursing Services. However, during a medication storage room review, a locked narcotic box was found containing an opened bottle of lorazepam for a resident who had expired. The controlled substance accountability record book was not properly transcribed, leading to a lack of documentation for the medication since a specific date. The nurse responsible for carrying over the medication to another page no longer worked at the facility, and the other nursing signature was illegible. The Staff Development Coordinator (SDC) acknowledged that the liquid Ativan should have been accounted for and destroyed when the resident expired, but it was not. The SDC explained that the medication was discontinued, and the resident was switched to oral Ativan on the same day they were transferred to another room, which involved a change in nurses and narcotic book records. This transition led to the liquid Ativan being lost, and the discontinued date was not transcribed in the narcotic book, nor was the medication destroyed. The last dose was given on a specific date, and the SDC confirmed that there was not an accurate account of all controlled substances maintained in the facility.
Refrigerator Temperature Non-Compliance
Penalty
Summary
The facility failed to adhere to its policy and professional standards for food safety and sanitation, which are crucial to preventing the spread of foodborne illnesses among residents who are at high risk. The deficiency was identified when a surveyor observed that one of the two resident kitchenette refrigerators on the second floor was not maintaining a safe temperature below 41 degrees Fahrenheit, as required by the facility's policy and the FDA's 2022 Food Code. The facility's policy mandates that food items requiring refrigeration must be stored below 41 degrees Fahrenheit and that refrigerators must have working thermometers to monitor temperatures according to state guidelines. During the survey, the internal temperature of the refrigerator was recorded at 48 degrees Fahrenheit, and subsequent observations showed temperatures of 45 degrees Fahrenheit for the refrigerator, 50.4 degrees Fahrenheit for a carton of milk, and 48.2 degrees Fahrenheit for a can of ginger ale. The Food Service Manager confirmed that the refrigerator and its contents should be maintained below 41 degrees Fahrenheit, indicating a failure to comply with the established food safety standards.
Failure to Label Resident Clothing Delays Laundry Return
Penalty
Summary
The facility failed to treat a resident's clothing items with respect by not labeling them, which resulted in a delay in returning clean laundry. The resident, who was admitted with cellulitis, muscle weakness, and difficulty in walking, was cognitively intact and required assistance with dressing. The resident reported that all their clothes had been in the laundry for at least a week, leaving them with no clean clothes and wearing the same outfit for days. Upon inspection, the resident's closet and dresser contained unlabeled clothing items, and the resident had repeatedly complained to the CNAs about the missing clothing without resolution. Interviews with staff revealed that the laundry process involved placing all residents' dirty clothes in a single bin, and unlabeled garments were set aside, causing delays in their return. The Director of Laundry acknowledged the issue, noting that unlabeled clothes were hung on a separate rack until claimed. Both a nurse and a unit manager confirmed ongoing problems with the laundry service, with clothes taking a long time to return. The unit manager stated that the resident's clothes were given to the laundry staff for labeling, but the Director of Laundry could not explain why this was not done, resulting in the resident's clothing not being promptly returned.
Medication Administration Deficiencies in LTC Facility
Penalty
Summary
The facility failed to adhere to professional standards of medication administration for three residents, leading to deficiencies in care. For Resident #27, medications were left at the bedside without supervision, despite the resident not being approved for self-administration. The resident, who was cognitively intact, was observed with a cup of pills left by a nurse, which the resident forgot to take. This occurred on multiple occasions, with the medications documented as administered by the nurses, contrary to the facility's policy and the resident's self-administration assessment. Similarly, Resident #216, who was also cognitively intact, had medications left at the bedside by nursing staff, without a completed assessment or physician's order for self-administration. The resident preferred to take medications independently, but the facility's policy requires supervision unless an assessment approves self-administration. The Unit Manager admitted to leaving the medications with the resident, assuming they would be taken, which was not in compliance with the facility's procedures. For Resident #35, a nurse administered a chewable aspirin tablet instead of the prescribed delayed-release tablet, without clarifying the order with the physician. The resident swallowed the chewable tablet whole, which was not in accordance with the physician's orders. The nurse acknowledged the error and the need for clarification before administering the medication. These incidents highlight a failure to follow the five rights of medication administration and the facility's own policies, resulting in deficiencies in the care provided to the residents.
Improper Storage of Medications and Controlled Substances
Penalty
Summary
The facility failed to ensure proper storage of drugs and biologicals in accordance with professional principles. Specifically, for one resident, medications including Echinacea Complex tablets, Breztri Aerosphere inhaler, albuterol inhaler, and a nasal spray bottle were found stored at the bedside rather than in the medication cart. The resident, who was cognitively intact, admitted to self-administering these medications without the necessary approval from the attending physician and the Interdisciplinary Care Planning Team. The facility's policy required that medications be stored in locked compartments and that residents could only self-administer medications if approved, which was not the case for this resident. Additionally, the facility failed to maintain a schedule-IV controlled substance in a separately locked, permanently affixed compartment. During a review of the medication storage room, a narcotic box containing lorazepam was found inside a medication refrigerator that was not locked, and the box itself was not permanently affixed. The lorazepam was labeled for a resident who had expired, and it was not accounted for or destroyed as required. Staff members were initially unable to open the narcotic box, indicating a lack of proper oversight and control over the storage of controlled substances. These deficiencies highlight lapses in the facility's adherence to its own medication storage policies and procedures. The failure to properly store medications and ensure that controlled substances are securely locked and accounted for poses significant risks to resident safety and regulatory compliance. The staff's awareness of the resident's self-administration of medications without proper authorization further underscores the need for improved monitoring and adherence to established protocols.
Failure to Transmit Discharge MDS Data to CMS
Penalty
Summary
The facility failed to encode and electronically transmit the Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid Services (CMS) processing system for one resident. This deficiency was identified during a review of the MDS assessment and staff interview. Specifically, a discharge MDS, which is required any time a resident is discharged from the facility, was not transmitted to CMS for a resident who was admitted in December 2023 with diagnoses including chronic kidney disease and urinary tract infection and was discharged on January 9, 2024. The MDS Nurse confirmed during an interview that the discharge MDS assessment had not been submitted to the CMS processing system within the required 14 days after the MDS completion date.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near N Falmouth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jml Care Center Inc | 5.8 mi | ★★★★★ | 0 | 0 |
| Bourne Manor Extended Care Facility | 6.2 mi | ★★★★★ | 0 | 0 |
| Royal Nursing Center, Llc | 6.2 mi | ★★★★★ | 19 | 0 |
| Royal Cape Cod Nursing & Rehabilitation Center | 7.5 mi | ★★★★★ | 6 | 0 |
| Royal Of Cotuit | 8.2 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.