Royal of Cotuit
161 FALMOUTH ROAD, Mashpee, MA 02649
Mashpee, Massachusetts · CMS verdict
CMS rates Royal of Cotuit at 2 of 5 stars overall - below-average on the federal scale, and below the Massachusetts average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Royal of Cotuit in Mashpee, Massachusetts holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 25 of 100 (grade F). The 120-bed facility operates where a semi-private nursing-home room in Massachusetts runs a median of $14,448 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 25 is built
Each segment is a dimension's weighted points toward the score, summing to 25.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Royal of Cotuit holds a CMS overall quality rating of 2 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (2/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Mashpee, Massachusetts, this facility operates 120 certified beds with an average daily census of roughly 72 residents - an occupancy rate of about 60%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 60% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Massachusetts, Royal of Cotuit is one of 148 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 2.6 stars, ahead of roughly 29% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (40 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Royal of Cotuit compares to Massachusetts
CMS five-star sub-ratings (0–5) for this facility against the Massachusetts facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Massachusetts state average. Higher is better on all four CMS measures.
Where Royal of Cotuit ranks in Massachusetts
Among the 338 CMS-rated nursing homes in Massachusetts, Royal of Cotuit’s 2-star overall rating is higher than 22% of them. The bars show how all Massachusetts homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
71 Massachusetts homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 72 |
| Ownership | For profit - Limited Liability company |
| County | Barnstable |
| Penalties | 1 |
| Deficiencies | 40 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Royal of Cotuit? ▾
2 out of 5 stars is Royal of Cotuit's current CMS overall rating, built from a health inspection rating of 2/5, a staffing rating of 2/5, and a quality measures rating of 2/5.
How much does a nursing home cost per month in Massachusetts? ▾
The median cost for a semi-private nursing home room in Massachusetts is $14,448 per month ($173,375 annually). A private room averages $15,817 per month. Costs are from the CareScout 2025 survey.
What services does Royal of Cotuit offer? ▾
With 120 beds with approximately 72 current residents, Royal of Cotuit is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 40 deficiencies and 1 penalties.
Does Royal of Cotuit have any deficiencies or penalties? ▾
Royal of Cotuit has multiple deficiencies (40 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Massachusetts? ▾
In Massachusetts, alternatives include assisted living ($9,600/mo), home health aides ($7,627/mo), and adult day care ($2,427/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Massachusetts elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 225689.
Read our methodology - how this data is sourced, computed, and verified.