Liberty Commons
Scout 93North Chatham, MA · 132 beds
5.0CMS rating
Skilled Nursing● Very limited availability
One of North Chatham's top-rated skilled nursing communities.
Est. $12,770–$15,900/mo
View full evaluation →Skilled NursingCMS verified
Royal Megansett Nursing & Rehabilitation
209 County Road Box 408, N Falmouth, MA 02556 · Barnstable County
Royal Megansett Nursing & Retirement Home is the crown jewel of the Royal family, the first property purchased by James Mamary when he started his company in 1997. And what a property it is! Royal Megansett sits on a bluff in North Falmouth overlooking Megansett Harbor and Buzzards Bay beyond. Originally an elegant se…
70
StrongHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates strong.
Photos via google places, facility website.
Availability outlookModerate availability
Typically 71% full — openings are usually available.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A highly rated skilled nursing and rehab community in N Falmouth
Royal Megansett Nursing & Rehabilitation is a for-profit skilled nursing facility in N Falmouth, MA, with 90 certified beds and an average of about 64 residents per day. It operates as part of the Royal Health Group network.
Medicare rates it 4 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 4/5 on health inspections, 2/5 on staffing, 4/5 on quality measures.
Staff provide about 3.82 total nurse hours per resident each day (0.72 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 57.8%, higher than the ~52% national average. On the safety record, CMS notes 5 health deficiencies at its most recent standard survey.
Strengths
- ✓Strong health-inspection rating
- ✓No federal fines on record
- ✓Active resident & family council
Things to ask about
- •Below-average nurse staffing (3.82 hrs/resident/day)
Best for: Families who want a highly rated, well-staffed setting in N Falmouth for 24/7 skilled nursing or post-hospital rehabilitation.
At a glance
- Certified beds
- 90
- Avg. residents/day
- 64
- Ownership
- For profit - Partnership
- Part of a chain
- Royal Health Group
- Continuing care
- No
- CMS provider #
- 225679
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $12,770–$15,900/mo (median $13,950) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Barnstable Town prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.82
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.72
- National avg ≈ 0.75
- Nursing staff turnover
- 57.8%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 5
- Federal fines
- None on record
- Total penalties
- 0
- Last standard survey
- 2025-04-08
- Sprinkler system
- Partial
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (23 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2025-04-08Severity E — potential for harmQuality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-04-08Severity D — potential for harmResident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2025-04-08Severity D — potential for harmResident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2025-04-08Severity D — potential for harmQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-08Severity B — minimalNursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
2024-05-24Severity E — potential for harmPharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-05-24Severity E — potential for harmNutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2024-05-24Severity D — potential for harmResident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Services & amenities
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Private rooms available
Location
209 County Road Box 408, N Falmouth, MA
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Royal Megansett Nursing & Rehabilitation.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Royal Megansett Nursing & Rehabilitation
How much does Royal Megansett Nursing & Rehabilitation cost?
Royal Megansett Nursing & Rehabilitation does not publish exact rates. Comparable skilled nursing in the N Falmouth, MA area typically runs $12,770–$15,900 per month (median $13,950, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Royal Megansett Nursing & Rehabilitation's Medicare rating?
Medicare (CMS) rates Royal Megansett Nursing & Rehabilitation 4 out of 5 stars overall, including 4/5 for health inspections, 2/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.
How is the staffing at Royal Megansett Nursing & Rehabilitation?
Staff provide about 3.82 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 57.8% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Royal Megansett Nursing & Rehabilitation?
Royal Megansett Nursing & Rehabilitation has 23 health citations on its recent federal inspection record (last standard survey: 2025-04-08). The full citation-by-citation detail, with severity levels, is published on this page.
Does Royal Megansett Nursing & Rehabilitation have availability?
Typically 71% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Royal Megansett Nursing & Rehabilitation offer?
Royal Megansett Nursing & Rehabilitation in N Falmouth, MA offers skilled nursing and is licensed for 90 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Barnstable Town.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Royal Megansett Nursing & Rehabilitation — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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