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 of Cotuit
161 Falmouth Road, Mashpee, MA 02649 · Barnstable County
Providing convenient, high-quality long-term and short-term care, rehabilitation, in-home support and specialty services for seniors throughout New England. Please call our direct admit phone number to speak to an admissions representative now: 855.275.3286
27
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Photos via google places, facility website.
Availability outlookUsually has openings
Typically 61% full — availability is generally good.
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 low federal rating — review the details closely
Royal of Cotuit is a for-profit skilled nursing facility in Mashpee, MA, with 120 certified beds and an average of about 73 residents per day. It operates as part of the Royal Health Group network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 1/5 on staffing, 2/5 on quality measures.
Staff provide about 3.35 total nurse hours per resident each day (0.65 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 53.5%, higher than the ~52% national average. On the safety record, CMS notes 12 health deficiencies at its most recent standard survey, and 1 federal fine totaling $7,901 in the recent record.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 1-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.35 hrs/resident/day)
- •12 deficiencies at last survey
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Mashpee options — our advisors can help you compare.
At a glance
- Certified beds
- 120
- Avg. residents/day
- 73
- Ownership
- For profit - Limited Liability company
- Part of a chain
- Royal Health Group
- Continuing care
- No
- CMS provider #
- 225689
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
- 3.35
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.65
- National avg ≈ 0.75
- Nursing staff turnover
- 53.5%
- 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)
- 12
- Federal fines
- 1 ($7,901)
- Total penalties
- 1
- Last standard survey
- 2025-02-07
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (39 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2025-07-15Severity D — potential for harmFrom a complaintResident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-07-15Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-07-15Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2025-02-07Severity F — potential for harmNursing and Physician Services Deficiencies
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.
2025-02-07Severity E — potential for harmResident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2025-02-07Severity E — potential for harmResident Rights Deficiencies
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.
2025-02-07Severity E — potential for harmQuality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-02-07Severity E — potential for harmNursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2023-10-16 | Fine | $7,901 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
Location
161 Falmouth Road, Mashpee, 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 of Cotuit.
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 of Cotuit
How much does Royal of Cotuit cost?
Royal of Cotuit does not publish exact rates. Comparable skilled nursing in the Mashpee, 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 of Cotuit's Medicare rating?
Medicare (CMS) rates Royal of Cotuit 1 out of 5 stars overall, including 2/5 for health inspections, 1/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.
How is the staffing at Royal of Cotuit?
Staff provide about 3.35 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 53.5% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Royal of Cotuit?
Royal of Cotuit has 39 health citations on its recent federal inspection record (last standard survey: 2025-02-07). The full citation-by-citation detail, with severity levels, is published on this page.
Does Royal of Cotuit have availability?
Typically 61% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Royal of Cotuit offer?
Royal of Cotuit in Mashpee, MA offers skilled nursing and is licensed for 120 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 of Cotuit — 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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