MyLivingChoice

Royal Megansett Nursing Home

209 County Road Box 408

4.5(61 ratings)

Royal Megansett Nursing Home, photo 11 / 5

Quick Facts

Total units
90
Medicare rating
4 of 5

CMS Care Compare

Ownership
For profit, Partnership
Certified beds
90
Building type
Converted early-1900s seaside hotel
Assisted living option
Assisted living apartments on third floor
Ownership history
First property acquired by Royal family in 1997

What Families Think

Reviews of Royal Megansett are sharply divided: several visitors and families praise the scenic harbor setting, friendly staff, and good food, while others report serious care lapses including neglect and a failure to address a resident injury. The building itself is a converted early-1900s hotel, which some find charming and others find dated for a medical facility.

The Good

  • Scenic harbor and bay views from many rooms
  • Staff described as friendly, attentive, and helpful
  • Food and dining praised by multiple reviewers
  • Generous visiting hours, children permitted
  • Ongoing activities to keep residents engaged

The Bad

  • One serious report of neglect and injury after a fall
  • Roommate/noise issues in shared rooms cited by one reviewer
  • Limited parking noted by a visitor
  • Inconsistent staff responsiveness reported by more than one reviewer

AI-generated from reviews and community data.

Royal Megansett Nursing Home is a senior living community in N Falmouth, Massachusetts offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Outdoor Patio and Gathering / Activity Spaces. Families rate it 4.5 out of 5 across 61 reviews.

About Royal Megansett Nursing Home

Royal Megansett Nursing & Rehabilitation in North Falmouth, Massachusetts offers long-term care, short-term rehabilitation, and specialty services for seniors throughout New England. The community is housed in a converted seaside hotel that overlooks Megansett Harbor and Buzzards Bay, retaining the architectural charm of its original era with elegant common spaces and water views across manicured grounds.

The facility includes 28 private rooms and dedicated assisted living apartments on the third floor. These apartments provide residents with panoramic views of the harbor and bay, creating a restful, homelike environment where assisted living residents can maintain their preferred lifestyle while receiving care from devoted caregivers.

Originally purchased in 1997 as the first property of the Royal family of senior living communities, Royal Megansett emphasizes both the quality of its accommodations and its scenic coastal setting as distinguishing features of the residential experience.

Types of Care at Royal Megansett Nursing Home

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Outdoor Patio

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Royal Megansett Nursing Home

4.5overall · 61 ratings combined

4.5★ on Google (61)

dave walsh

Mar 2026

via Google

My mother was offered to go here for Rehab after a fall. This facility was miss-represented as a 4 out 5 star facility. First impression is OLD, the building was probably a 1920's hotel. Ok, that doesn't mean it is not a good rehab, WRONG. She was put in a bed in tiny room with another patient literally 3 feet away who very loudly watched a news station sun up to sun down. Repeated requests to staff would not accomplish any results ie: headphones etc. (not a healing environment). Some of the staff were very professional and very good at what they do, unfortunately not all were. An incident late at night where movement protocol was blatantly and willfully refused my mother was further injured. Upon presentation of this to the assistant director he brushed it off as probably an agency staff and did not seem concerned at all. He then got very upset that the call button and phone had been wrapped on the bed handles by his staff and stated that really upset him, and proceeded to untie them. In no way shape or form would I recommend you send your loved one here. We were fortunate to get her out the next day.

Mike Barnes

Jan 2026

via Google

Visited a relative here. Not a lot of parking. Views from the room was Overlooking a small harbor. Patient food was described as excellent. Care nurses are attentive.

Tyler Barrette

Jan 2026

via Google

The neglect at this facility is egregious and thinly veiled. Without a constant, external presence of advocacy, you or your loved one are likely not to receive the proper care.

Ellen Peebles

Nov 2024

via Google

My sister is a client there and it is a delight to visit her as the staff is so friendly and helpful! Activities are ongoing to keep all patients occupied if they so desire.. The 4 th floor is beautiful with lots of windows to look out on the water. Lunch is served there every week day, and a gorgeous sitting area to visit with my sister .She feels very happy to be there..

E. Winn Davis

Sep 2023

via Google

My wife has been in 3 different Royal Rehabilitation complexes over the years and Royal Megansett is far and away the best. The location is calming and quite lovely, overlooking Megansett Harbour. The staff is very friendly and knowledgeable. Everyone from housecleaning to nursing makes a real effort to accommodate any requests as quickly as possible. And always with a smile. The menu is complete and the food is well prepared. Visiting hours are generous and children are permitted. Although no one ever looks forward to going to rehab, if you have a choice I would recommend Royal Megansett. Updated 9 September 2023

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Government Inspection History

4 inspection visits in the last three years, 24 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Apr 8, 2025Fire Safety StandardHealth Standard6 citations
  • Establish policies and procedures including evacuation.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 16, 2025

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 15, 2025

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 15, 2025

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 9, 2025

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 22, 2025

  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Severity B of L: potential for minimal harm, patternCorrected Apr 18, 2025

May 24, 2024Fire Safety StandardHealth Standard6 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2024

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 7, 2024

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2024

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 7, 2024

  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2024

  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Severity B of L: potential for minimal harm, patternCorrected Jun 10, 2024

Aug 23, 2023Infection ControlNo citations
Jan 27, 2023Fire Safety StandardHealth Standard12 citations
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2023

  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 30, 2023

  • Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 15, 2023

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2023

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2023

  • Implement a program that monitors antibiotic use.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2023

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 1, 2023

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 30, 2023

  • Assist a resident in gaining access to vision and hearing services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 1, 2023

  • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 3, 2023

  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 30, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Royal Megansett Nursing Home offer?

Royal Megansett Nursing Home offers Skilled Nursing / Long Term Care.

Where is Royal Megansett Nursing Home located?

Royal Megansett Nursing Home is located at 209 County Road Box 408 in N Falmouth, Massachusetts.

What do families say about Royal Megansett Nursing Home?

Reviews of Royal Megansett are sharply divided: several visitors and families praise the scenic harbor setting, friendly staff, and good food, while others report serious care lapses including neglect and a failure to address a resident injury. The building itself is a converted early-1900s hotel, which some find charming and others find dated for a medical facility.

How did Royal Megansett Nursing Home do on recent health and safety inspections?

Royal Megansett Nursing Home had 4 government inspection visits in the last three years, with 24 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Royal Megansett Nursing Home?

Submit the Request Information form on this page to connect with Royal Megansett Nursing Home and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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