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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E10 | F12 |
| Minimal | A· | B1 | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 18, 2025 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Dec 18, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 10, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 8, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Sep 17, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Sep 17, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Jun 8, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 8, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 8, 2025 | Civil money penalty (fine) | $8,278 | — | 225459|Fine|3907 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E10 | F12 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 18, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2026 | |
| Dec 18, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 10, 2026 | |
| Dec 18, 2025 | K-0345 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
12 facilities in 2 states. CMS chain ID 457.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Mamary | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 1999 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Mamary | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 1999 |
| James Mamary | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 1, 1999 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Royal Braintree Nursing and Rehabilitation Center 95 Commercial Street, Braintree, MA 02184 CCN 225058 | 204 | Feb 11, 2026 | 56 | — | |
| Royal Fairhaven Nursing and Rehabilitation Center 184 Main Street, Fairhaven, MA 02719 CCN 225117 | 107 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Jml Care Center Inc 184 Ter Heun Drive, Falmouth, MA 02540 CCN 225369 | 1.8 km | 132 | Mar 24, 2026 | 34 | — | |
| Royal Megansett Nursing and Rehabilitation Center 209 County Road Box 408, N Falmouth, MA 02556 CCN 225679 | 10 km | 90 | May 20, 2026 | 13 | — | |
| Royal Cotuit Nursing and Rehabilitation Center 161 Falmouth Road, Mashpee, MA 02649 CCN 225689 | 13.7 km | 120 | Mar 31, 2026 | 392 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 225459 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 225459 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Apr 10, 2026 |
| Dec 18, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2026 |
| Dec 18, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 26, 2026 |
| Dec 18, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 12, 2026 |
| Dec 18, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2026 |
| Dec 18, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 30, 2026 |
| Dec 18, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 12, 2026 |
| Dec 18, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2026 |
| Dec 18, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 10, 2026 |
| Dec 18, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 6, 2026 |
| Dec 18, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 21, 2026 |
| Dec 18, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 21, 2026 |
| Dec 18, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 21, 2026 |
| Dec 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 21, 2026 |
| Sep 10, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 9, 2025 | Complaint |
| Sep 10, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2025 | Complaint |
| Sep 10, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 19, 2025 | Complaint |
| Apr 8, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Past non-compliance Apr 1, 2025 | Complaint |
| Sep 17, 2024 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 8, 2024 |
| Sep 17, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 8, 2024 |
| Sep 17, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 8, 2024 |
| Sep 17, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 8, 2024 |
| Sep 17, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 8, 2024 |
| Sep 17, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 11, 2024 |
| Sep 17, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 11, 2024 |
| Sep 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 11, 2024 |
| Jun 8, 2023 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2023 |
| Jun 8, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2023 |
| Jun 8, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 7, 2023 |
| Jun 8, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 7, 2023 |
| Jun 8, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 20, 2023 |
| Jun 8, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Jun 20, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.46 (case-mix index 1.40).
| May 8, 2026 |
6 |
| — |
| Royal Meadow View Nursing and Rehabilitation Cente 134 North Street, North Reading, MA 01864 CCN 225478 | 113 | Jun 8, 2026 | 60 | — |
| Royal Norwell Nursing and Rehabilitation Center 329 Washington Street, Norwell, MA 02061 CCN 225482 | 86 | Nov 25, 2025 | 522 IJ4 harm | $11k |
| Royal Wood Mill Nursing and Rehabilitation Center 800 Essex Street, Lawrence, MA 01841 CCN 225505 | 94 | Mar 25, 2026 | 352 harm | — |
| Royal Cape Cod Nursing and Rehabilitation Center 8 Lewis Point Road, Buzzards Bay, MA 02532 CCN 225538 | 99 | Jan 20, 2026 | 191 harm | $9,004 |
| Royal Wayland Nursing and Rehabilitation Center 188 Commonwealth Road, Wayland, MA 01778 CCN 225591 | 40 | May 18, 2026 | 151 harm | $11k |
| Royal Megansett Nursing and Rehabilitation Center 209 County Road Box 408, N Falmouth, MA 02556 CCN 225679 | 90 | May 20, 2026 | 13 | — |