All citations for Royal of Cotuit

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Royal of Cotuit

Last standard health inspection on record

March 31, 2026

Showing 1 to 25 of 35 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

  2. Harm to a resident

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of October 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

  3. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  4. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  5. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  6. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  7. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  8. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2024).

  11. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2024).

  13. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  16. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  17. No harm, with potential for more than minimal harm

    Provide care or services that was trauma informed and/or culturally competent.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  18. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  19. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  20. No harm, with potential for more than minimal harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0887, Infection Control Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

  21. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of July 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 3, 2025).

  22. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 3, 2025).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 3, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0576, Resident Rights Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  25. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.