CCN 225538 · Barnstable County, Massachusetts
Royal Cape Cod Nursing & Rehabilitation Center
8 Lewis Point Road, Buzzards Bay, MA 02532
Royal Cape Cod Nursing & Rehabilitation Center is a 99-bed for-profit nursing home in Buzzards Bay, Massachusetts, first certified for Medicare or Medicaid in 1991. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 91.0 residents a day, about 92% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $9.7 million in May 2013 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 99
- Average residents per day
- 91.0 (91.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Royal Health Group LLC
- Certified since
- Oct 1, 1991
- Chain or affiliated group
- Royal Health Group (12 facilities, chain average 3.2 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Massachusetts median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 65 at 1, 68 at 2, 62 at 3, 72 at 4, 71 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.28 | 3.70 | 3.68 |
| RN hours per resident per day | 0.42 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 2.91 | ||
| Nursing staff turnover | 39.3% | 37.7% | 44.9% |
| Occupancy (residents / beds) | 91.9% | 86.9% | 85.7% |
| Fines reported by CMS | 1 totaling $9,004 | ||
| Health deficiencies, latest standard survey | 6 (Jan 20, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Royal Cape Cod Nursing & Rehabilitation Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Mamary, JamesIndividual | Direct Ownership Interest | 100% | 11/01/2000 |
| Mamary, JamesIndividual | Operational / Managerial Control | n/a | 11/01/2000 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 3, 2013 | 223(f) refinance or purchaseHUD project name: Royal3-Cape Cod Nursing & Rehab Center, 198 beds. Lender at endorsement: Love Funding Corp | $9,719,400 | Ended Sep 17, 2026Prepayment | 02322120 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.