Elder Care Record

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Royal Health Group

Nursing home chain, as named in the CMS provider file.

Royal Health Group operates 12 Medicare-certified nursing homes in 2 states, with 1,190 certified beds; the largest presence is in Massachusetts and Rhode Island.

33% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 26.2 per 100 beds against 26.8 nationally, and fines in the period covered total $199K.

12certified facilities2 states
33%rated 1 or 2 stars overallUS: 41%
26.2citations per 100 bedsUS: 26.8
$199Kfines listed by CMS9 fines, 0 payment denials

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.

MeasureRoyal Health GroupUS
Median overall rating33
Median citations per facility2623
Median nurse hours per resident day3.53.7
Median nursing turnover48.1%44.9%
Facilities with the abuse icon01426

Rating distribution

5 stars8%
4 stars25%
3 stars33%
2 stars33%
1 star0%

States

StateFacilities
Massachusetts10
Rhode Island2

Most-cited tags

TagRequirementCitations
F0658Ensure services provided by the nursing facility meet professional standards of quality.23
F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.16
F0761Ensure 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.16
F0880Provide and implement an infection prevention and control program.16
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.14
F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.13
F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.11
F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.11

Penalties by year

2023$121K
2024$11K
2025$67K
Fines listed by CMS against Royal Health Group facilities by year (partial coverage of the earliest and latest years).

Facilities

FacilityCityStateBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Royal Braintree Nursing and Rehabilitation CenterBraintreeMA2042243316.2—11 Feb 2026
Royal Cape Cod Nursing & Rehabilitation CenterBuzzards BayMA993321616.2$9K20 Jan 2026
Royal Meadow View CenterNorth ReadingMA1134423531.0—8 Jun 2026
Royal Megansett Nursing & RehabilitationN FalmouthMA904422325.6—8 Apr 2025
Royal Norwell Nursing & Rehabilitation Center LLCNorwellMA863334350.0$115K25 Nov 2025
Royal Nursing Center, LLCFalmouthMA1213332117.4$8K18 Dec 2025
Royal of CotuitMashpeeMA1202223529.2$8K31 Mar 2026
Royal of Fairhaven Nursing CenterFairhavenMA1072311715.9$9K3 Mar 2025
Royal Wayland Rehabilitation and Nursing CenterWaylandMA405531947.5$11K24 Jul 2024
Royal Wood Mill CenterLawrenceMA943322627.7—25 Mar 2026
Royal Middletown Nursing CenterMiddletownRI502222652.0$31K30 Apr 2026
Royal of Westerly Nursing CenterWesterlyRI664431827.3$9K19 Feb 2026

Questions and answers

How many nursing homes does Royal Health Group operate?

12 Medicare-certified facilities in 2 states, with 1,190 certified beds, according to the chain name in the CMS provider file.

How are Royal Health Group facilities rated?

33% are rated 1–2 stars overall and 1 hold 5 stars; the median overall rating is 3. Nationally 41% are rated 1–2 stars.

Has Royal Health Group been fined?

CMS lists 9 fines totalling $199K and 0 payment denials across its facilities in the period the penalties file covers.