Massachusetts › Barnstable County › Falmouth
Royal Nursing Center, LLC
359 Jones Rd, Falmouth, MA 02540
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Royal Nursing Center, LLC, in Falmouth, Massachusetts, is certified for 121 beds under for-profit, limited liability company ownership and belongs to the Royal Health Group chain.
CMS gives it 3 of 5 stars overall, equal to the Massachusetts median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (7, 4, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.4 per 100 beds, about the same as the state median of 21.7.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.1 hours per resident per day (0.7 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 41.5%.
Compared with county, state and nation
| Measure | This facility | Barnstable Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 24 | 27 | 28.7 |
| Citations per 100 beds | 17.4 | 20.4 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.4 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 41.5% | 40.4% | 37.7% | 45.8% |
| Fines listed | $8,278 | $0 | $0 | — |
County and state figures are medians across facilities (15 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Dec 2025, 17 Sep 2024.
Severity mix: G ×1 D ×12 E ×7 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 21 Jan 2026 |
| 18 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Jan 2026 |
| 18 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Jan 2026 |
| 18 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Jan 2026 |
| 10 Sep 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 9 Oct 2025 |
| 10 Sep 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 17 Sep 2025 |
| 10 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 19 Sep 2025 |
| 8 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 1 Apr 2025 |
| 17 Sep 2024 | F0578 | 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. | D | Standard survey | 11 Oct 2024 |
| 17 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Oct 2024 |
| 17 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Oct 2024 |
| 8 Jun 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0809 | 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. | E | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Jul 2023 |
| 8 Jun 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Jun 2023 |
| 8 Jun 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 20 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Apr 2025 | Fine | $8,278 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 41.5%, RNs 44.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.5% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Royal Nursing Center Llc. Chain: Royal Health Group (12 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Barnstable County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pavilion , The | Hyannis | 82 | 5 | 5 | 3 | 4 | 4.9 | — | 13 Jun 2024 |
| Royal Megansett Nursing & Rehabilitation | N Falmouth | 90 | 4 | 4 | 2 | 23 | 25.6 | — | 8 Apr 2025 |
| Liberty Commons | North Chatham | 132 | 3 | 2 | 5 | 16 | 12.1 | — | 9 Jan 2026 |
| Mayflower Place Nursing & Rehabilitation Center | West Yarmouth | 72 | 3 | 3 | 4 | 40 | 55.6 | — | 14 Nov 2025 |
| Regalcare At Harwich | Harwich | 135 | 3 | 3 | 4 | 24 | 17.8 | — | 7 Apr 2026 |
| Royal Cape Cod Nursing & Rehabilitation Center | Buzzards Bay | 99 | 3 | 3 | 2 | 16 | 16.2 | $9K | 20 Jan 2026 |
| Cape Heritage Rehabilitation & Health Care Center | Sandwich | 123 | 2 | 2 | 2 | 57 | 46.3 | — | 29 Jun 2026 |
| Royal of Cotuit | Mashpee | 120 | 2 | 2 | 2 | 35 | 29.2 | $8K | 31 Mar 2026 |
All 15 facilities in Barnstable County
Questions and answers
How many deficiencies has Royal Nursing Center, LLC been cited for?
21 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Royal Nursing Center, LLC been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Royal Nursing Center, LLC compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Royal Nursing Center, LLC?
It is part of the Royal Health Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Royal Nursing Center, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 18 Dec 2025; the most recent standard health survey was 18 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.