ROYAL NURSING CENTER, LLC

359 JONES RD, FALMOUTH, MA 02540 · CCN 225459 · 121 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

Get the full report Watch this facility

Serious inspection findings

2025-04-08 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

Staffing, from payroll records

Nursing hours / resident / day

2.75

state median 3.36

Weekend staffing gap

+2%

more nursing hours on weekends · state median −4%

RN hours / resident / day

0.53

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

42%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for ROYAL NURSING CENTER, LLC.

Penalties and enforcement

1 enforcement action(s), totaling $8,278 in fines.

Date	Type	Amount
2025-04-08	Fine	$8,278

Ownership

Ownership type: For profit - Limited Liability company. Part of the ROYAL HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

ROYAL BRAINTREE NURSING AND REHABILITATION CENTER (BRAINTREE, MA) — CMS overall2 of 5
Royal of Fairhaven Nursing Center (FAIRHAVEN, MA) — CMS overall2 of 5
ROYAL MEADOW VIEW CENTER (NORTH READING, MA) — CMS overall4 of 5
ROYAL NORWELL NURSING & REHABILITATION CENTER LLC (NORWELL, MA) — CMS overall3 of 5
ROYAL WOOD MILL CENTER (LAWRENCE, MA) — CMS overall3 of 5
Royal Cape Cod Nursing & Rehabilitation Center (BUZZARDS BAY, MA) — CMS overall3 of 5
ROYAL WAYLAND REHABILITATION AND NURSING CENTER (WAYLAND, MA) — CMS overall5 of 5
ROYAL MEGANSETT NURSING & REHABILITATION (N FALMOUTH, MA) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 19

Survey date	Tag	Category	Severity	Corrected
2025-12-18	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-12-18	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-12-18	F0880	Infection Control Deficiencies	D	not recorded
2025-09-10	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-10	F0697	Quality of Life and Care Deficiencies	D	not recorded
2025-09-10	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-08	F0760	Pharmacy Service Deficiencies	G	not recorded
2024-09-17	F0578	Resident Rights Deficiencies	D	not recorded
2024-09-17	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-17	F0880	Infection Control Deficiencies	D	not recorded
2023-06-08	F0623	Resident Rights Deficiencies	B	not recorded
2023-06-08	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-08	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-08	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-08	F0679	Quality of Life and Care Deficiencies	E	not recorded
2023-06-08	F0680	Quality of Life and Care Deficiencies	E	not recorded
2023-06-08	F0690	Quality of Life and Care Deficiencies	E	not recorded
2023-06-08	F0712	Nursing and Physician Services Deficiencies	E	not recorded
2023-06-08	F0809	Nutrition and Dietary Deficiencies	E	not recorded
2023-06-08	F0812	Nutrition and Dietary Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ROYAL NURSING CENTER, LLC, FALMOUTH” at medicare.gov/care-compare.