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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMassachusettsRoyal Nursing Center, LLC

Royal Nursing Center, LLC

359 Jones Rd, Falmouth, MA 025407743450220
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
4/5
Beds
121
certified
1 fine(s) totaling $8,278

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 121 certified beds with an average of 98.2 residents per day (81% occupancy)

• Last health inspection found 7 deficiencies (inspected Sep 17, 2024)

• Has been fined a total of $8,278 across 1 fine(s)

• Total nursing staff: 3.43 hours per resident per day

• Staff turnover rate: 38.5%

• Part of the Royal Health Group chain (12 facilities)

Royal Nursing Center, LLC is a 3-star Medicare and Medicaid certified nursing home in Falmouth, Massachusetts with 121 certified beds. It has been operating since 1990. The facility scored at average compared to Massachusetts facilities.

Beds
121
Avg Residents/Day
98.2
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1990
Sprinklers
Yes
Council
Resident
County
Barnstable
Last Inspection
Sep 17, 2024
Deficiencies (Cycle 1)
7
Weighted Score
48.0
Infection Citations
0

Deficiency Citations (30)

F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 8, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Sep 17, 2024Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Sep 17, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 17, 2024Corrected: NoCycle: 1
F0623Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0680Potential for Harm

Ensure the activities program is directed by a qualified professional.

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0712Potential for Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0809Potential for Harm

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.

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jun 8, 2023Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0565Potential for Harm

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

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0686Potential for Harm

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

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0773Potential for Harm

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Mar 5, 2020Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 5, 2020Corrected: NoCycle: 3
Total Fines
$8,278
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 8, 2025
$8,278

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.86 hrs
National avg: 2.35 hrs
LPN0.89 hrs
National avg: 0.86 hrs
RN0.69 hrs
National avg: 0.68 hrs
Total Nursing3.43 hrs
National avg: 3.89 hrs
Weekend Total3.09 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
38.5%
RN Turnover
42.1%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (2)

NameRoleTypeOwnership %Since
MAMARY, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AAug 1, 1999
MAMARY, JAMESW-2 MANAGING EMPLOYEEIndividualN/AAug 1, 1999

Nearby Nursing Homes

All Massachusetts facilities

Jml Care Center INC

Falmouth, MA · 132 beds

Non profit
Health
Staffing
Quality
1.1 mi

Frequently Asked Questions

What is the CMS rating for Royal Nursing Center, LLC?▾
Royal Nursing Center, LLC has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated average.
Has Royal Nursing Center, LLC had any health inspection violations?▾
Royal Nursing Center, LLC had 7 deficiency citations in its most recent health inspection (Sep 17, 2024). The facility has been fined a total of $8,278 across 1 fine(s).
What are the staffing levels at Royal Nursing Center, LLC?▾
Royal Nursing Center, LLC provides 3.43 total nursing staff hours per resident per day, including 0.69 RN hours, 0.89 LPN hours, and 1.86 nurse aide hours. The total staff turnover rate is 38.5%.
How many beds does Royal Nursing Center, LLC have?▾
Royal Nursing Center, LLC has 121 certified beds with an average of 98.2 residents per day, resulting in approximately 81% occupancy. The facility is For profit - Partnership owned and is part of the Royal Health Group chain.
Are there other nursing homes near Royal Nursing Center, LLC?▾
Yes, there are 1 other nursing home in Falmouth, Massachusetts with an average rating of 2.5/5. You can compare all facilities on the Falmouth nursing homes page.

Part of Royal Health Group

This chain operates 12 facilities. View all →