nursing home in Falmouth, MA
Royal Nursing Center, LLC
359 Jones Rd, Falmouth, MA 02540 · (774) 345-0220
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Royal Nursing Center, LLC at a glance
Royal Nursing Center, LLC is a 121-bed for-profit nursing home in Falmouth, Massachusetts (Barnstable County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Massachusetts average of 3.
Residents receive about 3.1 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (December 18, 2025) found 7 health citations. The Massachusetts average is 6.8.
Federal regulators fined it 1 time in the past three years, totaling $8,278.
Nursing staff turnover is 41.5% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 121
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Royal Health Group
- Medicare-certified since
- July 1, 1990
- Resident/family council
- Resident
- County
- Barnstable County
- CMS Certification Number
- 225459
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.13 hrs | 3.86 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.66 hrs | 0.65 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.69 hrs | 2.25 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.83 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 41.5% | 38.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 42.6% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 1 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 32 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,278 | $34,265 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 121 | 120 | 107 | |
| Average residents per day | 105 | 99 | 86 | |
| Occupancy | 87% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 3.4% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 4.1% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 19.5% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.1% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12% | 16.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.8% | 15.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.5% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 26.3% | 15.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 6.5% | 19.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.8% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.4% | 92.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.6% | 77.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 77.1% | 78.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 18, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected February 6, 2026 |
| December 18, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 10, 2026 |
| December 18, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected February 26, 2026 |
| December 18, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected February 12, 2026 |
| December 18, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected April 10, 2026 |
| December 18, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected March 30, 2026 |
| December 18, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 12, 2026 |
| December 18, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected April 10, 2026 |
| December 18, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected February 10, 2026 |
| December 18, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected March 6, 2026 |
| December 18, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 10, 2026 |
| December 18, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 10, 2026 |
| December 18, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected January 21, 2026 |
| December 18, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 21, 2026 |
| December 18, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 21, 2026 |
| December 18, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 21, 2026 |
| September 10, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected September 17, 2025 |
| September 10, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 19, 2025 |
| September 10, 2025 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected October 9, 2025 |
| April 8, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected April 1, 2025 |
| September 17, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected November 8, 2024 |
| September 17, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected November 8, 2024 |
| September 17, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected November 8, 2024 |
| September 17, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected November 8, 2024 |
| September 17, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected November 8, 2024 |
| September 17, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 17, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 17, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected October 11, 2024 |
| June 8, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 14, 2023 |
| June 8, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected July 7, 2023 |
| June 8, 2023 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected July 14, 2023 |
| June 8, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected June 20, 2023 |
| June 8, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected June 20, 2023 |
| June 8, 2023 Standard | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | E Potential harm, pattern | Corrected June 20, 2023 |
| June 8, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected June 20, 2023 |
| June 8, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 20, 2023 |
| June 8, 2023 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected June 20, 2023 |
| June 8, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected July 7, 2023 |
| June 8, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 20, 2023 |
| June 8, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 20, 2023 |
| June 8, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected June 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,278 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 8, 2025 | Fine | $8,278 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MAMARY, JAMES Individual | 5% or greater direct ownership interest | — | 08/01/1999 |
| MAMARY, JAMES Individual | w-2 managing employee | NOT APPLICABLE | 08/01/1999 |
Other nursing homes near Royal Nursing Center, LLC
- ★★★★★1Much below average
Royal Megansett Nursing & Rehabilitation
209 County Road Box 408, N Falmouth, MA 02556 · 6.2 mi
For-profit · 90 beds · Part of Royal Health Group
★★★★★4Above averageRoyal of Cotuit
161 Falmouth Road, Mashpee, MA 02649 · 8.5 mi
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★★★★★2Below averageBourne Manor Extended Care Facility
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Non-profit · 142 beds · Part of Integritus Healthcare
★★★★★1Much below averageNavigator Homes of Martha's Vineyard
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Non-profit · 106 beds
★★★★★3AverageRoyal Cape Cod Nursing & Rehabilitation Center
8 Lewis Point Road, Buzzards Bay, MA 02532 · 13.6 mi
For-profit · 99 beds · Part of Royal Health Group
★★★★★3Average
Frequently asked questions
What is Royal Nursing Center, LLC's rating?
Royal Nursing Center, LLC has 3 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Royal Nursing Center, LLC receive?
Its most recent standard health inspection found 7 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Royal Nursing Center, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Royal Nursing Center, LLC?
It is for profit - limited liability company and part of Royal Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Royal Nursing Center, LLC and how do I contact it?
Royal Nursing Center, LLC is at 359 Jones Rd, Falmouth, MA 02540. Phone: (774) 345-0220.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.