Nursing HomeInspections

Royal Nursing Center, LLC

Nursing home in Falmouth, MA

Medicare & Medicaid certified3★ overall (CMS)

Call (774) 345-0220Send a messageMap ↗

Public-record details

Address
359 Jones Rd, Falmouth, MA 02540
Phone
(774) 345-0220
Listed under
For-profit
Medicare CCN
225459
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
121
Average residents per day
105
Ownership
For-profit, limited Liability company
Legal business name
Royal Nursing Center LLC
Chain
Royal Health Group (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225459. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 18, 2025. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 8, 2023 to Dec 18, 2025): 4 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Dec 18, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 18, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 18, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 10, 2025Create 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 10, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 10, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 8, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
Sep 17, 2024Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 17, 2024Develop 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		D
Potential for more than minimal harm, isolated
Sep 17, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jun 8, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		B
Potential for minimal harm, pattern

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,278 in the last three years.

Apr 8, 2025Fine: $8,278

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.13 hours
Registered nurse (RN) time per resident per day
0.66 hours
Nurse aide time per resident per day
1.69 hours
Total nurse staffing on weekends
2.83 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
44%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Falmouth

Jml Care Center INC184 Ter Heun Drive · Falmouth, MA 02540 · (508) 457-4621 · Nonprofit23 health citations in 3 inspection cycles · last standard inspection Mar 24, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

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