Royal Nursing Center, LLC
359 Jones Rd · Falmouth, MA · 02540 · 7743450220
121 certified beds For profit - Limited Liability company Chain: Royal Health Group
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $8,278 |
Inspection citations (21 in the current record)
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Potential for harm · D December 18, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 21, 2026 · Quality of Life and Care
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Potential for harm · E December 18, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 21, 2026 · Nutrition and Dietary
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Potential for harm · D December 18, 2025
Provide and implement an infection prevention and control program.
Corrected January 21, 2026 · Infection Control
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Potential for harm · D September 10, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 10, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 17, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Actual harm · G April 8, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 1, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2024
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.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · D September 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2024
Provide and implement an infection prevention and control program.
Corrected October 11, 2024 · Infection Control
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Potential for harm · D June 8, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 7, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 8, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 8, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 8, 2023
Provide activities to meet all resident's needs.
Corrected June 20, 2023 · Quality of Life and Care
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Potential for harm · E June 8, 2023
Ensure the activities program is directed by a qualified professional.
Corrected June 20, 2023 · Quality of Life and Care
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Potential for harm · E June 8, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 20, 2023 · Quality of Life and Care
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Potential for harm · E June 8, 2023
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected June 20, 2023 · Nursing and Physician Services
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Potential for harm · E June 8, 2023
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.
Corrected June 20, 2023 · Nutrition and Dietary
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Potential for harm · E June 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 20, 2023 · Nutrition and Dietary
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No harm found · B June 8, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 20, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 8, 2025 | Fine | $8,278 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225459 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.