Royal Nursing Center, Llc
Falmouth, MA · Medicare and Medicaid-certified nursing home (CCN 225459) · 121 certified beds
Health inspection: 3 · Quality measures: 4 · Staffing: 3
Federal fines: 1 totaling $8,278
Phone: (774) 345-0220 · Verify on Medicare Care Compare ↗
Royal Nursing Center has a CMS overall rating of 3 stars, which is at the Massachusetts state average of about 3.04 stars. Its health inspection rating is 3 stars and its staffing rating is 3 stars.
Royal Nursing Center reports total nurse staffing of about 3.13 hours per resident per day, including 0.66 RN hours per resident per day, with a staffing star rating of 3. Nursing staff turnover is reported at 41.5%.
Royal Nursing Center has 1 federal fine on record totaling $8,278.00, with no payment denials. CMS does not display an abuse icon for this facility, and it is not part of CMS's Special Focus program.
About this facility
Royal Nursing Center, LLC is a for-profit, limited liability company nursing home in Falmouth, Massachusetts, certified for both Medicare and Medicaid since July 1990. The facility is certified for 121 beds and reports an average daily census of 105.3 residents.
According to CMS Care Compare, Royal Nursing Center holds an overall rating of 3 stars, which is at the Massachusetts state average of 3.04. Its component ratings are: 3 stars for health inspections, 4 stars for quality measures, and 3 stars for staffing.
Nurse staffing data shows total nurse staffing of 3.13 hours per resident per day, including 0.66 RN hours per resident per day. Nursing staff turnover is reported at 41.5%.
On penalties, CMS records show 1 federal fine totaling $8,278.00 for this facility. There have been no payment denials on record. CMS does not display an abuse icon for this facility, and it is not listed under CMS's Special Focus program, which designates facilities as persistently underperforming and subject to increased inspection scrutiny.
Royal Nursing Center is part of Royal Health Group, a chain of 12 facilities with an average CMS rating of 3.1 stars across the chain. There has been no change of ownership at this facility in the past 12 months.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Royal Nursing Center has an overall rating of 3 stars, which is at the Massachusetts state average of 3.04.
Does this facility accept Medicare, Medicaid, or both?
It is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.13 hours per resident per day, including 0.66 RN hours, with a staffing rating of 3 stars; nursing turnover is 41.5%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $8,278.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No, CMS does not display an abuse icon for this facility, and it is not in the Special Focus program.
How large is this facility and how many residents live there?
It is certified for 121 beds with an average daily census of 105.3 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company and is part of Royal Health Group, a chain of 12 facilities with an average rating of 3.1 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since July 1, 1990.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, quality measures, and staffing; this facility scores 3, 3, 4, and 3 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service offerings; contact the facility at (774) 345-0220 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at (774) 345-0220 and verify on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the current record at https://www.medicare.gov/care-compare/details/nursing-home/225459?state=MA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.