ROYAL NURSING CENTER, LLC

CCN 225459 · ROYAL NURSING CENTER LLC · For profit - Limited Liability company · ROYAL HEALTH GROUP chain · 121 certified beds · Barnstable · MA


ROYAL NURSING CENTER, LLC is a 121-bed nursing home in FALMOUTH, Massachusetts. CMS has certified it for Medicare and Medicaid since 1990-07-01. It averages 105.3 residents a day.

What harm was found in the violations cited at ROYAL NURSING CENTER, LLC?

CMS lists 21 health-inspection deficiencies for ROYAL NURSING CENTER, LLC since 2023-06-08, 11 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-12-18.

Survey dateTagDeficiencySeverity
2025-12-18F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-12-18F0658, F0689, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D
2025-09-10F0655, F0697, F0842Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide safe, appropriate pain management for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-04-08F0760Ensure that residents are free from significant medication errors.G
2024-09-17F0578, F0656, F0880Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program.D
2023-06-08F0679, F0680, F0690, F0712, F0809, F0812Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-06-08F0645, F0655, F0656PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-06-08F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B

Why was ROYAL NURSING CENTER, LLC fined?

DateTypeAmount
2025-04-08Fine$8,278

How is ROYAL NURSING CENTER, LLC staffed relative to the MA average?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.129453.86193
Total nursing staff turnover (%)41.538.2
Average number of residents per day105.398.5

Who owns ROYAL NURSING CENTER, LLC, and what chain is it in?

ROYAL NURSING CENTER, LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name ROYAL NURSING CENTER LLC and belongs to the ROYAL HEALTH GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMAMARY, JAMESsince 08/01/1999
W-2 MANAGING EMPLOYEEMAMARY, JAMESsince 08/01/1999

Were you or a family member harmed at ROYAL NURSING CENTER, LLC?