Royal Nursing Center, LLC
Nursing Home · Falmouth, MA
CMS certification number225459
Contact & location
359 Jones RDFalmouth, MA 02540
Barnstable County
- Phone
- (774) 345-0220
- ZIP code
- 02540 – all care providers
Facility details
- Certified beds
- 121
- Residents per day
- 105.3 (87% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Royal Nursing Center LLC
- Chain
- Royal Health Group (12 facilities, avg 3.1★)
- Medicare certified since
- July 1, 1990
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.13 (state 3.86 · U.S. 3.86)
- Registered nurses (RN)
- 0.66 (state 0.65 · U.S. 0.69)
- Licensed practical nurses
- 0.77 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.69 (state 2.26 · U.S. 2.32)
- Weekend total
- 2.83 (state 3.48 · U.S. 3.42)
- Nursing staff turnover
- 41.5 (state 38.2 · U.S. 45.8)%
- RN turnover
- 44.4 (state 42.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- December 18, 2025
- Health deficiencies (last cycle)
- 7.0 (state 7.2 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 21 health · 20 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2025-12-18 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2025-12-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2025-12-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2025-09-10 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-09-10 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-17 |
| 2025-09-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-19 |
| 2025-04-08 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-04-01 |
| 2024-09-17 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2024-09-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-11 |
| 2023-06-08 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | 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. F0809 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-07 |
| 2023-06-08 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-20 |
| 2023-06-08 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2023-06-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $8,278 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-08 | Fine | $8,278 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Mamary, James (individual) | 5%+ Direct Ownership Interest | |
| Mamary, James (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Royal Nursing Center, LLC?
Royal Nursing Center, LLC has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.
How many beds does Royal Nursing Center, LLC have?
It has 121 certified beds and cares for about 105 residents per day.
Has Royal Nursing Center, LLC been fined?
Yes. CMS lists 1 penalty totaling $8,278 in the last three years.
Who owns Royal Nursing Center, LLC?
It is part of Royal Health Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Royal Nursing Center, LLC?
(774) 345-0220. The facility is located at 359 Jones RD, Falmouth, MA 02540.
Other nursing homes in Falmouth
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JML Care Center INC
Nursing Home · Falmouth, MA · 132 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.