CareWitness
Federal record · CMS Care Compare · CCN 225459 · Processed JUN 1 2026
CareWitnessMassachusettsFalmouthNursing HomesRoyal Nursing Center, Llc

Royal Nursing Center, Llc

359 Jones Rd, Falmouth, MA, 02540

Type
Nursing home
Medicare/Medicaid certified · CCN 225459

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall3 / 5
Health inspections3 / 5
Staffing2 / 5
Quality measures4 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Royal Health Group
Certified beds
121 · avg 100 residents/day
Total nursing staff turnover
44%near the Massachusetts averageMassachusetts avg: 39.2% · National avg: 46.1% · per CMS Care Compare
RN turnover
59.1%higher than most Massachusetts nursing homesMassachusetts avg: 43.7% · National avg: 43.3% · per CMS Care Compare
Administrators who left
2 departednear the Massachusetts averageMassachusetts avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $8,278 total

Medicare certification

CMS Certification Number
225459
Certified beds
121 beds · avg 100 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Royal Nursing Center Llc
Chain affiliation
Royal Health Group

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Royal Health Group chain — 12 facilities across 2 states. Chain-wide average overall rating 2.9 / 5.

Disclosed owners (1 on record)

  • James s Mamary

    5% or Greater Direct Ownership Interest · since 1999

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

21 health citations on file4 from complaints1 federal fine totalling $8,278

Recent health-deficiency citations (most recent 8 of 21)

  • D0880·Dec 18, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • E0804·Dec 18, 2025

    Nutrition and Dietary Deficiencies

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • D0689·Dec 18, 2025

    Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • D0658·Dec 18, 2025

    Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

  • D0842·Sep 10, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • D0697·Sep 10, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide safe, appropriate pain management for a resident who requires such services.

  • D0655·Sep 10, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • G0760·Apr 8, 2025Complaint

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $8,278

Most recent events

  • Apr 8, 2025Fine · $8,278

Fire-safety citations

20 Life-Safety-Code citations on file. Most recent: Dec 18, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Royal Nursing Center, Llcinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.