Royal Nursing Center, LLC: Staffing, Turnover, and Inspection Record
Royal Nursing Center, LLC is a 121-bed for-profit nursing home in Falmouth, Massachusetts, part of Royal Health Group. In the CMS August 2026 release it reported 1.69 nurse aide hours per resident per day, 25% below the Massachusetts average of 2.26, and 41.5% nursing staff turnover (Massachusetts average 38.2%).
Royal Nursing Center, LLC
359 Jones RdFalmouth, MA 02540
Barnstable County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royal Nursing Center, LLC, nurse aides logged 1.69 hours per resident per day, 25% below the Massachusetts average. With about 105 residents a day, that works out to roughly 178 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.69 | 2.26 | 2.32 |
| Licensed practical nurses | 0.77 | 0.95 | 0.86 |
| Registered nurses | 0.66 | 0.65 | 0.69 |
| All nursing staff | 3.13 | 3.86 | 3.86 |
| All nursing staff, weekends | 2.83 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
41.5% of nursing staff at Royal Nursing Center, LLC left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 44.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Massachusetts average 7.2). CMS lists 1 fine totaling $8,278 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 8, 2025 | Fine | $8,278 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royal Nursing Center, LLC holds 3 of 5 overall; the Massachusetts average is 3.0.
About Royal Nursing Center, LLC
- Ownership: For profit - Limited Liability company
- Chain: Royal Health Group, 12 homes
- Legal name: Royal Nursing Center LLC
- Medicare and Medicaid certified since: Jul 1, 1990
- Councils: resident council
- Area: urban
Nursing homes near Royal Nursing Center, LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| JML Care Center Inc Falmouth · many days without an RN | 1.1 | 132 | 1.63 | 2.92 | 40.9% | 1 | None |
| Royal Megansett Nursing & Rehabilitation N Falmouth | 6.2 | 90 | 2.23 | 3.92 | 48.1% | 4 | None |
| Royal of Cotuit Mashpee | 8.5 | 120 | 1.85 | 3.32 | 47.7% | 2 | $7,901 |
| Bourne Manor Extended Care Facility Bourne | 12.0 | 142 | 2.55 | 3.89 | 40.0% | 1 | $48,575 |
| Navigator Homes of Martha's Vineyard Edgartown | 12.4 | 106 | 4.12 | 5.97 | 44.2% | 3 | None |
| Royal Cape Cod Nursing & Rehabilitation Center Buzzards Bay | 13.6 | 99 | 1.77 | 3.28 | 39.3% | 3 | $9,004 |
| Sippican Rehabilitation and Healthcare Center Marion | 13.7 | 123 | 1.98 | 3.52 | 56.2% | 4 | $8,788 |
| Cape Heritage Rehabilitation & Health Care Center Sandwich | 14.9 | 123 | 1.79 | 3.10 | 40.4% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.