About Royal Nursing Center, LLCRoyal Nursing Center, Llc is located at 359 Jones Rd, Falmouth, MA, reachable at (774) 345-0220. This For profit – Partnership facility operates 121.0 certified beds and serves an average of 98 residents per day. It is part of the Royal Health Group network (12 facilities nationwide). Medicare and Medicaid services have been provided since 1990-07-01. The facility currently holds a average (3-star) overall CMS rating.
#5048 of 14703 nationally – #115 of 341 in Massachusetts
Who Is This Facility Best For?
Royal Nursing Center, Llc offers a mid-range care option in Falmouth, MA. It performs well for short-stay and post-acute rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★3 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★3 / 5
Short-Stay QM Rating
★★★★★5 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightRoyal Nursing Center, Llc currently provides 3 hours 26 minutes of total nurse staffing per resident per day, including 41 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 38.5% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 26 minutes
Nurse Aide Hours1 hour 51 minutes
Licensed Practical Nurse (LPN) Hours53 minutes
Registered Nurse (RN) Hours41 minutes
Physical Therapist Hours3 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 6 minutes
Weekend Registered Nurse (RN) Hours34 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $8,278. One substantiated complaint was recorded across the 5-year period.
Nationally, Royal Nursing Center, Llc ranks 5048th out of 14,703 facilities (composite score: 76.9/100), placing it in the above average nationwide. Within MA, it ranks 115th out of 341 nursing homes. In Falmouth, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #9,752 nationally and RN hours rank #5,142 nationally (#105 in MA).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MA State Rank
Note
2022
3.22
#10,206 / 14,703
#268 / 341
Below average
2023
3.52
#7,671 / 14,703
#185 / 341
Below average
2024
3.35
#9,667 / 14,703
#251 / 341
Below average
2025
3.28
#10,984 / 14,703
#286 / 341
Below average
2026
3.43
#9,752 / 14,703
#261 / 341
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
MA State Rank
Note
2022
0.76
#4,339 / 14,703
#103 / 341
Above average
2023
0.90
#2,455 / 14,703
#48 / 341
Top 25%
2024
0.84
#2,915 / 14,703
#58 / 341
Top 25%
2025
0.75
#4,110 / 14,703
#84 / 341
Above average
2026
0.69
#5,142 / 14,703
#105 / 341
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Royal Nursing Center, Llc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1990-07-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (774) 345-0220 or your local Medicaid office to verify current eligibility.
Royal Nursing Center, Llc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 76.9/100, placing it #5048 of 14703 facilities nationally and #115 of 341 in Massachusetts. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Royal Nursing Center, Llc receives a reported average of 3 hours 26 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 41 minutes; Licensed Practical Nurse (LPN) — 53 minutes; Nurse Aide — 1 hour 51 minutes. On weekends, total nurse staffing is 3 hours 6 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 38.5%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $8,278. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $8,278, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 48.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Royal Nursing Center, Llc ranks 5048th out of 14,703 facilities (composite score: 76.9/100), placing it in the above average nationwide. Within MA, it ranks 115th out of 341 nursing homes. In Falmouth, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #9,752 nationally and RN hours rank #5,142 nationally (#105 in MA). Our composite quality score of 76.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Falmouth, visit: https://nursinghomesnearme.org/massachusetts/falmouth/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.