ROYAL NURSING CENTER, LLC – FALMOUTH, MA

CMS Verified | 2026-03-01

Royal Nursing Center, LLC

359 JONES RD, Falmouth, MA 2540
(774) 345-0220
121 beds
All Falmouth facilities
3.0*
Overall
3.0*
Health Inspection
4.0*
Quality Care
2.0*
Staffing
76.9
Score /100
#5048
National Rank

#5048
of 14703 facilities
National
65.7% position
#115
of 341 in MA
State Rank
#4
of 15 in Barnstable
County Rank
#1
of 2 in Falmouth
City Rank
#1
of 2 in ZIP 2540
ZIP Rank






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.
Facility

Royal Nursing Center, LLC

Address

359 Jones Rd, Falmouth, MA 2540

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 121 Certified Beds
  • Ownership: For profit – Partnership
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: ROYAL HEALTH GROUP

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
⚠️ 1 fine(s) over 5 years
5-Year Trend
Improving over 5 years
76.9
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#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.
Number of Fines (current period) 1
Total Fines Amount $8278.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 48.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#5,048
of 14,703
National
Top 34%
#115
of 341
MA State
Top 34% in MA
#4
of 15
️ Barnstable County
#4 of 15
#1
of 2
️ Falmouth
Best in city
#1
of 2
ZIP 2540
Best in ZIP

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).

How do we calculate these rankings?

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/

Contact and Location

ADR
Address

359 JONES RD, Falmouth, MA 2540
Get directions on Google Maps

TEL
LLC
Legal Name

ROYAL NURSING CENTER LLC

MAP

Facility Details

Number of Certified Beds 121
Average Residents / Day 98 (81% occupancy)
Ownership Type For profit – Partnership
Provider Type Medicare and Medicaid
County Barnstable County, MA
City Falmouth, MA
ZIP Code 2540
Approved Since July 1, 1990
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 225459
Data Processing Date March 1, 2026
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.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org