All states › Massachusetts › Falmouth › Royal Nursing Center
359 Jones Rd Falmouth, MA 02540 · Barnstable County
All 2 nursing homes in Falmouth, MA (2 take Medicaid)
CMS certification number 225459 · See this home on Medicare Care Compare
Is Royal Nursing Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Royal Nursing Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Massachusetts average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.47 hours per resident per day at Royal Nursing Center, below the Massachusetts median of 3.72 (US median: 3.72). About 0.73 of those hours are from registered nurses. On weekends it falls to 3.10 hours, 10% below its all-week average. 34.1% of nursing staff left within a year (Massachusetts median 36.1%).
About this nursing home
Paying for care at Royal Nursing Center: Medicare and Medicaid
Royal Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Massachusetts's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 18, 2025 and found 4 deficiencies. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Royal Nursing Center across 5 inspection dates, 4 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on April 8, 2025. The most common areas cited were resident assessment and care planning (7) and quality of life and care (5). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, April 8, 2025).
December 18, 2025 · 4 citations
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
September 10, 2025 · 3 citations · includes complaint inspection
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide safe, appropriate pain management for a resident who requires such services.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 8, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
September 17, 2024 · 3 citations
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
June 8, 2023 · 10 citations
EProvide activities to meet all resident's needs.
EEnsure the activities program is directed by a qualified professional.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EEnsure that the resident and his/her doctor meet face-to-face at all required visits.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DPASARR screening for Mental disorders or Intellectual Disabilities
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Questions to ask on a tour of Royal Nursing Center
- Inspectors cited the home at the actual-harm level on April 8, 2025 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,278 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 8, 2025 | Fine | $8,278 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
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Location
Hospitals near Royal Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.0 mi
Falmouth Hospital FalmouthEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 40m for patients treated and sent home
-
7.0 mi
Martha's Vineyard Hospital INC Vineyard HavenEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 37m for patients treated and sent home
- 8.8 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Royal Nursing Center › All nursing homes in Falmouth ›
Compare Royal Nursing Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Royal Megansett Nursing & Rehabilitation · N Falmouth · 4 stars · 6.2 mi
Other Royal Health Group nursing homes in Massachusetts
- Royal Wayland Rehabilitation and Nursing Center · Wayland · 5 stars
- Royal Megansett Nursing & Rehabilitation · N Falmouth · 4 stars
- Royal Meadow View Center · North Reading · 4 stars
- Royal Norwell Nursing & Rehabilitation Center · Norwell · 3 stars
- Royal of Fairhaven Nursing Center · Fairhaven · 3 stars
- Royal Wood Mill Center · Lawrence · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 12 Royal Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.