The nursing home failed to ensure residents were free from significant medication errors. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
ROYAL NURSING CENTER, LLC
FALMOUTH, MA · Medicare-certified · 121 beds
Needs attention
For-profitChain member
3 of 5 overall
3 of 5 stars overall. Staffing is a weak point at 2 of 5 stars, with reported nurse staffing at 3.36 hours per resident per day versus the 4.1-hour federal benchmark; quality measures are stronger at 4 of 5 stars, but the facility also had $8,278 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3581 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3581.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.82
- Nurse aides
- 1.83
- Weekend nursing
- 3.08
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 59%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.2%Worsening
Residents with a fall causing major injury
4.6%Improving
Residents with pressure ulcers (bedsores)
5.1%Improving
Residents with a urinary tract infection
4%Steady
Residents who lost too much weight
3.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.7%Improving
Residents whose ability to walk got worse
15.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
6.9%Steady
Short-stay residents newly given an antipsychotic
0.2%Steady
Residents with a long-term catheter
0.2%Improving
Residents with new or worsening incontinence
21.8%Worsening
Residents with depressive symptoms
30.1%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
96.9%Worsening
Short-stay residents given the seasonal flu vaccine
92.6%Steady
Short-stay residents given the pneumonia vaccine
80.8%Worsening
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to provide activities that met all residents’ needs. Cited June 2023 — limited pattern, potential for harm.
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F-Tag 679 — 42 CFR §483.24 — S/S: E
The nursing home failed to make sure its activities program was led by a qualified professional. Cited June 2023 — limited pattern, potential for harm.
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F-Tag 680 — 42 CFR §483.24 — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Apr 8, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 2.9 stars avg
- Occupancy
- 100 residents on an average day (83% of 121 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.