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 Health Falmouth
Registered name: ROYAL NURSING CENTER, LLC
FALMOUTH, MA · Medicare-certified · 121 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Royal Health Falmouth has a 3 out of 5 overall rating, with 3-star health inspection and staffing ratings and 4 stars for quality measures. It has a recent federal penalty, $8,278 in fines over the last 24 months, and reported nurse staffing of 3.13 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1295 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 3.1295.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.77
- Nurse aides
- 1.69
- Weekend nursing
- 2.83
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
19.6%19.7%No change
Residents with a fall causing major injury
5.1%2.2%Improving
Residents with pressure ulcers (bedsores)
4.1%1.9%Improving
Residents with a urinary tract infection
3.8%1.1%Improving
Residents who lost too much weight
3.3%5.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.6%12.1%Improving
Residents whose ability to walk got worse
21.2%12.3%Improving
Long-stay residents on antianxiety or sleep medication
5%5.6%Worsening
Short-stay residents newly given an antipsychotic
0.9%1%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.1%21.1%Worsening
Residents with depressive symptoms
33.3%23.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%82%Worsening
Short-stay residents given the seasonal flu vaccine
—92.6%—
Short-stay residents given the pneumonia vaccine
82.2%73.7%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.
View the original federal record
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.
View the original federal record
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 · 3.1 stars avg
- Occupancy
- 105.3 residents on an average day (87% of 121 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.