Home›Browse›Massachusetts›Falmouth›Royal Nursing Center

Nursing homeFAID #5832

Royal Nursing Center

359 JONES RD, FALMOUTH, MA, 02540

(774) 345-0220

www.royalhealthgroup.com

121 licensed beds

★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Royal Falmouth Nursing & Rehabilitation Center

Address

359 Jones Rd

Falmouth, MA 02540

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Public record summary

What we can show you for free.

Bed capacity

121

CMS facility ID

225459

Care type

Nursing home

County

Barnstable

Facility name

Royal Nursing Center

Street address

359 JONES RD

City / state / ZIP

Falmouth, MA 02540

Phone

(774) 345-0220

Website

www.royalhealthgroup.com

About this facility — Royal Nursing Center

Royal Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Falmouth, Massachusetts. It is licensed for 121 beds — close to the median for skilled nursing facilities in Massachusetts (123 beds).

It is one of 7 senior care facilities in Falmouth and 341 skilled nursing facilities across Massachusetts. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Royal Nursing Center 41 times across 8 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $8,278 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Royal Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Mamary, James

Direct owner · Managing employee — since 1999

Regulatory standing

Federal court records

3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1990-07-01

CMS overall rating

3 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$8,278 total

Last standard inspection

2025-12-18

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$433 per day (≈ $13,160/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

65% Medicaid · 16% Medicare · 19% private/other

Occupancy

76% (fiscal year 2023)

Vs. state median

11% below the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

121

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-18Health inspection4 citations

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-21

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-21

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-01-21

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-21

2025-09-10Health inspectionComplaint-triggered3 citations

F-0655

D · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-10-09

F-0697

D · No harm foundFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-09-17

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-19

6 earlier / fire-safety inspections (34 citations)

2025-04-08Health inspectionComplaint-triggered1 citation

F-0760

G · Actual harmFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-04-01

2024-09-17Health inspection3 citations

F-0578

D · No harm found

Honor 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.

Corrected 2024-10-11

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-11

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-11

2023-06-08Health inspection10 citations

F-0623

B · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-06-20

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-07-07

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-06-20

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-20

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-06-20

F-0680

E · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2023-06-20

F-0690

E · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-06-20

F-0712

E · No harm found

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2023-06-20

F-0809

E · No harm foundFood safety

Ensure 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.

Corrected 2023-06-20

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-20

2025-12-18Fire-safety inspection12 citations

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-03-06

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2026-02-10

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-04-10

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-04-10

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-02-26

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-02-12

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-04-10

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-03-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-02-12

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-04-10

K-0911

F · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2026-02-10

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-02-06

2024-09-17Fire-safety inspection5 citations

K-0311

D · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2024-11-08

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-08

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-11-08

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-11-08

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-08

2023-06-08Fire-safety inspection3 citations

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2023-07-14

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-07-14

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-07-07

Federal penalties

2025-04-08Fine$8,278

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 225459.

Visitor reviews

What people say on Google.

3.949 ratings on Google

★★★★Julie Saint · 2026-05-03 · via Google
“I was there for short term rehab after breaking both ankles. Day and evening nursing staff were great. With the exception of a couple of CNAs the night shift need customer service training. Rehab department was outstanding. Housekeeping was great. Food was ok. Big shoutout to Amanda the unit manager. She does a great job. Thanks to Maura, Laurie, Soddy, T,Meagan and Kristen for the care they prov…”

★Whitney Fulp · 2026-03-20 · via Google
“3 different people I know have stayed here for “rehabilitation”. There is a lack of care. No changing, cleaning or getting the proper rehab ie PT or OT. All 3 had serve decline while in the care of royal. Personal items went missing. Food that was ordered never made it to rooms but was delivered. Serve lack of care ended up with bed sores and an infection needed to be treated at mass general. Staf…”

★★★★★George Kelsch · 2025-10-07 · via Google
“This facility is very clean and professionally run. The administrator is top notch . She has an open door policy, any problem you have she will handle it until you are satisfied . Outstanding!!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 41 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered