Royal Nursing Center, LLC

Name: Royal Nursing Center, LLC
Address: 359 JONES RD, Falmouth, MA, 02540, US
Telephone: 7743450220

359 Jones Rd, Falmouth, MA 02540 · Barnstable County · 121 certified beds · avg 105 residents/day · certified since Jul 1, 1990

Part of chain: ROYAL HEALTH GROUP (12 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

$8,278

Fines, last 3 years

3.18

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 8, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 1, 2025 (Past Non-Compliance)

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 18, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 18, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 18, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 10, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Sep 10, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Sep 10, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 8, 2025	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Sep 17, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 17, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 17, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jun 8, 2023	E · Potential for harm, repeated	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Jun 8, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 8, 2023	B · Minimal risk, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	10	0	E
2024	3	0	D
2025	8	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $8,278.

Date	Type	Amount / length
Apr 8, 2025	Fine	$8,278

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.18	3.89	3.95	bottom 14% in Massachusetts; bottom 21% in the U.S.
Registered Nurse hours	0.68	0.65	0.69	top 35% in Massachusetts; top 39% in the U.S.
Weekend total nurse staffing	2.88	3.51	3.50	bottom 13% in Massachusetts; bottom 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.47	0.46	0.48	top 34% in Massachusetts; top 37% in the U.S.
Total nursing staff turnover (%)	41.5	38.2	45.8	bottom 36% in Massachusetts; top 40% in the U.S.
RN turnover (%)	44.4	42.6	42.9	bottom 45% in Massachusetts; bottom 45% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.13, RN 0.66, weekend 2.83. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Mamary, James	Individual	5% or Greater Direct Ownership Interest	—	08/01/1999
Mamary, James	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/1999

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
JML Care Center INC	1.1 mi	Falmouth, MA	★☆☆☆☆	3/5
Royal Megansett Nursing & Rehabilitation	6.2 mi	N Falmouth, MA	★★★★☆	4/5
Royal of Cotuit	8.5 mi	Mashpee, MA	★★☆☆☆	2/5
Bourne Manor Extended Care Facility	12.0 mi	Bourne, MA	★☆☆☆☆	1/5
Navigator Homes of Martha's Vineyard	12.4 mi	Edgartown, MA	★★★☆☆	2/5
Royal Cape Cod Nursing & Rehabilitation Center	13.6 mi	Buzzards Bay, MA	★★★☆☆	3/5
Sippican Rehabilitation and Healthcare Center	13.7 mi	Marion, MA	★★★★☆	3/5
Cape Heritage Rehabilitation & Health Care Center	14.9 mi	Sandwich, MA	★★☆☆☆	2/5
Cape Regency Rehabilitation & Health Care Center	14.9 mi	Centerville, MA	★☆☆☆☆	1/5
Tremont Rehabilitation & Skilled Care Center	15.7 mi	Wareham, MA	★★★☆☆	4/5
Our Ladys Haven of Fairhaven INC	16.1 mi	Fairhaven, MA	★★★★★	4/5
Pavilion , the	16.2 mi	Hyannis, MA	★★★★★	5/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 225459.

The Care File

Visit checklist — Royal Nursing Center, LLC

359 Jones Rd, Falmouth, MA 02540 · 7743450220

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $8,278

Most serious findings on record:

▲ Apr 8, 2025 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225459 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)