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C
Below Standard

ROYAL NURSING CENTER, LLC

359 JONES RD · FALMOUTH, MA 02540

7743450220 · For profit - Partnership

121 beds98.2 residents149 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ROYAL NURSING CENTER, LLC receives an overall staffing grade of C (Below Standard). With 3.4388 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6883 HPRD, below the recommended 0.75. It is 0.46 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.4% compared to weekdays. The facility has low agency staff usage (0.01% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4388 HPRD — needs 0.04 more hours per resident per day.
⚠️RN staffing (0.6883 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.01%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4388hrs/resident/day▼ 0.46
CMS benchmark: 3.48
RN HPRD
0.6883hrs/resident/day▲ 0.01
Recommended: 0.75
Weekend Drop-off
13.4%
3.5741 weekday → 3.0952 weekend
Agency Staff
0.01%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7738hrs/resident/day
Direct care aides
LPN HPRD
0.8891hrs/resident/day
Licensed practical nurses
Consistency
0.3682std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Barnstable County Average-0.28 HPRD
3.72
03.44 HPRD
vs. Massachusetts State Average-0.43 HPRD
3.87
03.44 HPRD
vs. National Average-0.46 HPRD
3.90
03.44 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ROYAL NURSING CENTER, LLC ★
FALMOUTH · This facility
—
C
3.43880.6883★★★☆☆
JML CARE CENTER INC
FALMOUTH
1.1 mi
A
4.16551.0368★★☆☆☆
BOURNE MANOR EXTENDED CARE FACILITY
BOURNE
12 mi
C
3.64210.4224★☆☆☆☆
CAPE HERITAGE REHABILITATION & HEALTH CARE CENTER
SANDWICH
14.8 mi
C
3.19140.6573★★☆☆☆
CAPE REGENCY REHABILITATION & HEALTH CARE CENTER
CENTERVILLE
14.9 mi
C
3.47650.5487★☆☆☆☆
OUR LADYS HAVEN OF FAIRHAVEN INC
FAIRHAVEN
16.1 mi
B
3.76840.7775★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
30
Total Deficiencies
$8,278
Fines Assessed
Sep 10, 2025Health
3 deficiencies cited
▼
Apr 8, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 17, 2024Health
3 deficiencies cited
▼
Jun 8, 2023Health
10 deficiencies cited
▼
Mar 5, 2020Health
13 deficiencies cited
▼

Penalty History

Apr 8, 2025Fine
$8,278
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.