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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 49 Google reviews
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Royal Nursing Center, LLC has a middle-range Medicare overall rating. Strengths include compassionate and dedicated nursing staff. Some reviewers note concerns about poor communication and responsiveness from management (mentioned by 5 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Royal Nursing Center receives polarized feedback, with many families praising the compassionate, dedicated nursing and rehab staff who provide attentive care. However, significant concerns persist regarding administrative communication, discharge planning, and inconsistent attention to basic patient needs such as hygiene and personal belongings. Families should be aware that while many report positive rehab outcomes, others describe severe neglect and poor responsiveness during off-hours.
Quality Themes
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Concerns
Rating Trends
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Distribution · 54 analyzed
This facility rarely responds to reviews.
Personalized based on this facility's data
Key Review Excerpts
“My mother-in-law is there for short term rehab. I cannot fully expressed the depths of my gratefulness to all the staff at Royal Falmouth. Not only are they dedicated and kind, but at 97, my mother-in-law is walking better than she has in many years.”
“My grandfather was severely injured and died under the care of this terrible staff. We were not notified of the extent of his injuries until after he arrived at the hospital, where the hospital informed us that he would not survive.”
“As with most nursing homes around here, they share the same problems with providing adequate staff. There are many nurses, CNA’s and other ancilllary staff who have been working here for many years. I find them all to be caring, compassionate and patient with the residents.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
2
measures
7
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed complaints that led to inspections, including recent issues with medication management and pain management. The facility shows recurring problems across care planning, medication safety, and fire safety systems spanning multiple years. While the facility reports correcting each deficiency, the pattern of repeated violations in similar areas - particularly around resident assessment and safety systems - suggests ongoing challenges with maintaining consistent care standards.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Federal Penalties
Fine
Apr 8, 2025
$8,278
Royal Nursing Center, LLC
for profit
Royal Health Group
12 facilities nationwide
Chain avg rating: 3.3/5 · Rank 9 of 12
Owners
Mamary, James
Owner
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Google Reviews
49 reviews from families & visitors
Official Website
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