{
 "id": "225459",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Royal Nursing Center, LLC",
 "slug": "royal-nursing-center-llc",
 "path": "/ma/barnstable/falmouth/royal-nursing-center-llc",
 "address": {
  "street": "359 JONES RD",
  "city": "Falmouth",
  "county": "Barnstable",
  "state": "MA",
  "state_name": "Massachusetts",
  "zip": "02540"
 },
 "phone": "7743450220",
 "coords": [
  41.561148,
  -70.60379
 ],
 "capacity": 121,
 "residents_per_day": 105.3,
 "status": "Medicare and Medicaid",
 "licensee": "Royal Nursing Center LLC",
 "administrator": null,
 "licensed_since": "1990-07-01",
 "last_visit": "2025-12-18",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Limited Liability company",
  "chain": "ROYAL HEALTH GROUP",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 3,
   "health_inspection": 3,
   "staffing": 3,
   "quality": 4
  },
  "cycle1": {
   "date": "2025-12-18",
   "total": 7,
   "standard": 4,
   "complaint": 3
  },
  "fines": {
   "count": 1,
   "dollars": 8278,
   "penalties": 1
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.12945,
   "turnover_pct": 41.5
  },
  "on_record": {
   "immediate_jeopardy": 0,
   "actual_harm": 1,
   "potential_harm": 19,
   "minimal": 1
  },
  "penalties_on_file": {
   "count": 1,
   "dollars": 8278
  },
  "owners": [
   {
    "name": "MAMARY, JAMES",
    "role": "Individual",
    "since": "since 08/01/1999",
    "share": "NO PERCENTAGE PROVIDED"
   },
   {
    "name": "MAMARY, JAMES",
    "role": "Individual",
    "since": "since 08/01/1999",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2025-12-18",
   "tag": "0804",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-12-18",
   "tag": "0658",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-12-18",
   "tag": "0689",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-12-18",
   "tag": "0880",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-09-10",
   "tag": "0655",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-09-10",
   "tag": "0697",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-09-10",
   "tag": "0842",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-04-08",
   "tag": "0760",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2024-09-17",
   "tag": "0578",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-09-17",
   "tag": "0656",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-09-17",
   "tag": "0880",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0679",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0680",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0690",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0712",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0809",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0645",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0655",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-06-08",
   "tag": "0656",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "225459"
 }
}