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Royal Health Group nursing homes
12 nursing homes with 1,190 beds in Massachusetts (10), Rhode Island (2).
CMS affiliated entity 457 · data as of September 1, 2026
The group's record in brief
CMS links 12 certified nursing homes in 2 states to Royal Health Group: 12 for profit, 0 nonprofit. 12 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 280 health citations; 18 citations were rated actual harm or immediate jeopardy, 2 of them immediate jeopardy. At their latest standard inspections the homes averaged 4.4 health deficiencies (national average 9.2).
8 homes in the group were fined in the last three years, $83,955 in all across 8 fines. Average nursing staff turnover across its homes was 48.4% (national 45.8%).
Staffing across the group
Daily payroll records from 12 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 14% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.46 | 3.75 |
| Registered nurses | 0.66 | 0.62 |
| Weekdays | 3.61 | 3.92 |
| Weekends | 3.09 | 3.33 |
| Share of nursing hours by contract staff | 8.1% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Royal Health Group homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| Massachusetts | 10 | 3.2 | $55,424 | |
| Rhode Island | 2 | 3.0 | $28,531 |
How the group's homes are rated
12 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.2 overall, 3.2 health inspections, 2.4 staffing, 3.1 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 1 | |
| 4 of 5 | 3 | |
| 3 of 5 | 5 | |
| 2 of 5 | 3 | |
| 1 of 5 | 0 |
Across the group: 18 citations rated actual harm or immediate jeopardy, and an average of 3.46 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Royal Braintree Nursing and Rehabilitation Center | Braintree | MA | 2 | 33 | |
| Royal Cape Cod Nursing & Rehabilitation Center | Buzzards Bay | MA | 3 | 16 | $9,004 |
| Royal of Fairhaven Nursing Center | Fairhaven | MA | 3 | 8 | $8,648 |
| Royal Nursing Center, LLC | Falmouth | MA | 3 | 21 | $8,278 |
| Royal Wood Mill Center | Lawrence | MA | 3 | 26 | |
| Royal of Cotuit | Mashpee | MA | 2 | 35 | $7,901 |
| Royal Megansett Nursing & Rehabilitation | N Falmouth | MA | 4 | 12 | |
| Royal Meadow View Center | North Reading | MA | 4 | 35 | |
| Royal Norwell Nursing & Rehabilitation Center LLC | Norwell | MA | 3 | 43 | $10,868 |
| Royal Wayland Rehabilitation and Nursing Center | Wayland | MA | 5 | 7 | $10,725 |
| Royal Middletown Nursing Center | Middletown | RI | 2 | 26 | $19,884 |
| Royal of Westerly Nursing Center | Westerly | RI | 4 | 18 | $8,647 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.