Royal Nursing Center, Llc faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 51th percentile among Massachusetts nursing homes, suggesting significant room for improvement.
Staffing at Royal Nursing Center, Llc is near the national average, with 3.43 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 30 deficiencies at Royal Nursing Center, Llc. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.43 | 3.8 | Average |
| Registered Nurses (RN) | 0.69 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.86 | 2.4 | Below Average |
| Weekend Total Nursing | 3.09 | 3.8 | Below Average |
| Weekend RN Hours | 0.56 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedSep 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0697 Severity DProvide safe, appropriate pain management for a resident who requires such services.Sep 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarSep 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.Apr 7, 2025 · Pharmacy Service Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andSep 16, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.6% | 4.5% | Average |
| Falls with major injury | 5.7% | 3.0% | Worse |
| On antipsychotic medication | 18.8% | 14.5% | Worse |
| Urinary tract infections | 3.4% | 2.5% | Worse |
| ADL decline (daily activities) | 13.3% | 14.0% | Average |
| Excessive weight loss | 3.6% | 7.5% | Better |
| New/worsened incontinence | 18.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,278
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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