ROYAL HEALTH GROUP

Nurse hours

3.59 /day

Staff turnover

30%

Serious cites

0

Royal Braintree runs 204 beds as a for-profit LLC, and its last health inspection came in February 2026. The record shows 33 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage dips when families tend to visit. What stands out favorably is turnover: 29.9% against a national 45.8% means aides and nurses are staying put, which matters for consistency of care. Quality and staffing each earned 4 of 5 stars from CMS; inspections earned 2. The gap between those numbers is the real story here.

Nurse hours

3.48 /day

Staff turnover

55%

Serious cites

0

Royal Wayland Rehabilitation And Nursing Center runs 40 certified beds in Wayland, and the people who inspect it clearly find little to fault, a five-star health inspection rating, with the most recent visit in May 2025 and 19 deficiencies on the current record, just one of them serious enough to involve harm or jeopardy, and no abuse findings. But the numbers on the floor tell a different story. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent below the national average, and it thins further on weekends. Annual turnover of 54.5 percent runs well above the 45.8 percent national figure, which makes it hard to hold onto consistent caregivers even where inspections look strong.

Nurse hours

3.68 /day

Staff turnover

54%

Serious cites

0

Royal Norwell runs 86 beds under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, with weekends roughly 10% thinner than its own weekdays. That gap matters because coverage is when families aren't watching. Staff turnover is 53.8% against a 45.8% national average, meaning more than half the nursing staff leaves each year, and the record shows 44 deficiencies, including 6 at harm or jeopardy level and 6 tied to abuse, plus two fines totaling $114,868. The last inspection was recent, November 2025, and the quality measure score runs higher than the inspection and staffing scores. Ask about weekend coverage and turnover directly.

Nurse hours

3.92 /day

Staff turnover

48%

Serious cites

0

Royal Megansett runs about 3.92 nurse hours per resident per day, just barely above the national average, but that thin margin is worth a closer look, because weekend staffing drops roughly 11% below what the home covers Monday through Friday. The staffing star comes in at 2 out of 5, and turnover sits at 48.1%, a bit worse than the 45.8% national figure. The current record shows 23 deficiencies, none at the harm level but one abuse-related, and inspectors were last on site in April 2025, which is recent enough. A 4-star inspection rating and 3-star quality measures are the stronger parts of the picture; staffing is the weak one.

Nurse hours

3.13 /day

Staff turnover

42%

Serious cites

0

Royal Nursing Center runs 121 beds in Falmouth under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover lands at 41.5%, a bit better than the 45.8% national figure, and the inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $8,278. Its last inspection was December 2025, so the record is recent. Quality measures score well; staffing and inspections are where the gaps sit.

Nurse hours

3.21 /day

Staff turnover

47%

Serious cites

0

Royal Of Westerly runs about 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and weekends drop another 14% below its own weekday staffing. Turnover sits at 46.9%, right about where the national rate is, so that's not the story here, the thin weekday coverage is. The 4/5 inspection rating looks strong, but 19 deficiencies sit on the current record, one of them serious enough to reach harm or jeopardy level, with a single fine of $8,647. Last inspection was February 2026. For a 66-bed for-profit partnership, the pattern is decent state survey results propped up by staffing hours that trail what most homes deliver.

Nurse hours

3.28 /day

Staff turnover

39%

Serious cites

0

Royal Cape Cod runs lean on nursing hours, 3.28 per resident day against a national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. That matters most on Saturdays and Sundays, when families often visit and problems tend to surface. The home's 39.3% turnover is actually better than the 45.8% national figure, and its last inspection was recent (January 2026), so the record is current. But 16 deficiencies sit on file, including one at the harm level and one tied to abuse, plus a $9,004 fine. For-profit, LLC-owned, 99 beds. Ask about weekend RN coverage and what changed after that abuse citation.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Royal Of Fairhaven is a 107-bed for-profit home run by a limited liability company, and staffing is where it struggles most, the federal staffing rating sits at just one star, well below what you'd want to see for a building this size. Inspectors have logged 17 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, though none involved abuse. One fine totaling $8,648 has been levied. The good news is that the last inspection was recent, in March 2025, and the health inspection rating lands at a middling three stars. Quality measures come in at two stars. If you're considering this home, ask specifically about direct-care staffing levels on evenings and weekends.

Nurse hours

3.45 /day

Staff turnover

58%

Serious cites

0

Royal Meadow View Center runs about 113 beds in North Reading under for-profit LLC ownership, and the staffing numbers are where the trouble shows. Nurses give residents roughly 3.45 hours of care per day, about 11 percent under the national average, and weekends drop another 10 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 57.7 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. Inspections look decent on the surface, with no harm-level deficiencies, but 34 total citations including two abuse-related ones, and a staffing rating of 2 out of 5, tell the fuller story.

Nurse hours

3.76 /day

Staff turnover

50%

Serious cites

0

Royal Wood Mill Center runs 94 certified beds in Lawrence under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends drop about 14% below its own weekday coverage, and annual turnover hits 50% against a national 45.8%. The current inspection record carries 26 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse. CMS gives it 3 stars for health inspections, 2 for quality measures, and 2 for staffing, with the most recent inspection dated March 25, 2026. Those aren't disqualifying numbers on their own, but the abuse-related citations and harm-level findings are the parts worth asking the administrator about directly before you decide.

Nurse hours

3.32 /day

Staff turnover

48%

Serious cites

0

Royal Of Cotuit runs on 3.32 nurse hours per resident day, about 14% under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That thinner weekend coverage matters because this for-profit LLC carries 35 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, with $7,901 in fines. Staff turnover sits at 47.7%, slightly above the national 45.8%, and all three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. The most recent inspection was March 31, 2026. If you're weighing this one, ask directly how weekends are covered and what changed after those abuse-related findings.

Nurse hours

3.21 /day

Staff turnover

63%

Serious cites

0

Nurse staffing at Royal Middletown runs 3.21 hours per resident day, about 17% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover sits at 62.5% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 26 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, along with one fine of $30,590. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. This for-profit partnership was last inspected on April 30, 2026, and its record is thin where it matters most.