Establishment profile
ROYAL NURSING CENTER, LLC
545 MAIN STREET, FALMOUTH, MA, 02540
Operated by ROYAL HEALTH GROUP · 1 of 11 establishments
623110 — Nursing Care Facilities (Skilled Nursing Facilities)
Summary
ROYAL NURSING CENTER, LLC has accumulated 3 OSHA violations across 2 inspections over 19 years of recorded history, with $1,350 in total assessed penalties.
The establishment sits in the 62nd percentile for violations within its industry-state peer group of 358 employers. Inspection frequency runs at the 66th percentile. The most recent enforcement activity was recorded 13 years ago.
Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.
Agency coverage
ROYAL NURSING CENTER, LLC appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls.
OSHA workplace safety
100% of inspections at this establishment produced violations,
Most-cited OSHA standards
Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 3 distinct standards shown · 3 citations in this view · $1,350 in penalties.
| CFR section | Citations | Inspections | Total penalty | First cited | Last cited |
|---|---|---|---|---|---|
| 29 CFR 1910.0138 B | 1 | 1 | $1,350 | Jan 2013 | Jan 2013 |
| 29 CFR 1910.1030 C01 IVB | 1 | 1 | — | Aug 2007 | Aug 2007 |
| 29 CFR 1910.1030 C01 V | 1 | 1 | — | Aug 2007 | Aug 2007 |
Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.
Peer comparison
Above average violations in NAICS 6231 within MA. Peer group: 358 employers. This establishment has 3 OSHA violations; peer median is 2.
Safety self-report (OSHA 300A)
No self-reported injury rates filed with OSHA's Injury Tracking Application for ROYAL NURSING CENTER, LLC. Verify directly with OSHA Injury Tracking Application →
Industry benchmark
BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.
Inspection breakdown
Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.
OSHA severe injury reports
No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for ROYAL NURSING CENTER, LLC. Verify directly with Occupational Safety and Health Administration →
Activity timeline
No federal enforcement activity has been recorded against this establishment in 13+ years. Most recent activity: 13 years ago. Data on this page is refreshed weekly.
Wage & Hour Division (WHD)
No WHD wage, overtime, or child-labor enforcement cases on file for ROYAL NURSING CENTER, LLC. Verify directly with Wage and Hour Division →
Mine safety (MSHA)
No MSHA mine safety violations on file for ROYAL NURSING CENTER, LLC. Verify directly with Mine Safety and Health Administration →
Labor relations (NLRB)
No NLRB unfair labor practice charges or union representation cases on file for ROYAL NURSING CENTER, LLC. Verify directly with National Labor Relations Board →
Visa & labor certification (OFLC) — historical
No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for ROYAL NURSING CENTER, LLC. Verify directly with Office of Foreign Labor Certification →
Environmental compliance (EPA)
No EPA inspections or formal enforcement actions on file for ROYAL NURSING CENTER, LLC. Verify directly with Environmental Protection Agency →
CMS nursing-home record
CCN 225459 · Chain: ROYAL HEALTH GROUP
Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →
CMS Care Compare deficiencies
Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 21 citations across 5 surveys · 1 actual-harm · 4 complaint-triggered · 21 marked corrected.
| Survey date | F-Tag | Severity | Description | Type | Corrected |
|---|---|---|---|---|---|
| Dec 2025 | 0804 | E | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies | Standard | Jan 2026 |
| Dec 2025 | 0658 | D | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Standard | Jan 2026 |
| Dec 2025 | 0689 | D | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Standard | Jan 2026 |
| Dec 2025 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Jan 2026 |
| Sep 2025 | 0655 | D | 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 | Complaint | Oct 2025 |
| Sep 2025 | 0697 | D | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies | Complaint | Sep 2025 |
| Sep 2025 | 0842 | D | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Complaint | Sep 2025 |
| Apr 2025 | 0760 | G (harm) | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Complaint | Apr 2025 |
| Sep 2024 | 0578 | D | 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 Rights Deficiencies | Standard | Oct 2024 |
| Sep 2024 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | Oct 2024 |
| Sep 2024 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Oct 2024 |
| Jun 2023 | 0679 | E | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies | Standard | Jun 2023 |
| Jun 2023 | 0680 | E | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies | Standard | Jun 2023 |
| Jun 2023 | 0690 | E | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies | Standard | Jun 2023 |
| Jun 2023 | 0712 | E | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies | Standard | Jun 2023 |
| Jun 2023 | 0809 | E | 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 | Standard | Jun 2023 |
| Jun 2023 | 0812 | E | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Jun 2023 |
| Jun 2023 | 0645 | D | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies | Standard | Jul 2023 |
| Jun 2023 | 0655 | D | 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 | Standard | Jun 2023 |
| Jun 2023 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | Jun 2023 |
| Jun 2023 | 0623 | B | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies | Standard | Jun 2023 |
Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.
Inspection history
| Date | Trigger | Violations | Serious | Penalty | |
|---|---|---|---|---|---|
| 2012-10-19 | Planned | 1 | 1 | $1,350 | |
| 2007-07-05 | Planned | 2 | — | $0 |
Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.
In the news
Part of a larger organization
ROYAL NURSING CENTER, LLC is one of 11 establishments rolled up under the parent organization ROYAL HEALTH GROUP.
Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of ROYAL HEALTH GROUP across all 11 of its tracked locations is viewable on the parent profile.
Other employers in this industry and state
Other employers in nursing care facilities (skilled nursing facilities) within MA, ordered by federal enforcement volume:
- AMESBURY VILLAGE LLCAMESBURY — 2 federal enforcement records
- FAIRHAVEN NURSING HOMELOWELL — 2 federal enforcement records
- MARIAN MANORTAUNTON — 2 federal enforcement records
- GENESIS HEALTHCARE LLCHADLEY — 2 federal enforcement records
- RADIUS DANVERS OPERATING LLCDANVERS — 2 federal enforcement records
- GOVERNOR'S CENTER RE LLCWESTFIELD — 2 federal enforcement records
- GOLDEN LIVING CENTERCOHASSET — 2 federal enforcement records
- WINGATE HEALTHCARE, INC.ANDOVER — 2 federal enforcement records
- NORTHAMPTON REHABILITATION AND NURSING CENTERNORTHAMPTON — 2 federal enforcement records
- GENESIS HEALTHCARE LLCGARDNER — 2 federal enforcement records
Related searches
- All ROYAL HEALTH GROUP locationsParent rollup
- Nursing Care Facilities (Skilled Nursing Facilities)All employers in this industry
- Employers in MAState-wide enforcement data
- Nursing Care Facilities in MAIndustry × state cross-filter
About this data
This profile aggregates federal enforcement records on ROYAL NURSING CENTER, LLC from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.
Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup ROYAL HEALTH GROUP, which operates 11 establishments in our dataset.
OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.
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Contact sales →Frequently asked
- What is ROYAL NURSING CENTER, LLC's OSHA violation history?
- ROYAL NURSING CENTER, LLC has 2 OSHA inspections on record with 3 violations and $1,350 in total penalties.
- How does ROYAL NURSING CENTER, LLC's safety record compare to its industry?
- ROYAL NURSING CENTER, LLC operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3.