Royal Palm Beach Health And Rehabilitation Center
Nursing Home · 600 Business Park Way, Royal Palm Beach, FL 33411 · 5617983700
B
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 3.0 / 5 | high |
| Staffing | 3.2 / 5 | high |
| Clinical outcomes | 3.5 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 3.8 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 120 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Royal Manor Operations Llc |
| Chain size | 90 facilities |
| Certified since | 1985-02-07 |
| CMS overall star | 3 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$ of 5 · ~$358/day reported charge (within FL) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 27 potential for harm · 1 minor
- Federal fines: $4,156 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-05-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Resident Assessment and Care Planning Deficiencies, tag 0657) | D | corrected 2025-06-20 |
| 2025-05-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | D | corrected 2025-06-20 |
| 2025-05-22 | 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, tag 0690) | D | corrected 2025-06-20 |
| 2025-05-22 | Provide safe and appropriate respiratory care for a resident when needed. (Quality of Life and Care Deficiencies, tag 0695) | D | corrected 2025-06-20 |
| 2025-05-22 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (Quality of Life and Care Deficiencies, tag 0700) | D | corrected 2025-06-20 |
| 2025-05-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. (Pharmacy Service Deficiencies, tag 0757) | D | corrected 2025-06-20 |
| 2025-05-22 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Nutrition and Dietary Deficiencies, tag 0810) | D | corrected 2025-06-20 |
| 2025-05-22 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2025-06-20 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.30 hrs/resident/day (expected 3.66 for this facility's resident acuity — below expected) (US median 3.69 · FL 3.66)
- Registered-nurse staffing: 0.67 hrs/resident/day (expected 0.64 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.03 · LPN 0.60 hrs/resident/day
- Weekend total staffing: 3.12 hrs/resident/day (expected 3.25 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 38.1% · RN turnover 38.1% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.32 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the FL state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers (long stay) | 7.3% | 3.9 → 6.7 → 10.6 → 8.2 | worse than 82% of US homes · FL median 4.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 17.4% | 14.6 → 17.8 → 17.9 → 20 | worse than 66% of US homes · FL median 7.1% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 1.4% | 0 → 0 → 2.9 → 2.9 | worse than 60% of US homes · FL median 0.2% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.3% | 0.7 → 1.6 → 1.6 → 1.5 | worse than 59% of US homes · FL median 1% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 8.4% | 0 → 14 → 0 → 20.4 | better than 72% of US homes · FL median 7.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0.3% | 0 → 0 → 0 → 1.4 | better than 92% of US homes · FL median 2.3% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 2.4% | 0 → 3 → 3.3 → 3.7 | better than 96% of US homes · FL median 8.7% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · FL median 0% |
What this costs
- This facility's reported avg daily charge: $358/day · $$ (price tier 2 of 5 among Florida nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 62% Medicaid · 9% Medicare · 29% other/private · 86% occupancy
- Florida median (quoted rates): $340/day semi-private · $400/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Palm Beach County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Jupiter Medical Center | Jupiter | Yes | 4★ | Acute care |
| W Palm Beach VA Medical Center | West Palm Beach | Yes | 3★ | Acute care - Veterans Administration |
| West Boca Medical Center | Boca Raton | Yes | 3★ | Acute care |
| Bethesda Hospital East | Boynton Beach | Yes | 2★ | Acute care |
| Boca Raton Regional Hospital | Boca Raton | Yes | 2★ | Acute care |
| Good Samaritan Medical Center | West Palm Beach | Yes | 2★ | Acute care |
Compare nearby
- A+ Willowbrooke Court Skilled Care Center - Edgewater · Boca Raton
- A+ Edward J Healey Rehabilitation And Nursing Center · Riviera Beach
- A+ Health Center At Sinai Residences · Boca Raton
- A Joseph L Morse Health Center Inc The · West Palm Beach
- A Chatsworth At Pga National · Palm Beach Gardens
- A Finnish-American Village · Lake Worth
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Palm Beach County nursing homes coverage. Spot an error? Tell us.