Royal of Fairhaven Nursing Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

66.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 91 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 29.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 27 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · Gcited before2023-09-27 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose Plan of Care indicated that he/she required the use of a hoyer lift (mechanical floor lift system used to transfer a medically dependent person from point A to point B), physical assistance of two staff members for transfers and was assessed by nursing at high risk for falls, the Facility failed to ensure nursing staff consistently implemented and followed interventions identified in his/her Plan of Care while meeting his/her transfer needs. On 9/08/23, Certified Nurse Aide (CNA) #1 transferred Resident #1 out of bed and then back into bed without the use of a hoyer lift and without another staff member present to assist her. Approximately an hour and a half later, after being transferred back into bed, Resident #1's left knee was found swollen and discolored. Resident #1 was transferred to the Hospital Emergency Department for evaluation and was diagnosed with a comminuted (bone that is broken in at least two…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
• Actual harm · G2023-09-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed by nursing to be at high risk for falls, and required the use of a hoyer lift (mechanical floor lift system used to transfer a medically dependent person from point A to point B) and physical assistance of two staff members for transfers, the Facility failed to ensure he/she was provided with the required level of staff assistance and an assistive device to maintain his/her safety, in an effort to prevent an accident resulting in an injury. On 9/08/23, Certified Nurse Aide (CNA) #1 transferred Resident #1 on two separate occasions, out of bed and then back into bed without the use of a hoyer lift and without another staff member present to assist her. Approximately an hour and a half later, after being transferred back into bed, Resident #1's left knee area was found swollen and discolored. Resident #1 was transferred to the Hospital Emergency Department for evaluation and was diagnosed with a comminuted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · E2025-03-03 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and observations, the facility failed to promote residents' rights to be treated with dignity, respect and was provided equal access to services for all residents. Specifically, the facility failed to ensure: 1. all 46 residents residing on one unit (Dementia Special Care Unit (DSCU)-a specialized nursing home unit that provides care for people with dementia designed to support residents' independence and well-being) of two units in the facility were provided equal access to television sets for their personal use, while 18 residents on the first-floor unit were each provided televisions sets by the facility (at no cost) for their personal use; 2. staff did not stand while assisting residents to eat for three Residents (#25, #36, and #5), out of a total sample of 18 residents; and 3. staff maintained a dignified dining experience in two of three dining rooms observed and ensure meals were provided at the same time for residents seated at tables together resulting in residents having to sit and watch while others ate. Findings include: 1. On 2/25/25 at 7:30 A.M.,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-03 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on records reviewed and interviews, the facility failed to ensure activity programs were offered consistently on weekends to meet the needs of residents residing on the first-floor unit in the facility. Findings include: On 2/26/25 at 1:30 P.M., the surveyor held a Resident Group Meeting with seven residents in attendance. During the meeting, six of seven residents (all representing the first-floor unit) said they enjoy the activity program during the week (Monday through Friday), but the weekends are long and boring with nothing to do. They said one activity assistant comes in every other Saturday, but otherwise there is nothing to do on the weekend. One resident said that Bingo is on the calendar every Saturday, but when the activity assistant is not in, there is no one to run the game and Bingo doesn't happen. They said there are some coloring materials and books in the dayroom, but they are not interested in those items. Review of the January 2025 and February 2025 Activity Staff Schedule and punch card detail report indicated activity staff working Saturday and Sundays on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to follow professional standards of practice for food safety to prevent the potential of foodborne illness to residents who are at high risk. Specifically, the facility failed to: 1. Ensure food was properly stored in the walk-in freezer in the main kitchen; 2. Properly label and date food products stored in the free-standing refrigerator and walk-in refrigerator in the main kitchen and/or discard food when past their use by date; and 3. Ensure food was properly labeled and/or discarded when past their manufacturer's expiration date in two of two resident nourishment kitchen refrigerators reviewed. Findings include: Review of the facility's policy titled Food Receiving and Storage, undated, indicated but was not limited to the following: -Foods shall be received and stored in a manner that complies with safe food handling practices. -All foods stored in the refrigerator or freezer will be covered, labeled of contents and date (use by date). -The freezer must keep frozen foods frozen solid. Wrappers of frozen…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-03 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and meal test tray results, the facility failed to serve meals that were palatable and at appetizing temperatures on one (Dementia Special Care Unit - DSCU) of two units. Findings include: On 2/26/25 at 8:00 A.M., the surveyor made the following observations on the DSCU Unit: - At 8:00 A.M., the first meal truck arrived on the unit. - At 8:07 A.M., the first residents were served in the dining area. - At 8:16 A.M., the second meal truck arrived on the unit. - At 8:20 A.M., the third meal truck arrived on the unit. - Nursing staff were bringing breakfast meal trays to the resident rooms as well as into the dining room being observed. - At 8:21 A.M., the final resident in the dining area was delivered their breakfast tray, 21 minutes after the initial residents were served their meals. On 2/27/25 at 7:55 A.M., the surveyor requested a breakfast test tray to the DSCU Unit. The following observations were made: - The third meal truck arrived on the DSCU unit at 8:06 A.M. - The DSCU had three unit dining rooms in which residents were seated for the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-01-09 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, document review, and policy review, the facility failed to ensure all medications were labeled in accordance with currently accepted professional principles, which included the appropriate accessory and cautionary instructions, and a date-opened when a shortened date of expiration was applicable. Specifically, the facility failed to: - Ensure all multi-dose bottles of eye drops and respiratory inhalers were labeled with a date-opened when first accessed and discarded per shortened date of expiration when applicable, affecting two of two Units and three of four medication carts within the facility; and - Ensure all drugs were properly contained in packaging with labeling to include appropriate accessory and cautionary instructions, affecting two of two Units and four of four medication carts within the facility. Findings include: Review of the facility's policy titled Storage of Medications, dated [DATE], indicated but was not limited to the following: - The facility stores all…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-09-27 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), the Facility failed to ensure they maintained complete and accurate medical records related to Certified Nurse Aide (CNA) Activities of Daily Living (ADL) Record and Nurse Practitioner Progress Notes. Findings include: Review of the Facility's Policy titled, Charting and Documentation, dated as revised April 2008, indicated the following: -all services provided to the resident shall be documented in the resident's medical record; -entries may only be recorded in the resident's clinical record by licensed personnel (RN, LPN, physicians, etc.) in accordance with state law and facility policy; -CNA may only make entries in the resident's medical chart as permitted by facility policy; -documentation of procedures and treatments will include care-specific details including, the date and time the procedure was provided, the name and title of the individual who provided the care. 1) Resident #1 was admitted to the Facility in September 2017 diagnoses included repeated falls, embolism and thrombosis…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-11-03 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of the Resident Council Meeting Minutes, resident and staff interviews, and 2 out of 3 test trays results, the facility failed to ensure foods provided to all residents were appetizing and served at palatable temperatures. Findings include: On 10/26/21, during the morning tour of the First Floor Unit, 6 out of 17 residents reported complaints of cold breakfast and awful tasting meals. Review of the Resident Council Meeting Minutes, dated 10/21/21, identified resident complaints of cold breakfast and coffee, and that foods could be served hotter. During a meeting with the surveyor on 10/27/21 at 10:30 A.M., seven residents made comments about the food served and the dining experience at the facility as follows: -Food is not even warm most of the time. -Food on our end is always cold, and we are served last every meal. Breakfast is never warm, always cold. -I am not on that hallway, but my food is cold too. -The Certified Nursing Assistants (CNA) told the Resident, there were no crackers last night and the kitchen was closed, so he/she did not get a snack.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-11-03 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interviews, and menu review, the facility failed to ensure two Residents (#71 and #36), out of a total sample of 18 residents identified with modified texture needs were provided with appropriate foods. Specifically, the facility 1. Failed to provide Resident #71 with foods according to the written menu plan for a ground diet; and 2. Failed to communicate a physician's diet order for a ground diet for Resident #36 to the kitchen staff. Findings include: 1. Resident #71 was admitted to the facility for short term rehabilitation after a hospitalization for multiple medical conditions including malnutrition and dysphagia. Review of the Physician's Order, dated 10/11/21, indicated a prescribed diet of house ground texture and nectar consistency liquids. Review of Speech Therapy Services Notes, dated 10/12/21, indicated the Resident has a medical history of silent aspiration when mixing foods and fluids of different textures. Speech Therapy recommendations to treat dysphagia included a soft ground diet (International Dysphagia Diet Standards-IDDS…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-11-03 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interviews, the facility failed to assess one Resident (#52), out of a total sample of 18 residents, for clinical appropriateness to self-administer eye medications in accordance with the facility's policy. Findings include: Review of the facility's policy titled Self-Administration of Medication, revised December 2012, indicated residents who wish to self-administer medications may do so if it is determined that they are capable of doing so. An evaluation to assess the resident's mental and physical abilities to properly self-administer, the type and dose of medication, will be performed by staff and practitioner and to identify who will be responsible for the documentation. All self-administered medications must be stored in a safe and secure place and monitor the resident's compliance, re-evaluate quarterly and as needed. Staff shall identify and report to charge nurse any medications found at bedside that are not authorized for bedside storage. During an observation with interview on 10/26/21 at 11:05 A.M., the surveyor observed Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-11-03 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, and policy review, the facility failed to establish a baseline care plan for pacemaker care within 48 hours of admission for one Resident (#222), out of a total sample of 18 residents. Findings include: Resident #222 was admitted to the facility in October 2021 with diagnoses including heart failure, presence of cardiac pacemaker, and unspecified diastolic heart failure. Review of the facility's policy titled: 48 Hour Baseline Care Plan Policy, dated November 2020, indicated the following: -To establish resident/family goals -To ensure PASARRs have been completed -To ensure that all assessments and baseline care plan have been completed Review of the medical record indicated that an interdisciplinary care plan evaluation was not completed within 48 hours with the Social Worker, Rehabilitation representative, and nursing representative, that addressed the Resident's pacemaker care needs. During an interview on 11/03/21 at 08:54 A.M., Unit Manager #1 said she could not find information in the medical record that the Resident's pacemaker was being…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$8,648 in federal fines across 1 penalty.

• $8,648 — penalty dated 2023-09-27

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ROYAL HEALTH GROUP — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $973K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MA