Royal Norwell Nursing & Rehabilitation Center LLC

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.

70.0% 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 101 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 26.2% 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 42 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 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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

How full it usually is: this home is certified for 86 beds and averages 75.9 residents a day — about 88% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.84 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.32 hrs/resident/day on weekends vs 3.82 on weekdays — 13% thinner on weekends. RN hours go from 1.02 to 0.61 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. 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.

43 citations, most serious first. The 16 most serious are shown; the remaining 27 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-09-14 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 record review, document review, policy review, and interview, the facility failed to follow professional standards of practice in nursing for the care and monitoring of a peripherally inserted central catheter (PICC) and/or midline catheter. Specifically, the facility failed: 1. To obtain physician's orders and provide appropriate nursing interventions for 2 out of 2 PICC lines and 2 out of 2 midline catheter devices for one Resident (#20), out of a total sample of three residents with peripheral lines in place during the timeframe of 10/10/22 through 11/3/22. This resulted in the Resident experiencing pain and swelling in his/her left arm and an extended hospital stay from 11/3/22 through 11/8/22 with a diagnosis of acute extensive bilateral upper extremity deep vein thromboses (DVT- blood clot in a deep vein) with extension into the subclavian vein and an occlusive left arm DVT involving one of the brachial veins and left axillary vein surrounding the PICC; and 2. For one Resident (#39), out of a…

  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
• Immediate jeopardy · J2023-09-14 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  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, record review, policy review, and interview, the facility failed to ensure the proper care and treatment of a peripherally inserted central catheter (PICC) and/or midline catheter device in accordance with the facility policy/protocols. Specifically, the facility failed: 1. For one Resident (#20), who had a history of chronic embolism and thrombosis (formation of a blood clot within blood vessels or arteries limiting the natural flow of blood), out of a total sample of three residents with peripheral lines in place, to ensure physician's orders were in place and implemented for the care and treatment of two out of two midline catheters and two out of two PICCs to include monitoring for signs and symptoms of intravenous (IV) related complications, catheter lumen flushing, dressing orders, needleless connector change frequency, tubing change frequency, and any reports of pain or discomfort by the Resident per professional standards of practice and facility policy during the timeframe of…

  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
• Actual harm · Gcited before2025-01-06 · 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 #3), whose care plan indicated he/she required a Hoyer lift (mechanical mobility aid that supports a person's total body weight to allow movement from one surface to another safely) for transfer and Geri-sleeves (stocking like sleeve to protect fragile skin) to both upper extremities to minimize skin injury, the facility failed to ensure staff consistently implemented and followed interventions from his/her care plan, when on 12/07/24, Resident #3, was manually lifted and transferred from his/her bed into a wheelchair by Certified Nurse Aide (CNA) #2 and CNA #3 instead of utilizing the Hoyer lift, he/she also did not have the geri-sleeve on his/her right upper extremity, and as a result he/she sustained a skin tear to the right wrist which required four steri-strips to close the wound. Findings include: Review of the Facility Policy titled Comprehensive Person-Centered Care Plan, dated May 2023, indicated that a comprehensive…

  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 · Gcited before2025-01-06 · 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 two of three sampled residents (Resident #1 and #3), who both required a Hoyer Lift (mechanical mobility aid that supports a person's total body weight to allow movement from one surface to another safely) with the assistance of two staff members, the facility failed to ensure that necessary assistive devices were utilized properly and appropriately during transfers in order to maintain resident safety and prevent incidents/accidents resulting in injuries. 1) On 12/09/24, Certified Nurse Aide (CNA) #1 and Activity Assistant (AA) #1 (who was not a certified nurse aide or competent in mechanical lift transfers) did not check to see if the lower straps of the Hoyer lift sling/pad were properly connected to the Hoyer lift device, and during the transfer Resident #1 slid onto the floor, hitting his/her head. Resident #1 was transferred to the Hospital Emergency Department (ED) for evaluation and was diagnosed with a laceration (open wound) to the back of his/her head…

  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
• Actual harm · H2023-09-14 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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, record review, and interview, the facility failed to ensure licensed nursing staff had the appropriate competencies and skill set for providing the necessary care and treatment for residents with a peripherally inserted central catheter (PICC- long, thin tube inserted through a vein in your arm and passed through to the larger veins near your heart that delivers fluids and/or medications) and/or midline catheter (thin, soft tube that is placed into a vein at the level of the armpit that delivers fluids and/or medications directly into the vein) device per facility policy and acceptable standards of practice and to ensure nursing practice by nursing students and their supervising nurse were adhered to for the administration of medications. Specifically, the facility failed: 1. For Resident #20, who had a history of chronic embolism and thrombosis (formation of a blood clot within blood vessels or arteries limiting the natural flow of blood), to ensure physician's orders were in place and…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-14 · 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 observations, interviews, and record review, the facility failed to maintain an environment free of accident hazards for two Residents (#71 and #64), out of a total sample of 24 residents, and for 5 out of 9 identified facility smokers, Residents (#34, #22, #2, #28, and #51). Specifically, the facility failed to ensure: 1. For Resident #71, had effective interventions implemented to prevent three unwitnessed falls, one of which resulted in a five-day hospitalization for a subdural hematoma (a pool of blood between the brain and its outermost covering) and comminuted mildly displaced nasal bone fracture (a fracture in which the bone is broken in several fragments. This type of fracture is typically caused by severe trauma/injury); 2. For Resident #64, hazardous items were not left at the bedside; and 3. For Residents #34, #22, #2, #28, and #51, smoking was conducted in a safe manner per the facility policy. Findings include: 1. Review of the facility's policy titled Managing Falls and Fall Risk Policy…

  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 · Ecited before2025-11-25 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 interview and record review, the facility failed to ensure residents were provided care in accordance with professional standards of practice for three Residents (#40, #13, #21), out of a total sample of 20 residents. Specifically, the facility failed:1. For Resident #40, to administer medications per physician's orders and crushing guidelines. Specifically, measure an accurate dose of MiraLAX per physician's order, administer Depakote DR per physician's order, and administer Seroquel and Zyprexa tablets per medication guidelines;2. For Resident #13, to ensure expired Lansoprazole (liquid compound for gastro-esophageal reflux disease (GERD)) was taken out of use/destroyed and not used for daily administration for 24 days after the use by date;3. For Resident #13, to ensure the Resident was administered the prescribed enteral water bolus (form of hydration that is delivered into the digestive system) via a gastrostomy tube (G-tube - a tube inserted into the stomach through which hydration and nutrition…

  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 before2025-11-25 · tag F0761 — failed to label and store drugs safely — pattern
  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

  Based on observation and interviews, the facility failed to ensure drugs and biologicals were stored in accordance with State and Federal laws. Specifically, the facility failed to ensure:1. The Medication Cart remained locked when not in view and/or proximity of the nurse;2. For Resident #40, MiraLAX (medication for constipation) was not left at the bedside; and3. For Resident #50, crushed Ativan (controlled substance/anti-anxiety medication) was double locked and not crushed until administered. Findings include:Review of the facility's policy titled Storage of Medications, undated, indicated but was not limited to the following:-Unlocked medication carts are not left unattended.-Compartments (including but not limited to drawers, cabinets, rooms, refrigerators, carts, and boxes) containing drugs and biologicals are locked when not in use.-Drugs and biologicals are stored in the packaging, containers, or other dispensing systems in which they are received.-Schedule II-V controlled medications are stored in separately locked compartments. Security access to controlled medication is…

  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 · Ecited before2025-11-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and potential transmission of communicable diseases and infections for two Residents (#71 and #25) out of a sample of 17 residents. Specifically, the facility failed:1. To ensure that the staff wore the indicated personal protective equipment (PPE-items such as gowns and gloves worn by staff to decrease the spread of infections) when entering the room for Resident #71 on Contact Precautions (measures using protective barrier gowns and gloves as an infection control intervention designed to reduce transmission of methicillin-resistant Staphylococcus aureus (MRSA)); and 2. For Resident #25, to provide hand hygiene prior to meals.Findings include:1. Resident #71 was admitted to the facility in April 2024 with diagnoses including venous insufficiency. Review of the Minimum Data Set (MDS) assessment, dated 9/12/25, indicated Resident #71 scored 15 out of 15 on the Brief…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-18 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to follow professional standards of practice specific to following physician's orders for two Residents (#19 and #48) in a sample of 18 residents. Specifically, the facility failed: 1. For Resident #19, to follow physician's orders to discontinue an antipsychotic medication timely; and 2. For Resident #48, to ensure staff implemented physician's orders for: a. air mattress settings; b. 1:1 (one to one) supervision with oral intake; and c. fall mat to side of his/her bed. Findings include: 1. Review of the facility's policy for Medication and Treatment Order and Administration Policy, undated, indicated the following: -orders for medications and treatments will be consistent with principles of safe and effective order writing -verbal orders must be recorded immediately in the resident's chart by the person receiving the order Resident #19 was admitted to the facility in May 2018 with a diagnosis of dementia. Review of the medical record indicated Resident #19 had an order for Abilify (an antipsychotic) 2.5…

  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 · D2024-10-18 · tag F0550 — failed to protect resident dignity and rights — isolated
  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 observation, interview, and record review, the facility failed to promote the rights of one Resident (#60) to have fluids of choice, in a total sample of 18 residents. Specifically, the facility restricted the fluids of Resident #60, despite the removal of the order for a fluid restriction three weeks prior. Findings include: Resident #60 was admitted to the facility in March 2024 with diagnoses of hard of hearing, polydipsia (excessive thirst), and dementia. Review of the medical record indicated Resident #60 had an activated Health Care Proxy. Review of the Minimum Data Set (MDS) assessment, dated 9/18/24, indicated Resident #60 was cognitively intact, scoring 13 out of 15 on the Brief Interview for Mental Status. Review of the medical record indicated Resident #60 had exhibited behaviors of taking drinks off of the nurse's medication carts, taking cups to fill with water from the faucet or the toilet, and constantly asking for drinks. Review of the care plans for Resident #60 indicated a Focus for behavior management for a new repetitive behavior of continuously asking…

  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 · D2024-10-18 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure a reasonable accommodation was made for one Resident (#5), of 18 sampled residents. Specifically, the facility failed to ensure the call system was accessible to the Resident to call for staff assistance. Findings include: Review of the facility's policy titled Resident Call System, undated, indicated but was not limited to: -When in their rooms and toilet and bathing areas, residents will have a means of directly contacting caregivers. Resident #5 was admitted to the facility in March 2017 with diagnoses including dementia and history of falling. Review of the Minimum Data Set (MDS) assessment, dated 9/4/24, indicated a Brief Interview for Mental Status (BIMS) for Resident #5 was not completed as the Resident is rarely/never understood. Further review of the MDS indicated that the Resident was dependent on staff for activities of daily living and able to ambulate with supervision or touching assistance. Review of Resident #5's Care Plan indicated, but was not limited to, the following: -Focus: I am…

  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 · Dcited before2024-10-18 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, for one Resident (#36), of 18 sampled residents, the facility failed to implement policies and procedures for alleged abuse. Specifically, the facility failed to investigate and report an allegation of sexual abuse. Findings include: Review of the facility's policy titled Abuse Policy, dated May 2023, indicated but was not limited to: -Identification: Reporting of suspected alleged violations shall be encouraged by staff. Incidents of alleged violations shall be reviewed by the facility's Quality Assessment and Assurance Committee for detection of patterns and trends. -Reporting: An employee who suspects an alleged violation shall immediately notify the Executive Director (ED) or his/her designee. The ED shall also notify the appropriate State agency in accordance with state law. The results of all investigations must be reported immediately to the ED or his/her designee and to the appropriate State agency, as required by State law with initial report submitted within two hours and follow up within five working days of the violation. -Policy…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-18 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, for one Resident (#36), of 18 sampled residents, the facility failed to ensure an allegation of sexual abuse was reported timely to the state agency as required. Findings include: Review of the facility's policy titled Abuse Policy, dated May 2023, indicated but was not limited to: -Identification: Reporting of suspected alleged violations shall be encouraged by staff. -Reporting: An employee who suspects an alleged violation shall immediately notify the Executive Director (ED) or his/her designee. The ED shall also notify the appropriate State agency in accordance with state law. The results of all investigations must be reported immediately to the ED or his/her designee and to the appropriate State agency, as required by State law with initial report submitted within two hours and follow up within five working days of the violation. -Policy and Procedure: A. If a family member, resident or staff reports an incident of abuse/mistreatment/neglect, it is to be reported to the Director of Nursing Services (DNS) or manager immediately and an…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-18 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, for one Resident (#36), of 18 sampled residents, the facility failed to ensure allegations of abuse, neglect, exploitation, or mistreatment were thoroughly investigated. Specifically, for Resident #36, the facility failed to ensure an allegation of sexual abuse was investigated. Findings include: Review of the facility's policy titled Abuse Policy, dated May 2023, indicated, but is not limited to: -Identification: Reporting of suspected alleged violations shall be encouraged by staff. Incidents of alleged violations shall be reviewed by the facility's Quality Assessment and Assurance Committee for detection of patterns and trends. -Reporting: An employee who suspects an alleged violation shall immediately notify the Executive Director (ED) or his/her designee. The ED shall also notify the appropriate State agency in accordance with state law. The results of all investigations must be reported immediately to the ED or his/her designee and to the appropriate State agency, as required by State law with initial report submitted within two hours and…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-18 · tag F0761 — failed to label and store drugs safely — isolated
  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

  Based on records reviewed and interviews, the facility failed to ensure staff stored all drugs and biologicals used in the facility in accordance with currently accepted professional principles. Specifically, the facility failed for one Resident (#21), out of a total census of 70 residents, to ensure safe storage of medications and biologicals according to current standards of practice. Findings include: Review of the facility's policy titled Storage of Medications, undated, indicated but was not limited to the following: -Drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light and humidity controls. -Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing dugs and biologicals are locked when not in use. Review of the facility's policy titled Self-Administration of Medications, dated May 2023, indicated but was not limited to the following: -If the staff determine that a resident cannot safely self-administer medications, the nursing staff will administer the resident's…

  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

“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

$114,868 in federal fines across 2 penalties.

• $10,868 — penalty dated 2025-01-06
• $104,000 — penalty dated 2023-09-14

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 85% 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 $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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