Royal Norwell Nursing & Rehabilitation Center LLCCMS ratings, inspections and fines
- Address
- 329 Washington Street, Norwell, MA 02061
- CCN
- 225482
- Ownership type
- For-profit, limited liability company
- Certified beds
- 86
- Chain
- Royal Health Group
- Residents per day
- 76
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Royal Norwell Nursing & Rehabilitation Center LLC an overall rating of 3 of 5 stars. The last standard survey was on 25 Nov 2025. The latest survey cycle has 3 health citations. The median for nursing homes in Massachusetts is 6. CMS lists 2 fines with a total of $114,868 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Plymouth County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 27 homes in the county, 341 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 25 Nov 2025 | 3 | 6 |
| Cycle 2 | 18 Oct 2024 | 10 | 8 |
| Cycle 3 | No date | 30 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 10 Dec 2025 |
| 25 Nov 2025 | F0761 | 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. | E | Standard survey | 10 Dec 2025 |
| 25 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Dec 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 19 Dec 2024 |
| 6 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Dec 2024 |
| 18 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Oct 2024 |
| 18 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 Oct 2024 |
| 18 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 30 Oct 2024 |
| 18 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 30 Oct 2024 |
| 18 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 30 Oct 2024 |
| 18 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 Oct 2024 |
| 18 Oct 2024 | F0761 | 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. | D | Standard survey | 30 Oct 2024 |
| 18 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Oct 2024 |
Survey cycle 3: 30 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Sep 2023 | F0578 | 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. | D | Standard survey | 26 Sep 2023 |
| 14 Sep 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 26 Sep 2023 |
| 14 Sep 2023 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 26 Sep 2023 |
| 14 Sep 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 23 Oct 2023 |
| 14 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 23 Oct 2023 |
| 14 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 23 Oct 2023 |
| 14 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 23 Oct 2023 |
| 14 Sep 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 22 Sep 2023 |
| 14 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Standard survey | 17 Sep 2023 |
| 14 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 22 Sep 2023 |
| 14 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | J | Standard survey | 17 Sep 2023 |
| 14 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 26 Sep 2023 |
| 14 Sep 2023 | F0726 | 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. | H | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 2 Oct 2023 |
| 14 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Oct 2023 |
| 14 Sep 2023 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 29 Sep 2023 |
| 14 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 23 Oct 2023 |
| 14 Sep 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 26 Sep 2023 |
| 14 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 26 Sep 2023 |
| 14 Sep 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard survey | 19 Sep 2023 |
| 14 Sep 2023 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard survey | 19 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 6 Jan 2025 | Fine | $10,868 | |
| 14 Sep 2023 | Fine | $104,000 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.68 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.90 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.94 | 0.95 | |
| Nurse aides | 1.84 | 2.26 | |
| All nurse staff, weekends | 3.32 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 53.8%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.5% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.4% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.1% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.7% | 19.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Chain
- Royal Health Group (12 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Plymouth County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Southwood at Norwell Nursing Ctr | Norwell | 5 of 5 | 2 | $0 | 2 Jan 2026 | |
| Queen Anne Nursing Home, Inc | Hingham | 5 of 5 | 0 | $0 | 11 Jun 2025 | |
| Linden Ponds | Hingham | 4 of 5 | 4 | $12,735 | 30 Apr 2026 | |
| Webster Park Rehabilitation and Healthcare Center | Rockland | 5 of 5 | 3 | $0 | 6 Apr 2026 | |
| Southshore Health Care Center | Rockland | 1 of 5 | 23 | $26,395 | 27 Aug 2025 | |
| Colony Center for Health and Rehabilitation | Abington | 1 of 5 | 14 | $25,593 | 7 Mar 2025 | |
| Cardigan Nursing & Rehabilitation Center | Scituate | 4 of 5 | 7 | $0 | 18 Mar 2025 | |
| Harbor House Nursing & Rehabilitation Center | Hingham | 4 of 5 | 3 | $0 | 14 Nov 2025 | |
| Life Care Center of the South Shore | Scituate | 5 of 5 | 4 | $0 | 21 Apr 2026 | |
| Champion Rehabilitation and Nursing Center | Brockton | 2 of 5 | 5 | $0 | 16 Sep 2025 | |
| St Joseph Manor Health Care Inc | Brockton | 4 of 5 | 4 | $0 | 11 Dec 2025 | |
| The Guardian Center | Brockton | 1 of 5 | 10 | $0 | 30 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Royal Norwell Nursing & Rehabilitation Center LLC (CCN 225482). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/royal-norwell-nursing-rehabilitation-center-llc-norwell-ma-225482/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Royal Norwell Nursing & Rehabilitation Center LLC last inspected?
- The latest inspection with a citation in the CMS record was on 25 Nov 2025. It was a standard survey. It gave 3 citations. The standard survey before the last one was on 18 Oct 2024.
- Who operates Royal Norwell Nursing & Rehabilitation Center LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Royal Health Group. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Royal Norwell Nursing & Rehabilitation Center LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.