Federal inspection record · CMS data as of October 1, 2026
Charlwell House Health And Rehabilitation
305 Walpole Street, Norwood, MA · (781) 762-7700
- Certified beds
- 124
- Residents per day
- 73
- Ownership
- For-Profit
- Chain
- Best Care Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 15, 1972
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Charlwell House Health And Rehabilitation carries 65 inspection points. That is fewer than 26% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
63 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
L
Provide and implement an infection prevention and control program.
-
L
Perform COVID19 testing on residents and staff.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care16E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate foot care.
- D
Provide or get specialized rehabilitative services as required for a resident.
- E
Assist a resident in gaining access to vision and hearing services.
- D
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
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate foot care.
- D
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
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Resident Rights10E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give the resident's representative the ability to exercise the resident's rights.
- E
Give the resident's representative the ability to exercise the resident's rights.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Assessment and Care Planning9E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service8E
- E
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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
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
Ensure that residents are free from significant medication errors.
Administration5F
- F
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.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
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.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Report COVID19 data to residents and families.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Environmental3F
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Keep all essential equipment working safely.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services2F
- F
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.
- C
Post nurse staffing information every day.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspection history
2025-05-30
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-04-16
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2022-09-01
42 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 35 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 39% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.8 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 2.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.4 pts worse | 77.5% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts better | 94.6% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.1 pts worse | 7.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.2 pts better | 6.2% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 3.1% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.9 pts worse | 25.4% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.5 pts better | 15.0% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.2 pts worse | 26.1% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased17.7 pts worse | 33.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.6% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 2.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.6 pts worse | 26.0% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.0% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine30.4 pts worse | 48.5% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts worse | 13.8% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.3 pts worse | 70.8% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.7 pts worse | 31.4% | 25.7% | 23.4% |
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Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Al-Madi, Sami | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Bonadio & Co Llp | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Bonadio & Co Llp | Adp Of The SNF · Organization | 0% | 18 facilities |
| Carr, Jamie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Carr, Jamie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Chapler, Yaakov | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Chapler, Yaakov | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Cksst Holding Company LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Pieleanu, Irina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pieleanu, Irina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Reliant Rehabilitation Holdings Inc | Operational/Managerial Control · Organization | 0% | 13 facilities |
| Reliant Rehabilitation Holdings Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Steinberg, Moshe | Indirect Ownership Interest · Individual | 0% | 24 facilities |
| Steinberg, Moshe | Operational/Managerial Control · Individual | 0% | 24 facilities |
| Twomagnets LLC | Operational/Managerial Control · Organization | 0% | 57 facilities |
| Twomagnets LLC | Adp Of The SNF · Organization | 0% | 57 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Emergency Preparedness6E
- D
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Implement emergency and standby power systems.
- E
List the names and contact information of those in the facility.
- E
Develop and maintain an Emergency Preparedness Program (EP).
- E
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems3E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous2C
- C
Provide a written emergency evacuation plan.
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Victoria Haven Nursing Facility
Norwood, MA · Rehabilitation Associates
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 54 min
- Fines
- $40,641
-
Norwood Healthcare
Norwood, MA · Next Step Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $96,471
-
Premier Healthcare at Harrington House
Walpole, MA · Stellar Health Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 45 min
- Fines
- $43,891