Federal inspection record · CMS data as of October 1, 2026
Royal Norwell Nursing and Rehabilitation Center
329 Washington Street, Norwell, MA · (781) 659-4901
- Certified beds
- 86
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- Royal Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1990
1
How this home got 3 stars
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Royal Norwell Nursing and Rehabilitation Center carries 37 inspection points. That is fewer than 48% 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
43 health citations on record since 2023. 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 (6)
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure services provided by the nursing facility meet professional standards of quality.
-
J
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
-
H
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.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Administration7F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- F
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- E
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
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
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Resident Rights6E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Keep residents' personal and medical records private and confidential.
- D
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
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.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control5F
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning4E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- 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.
Pharmacy Service4E
- 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 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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure that residents are free from significant medication errors.
Quality of Life and Care2D
- 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.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services1D
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspection history
2025-11-25
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-10-18
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2023-09-14
30 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
3 h 40 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 61% 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
Fines and payment denials
$10,868 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-06 | Fine | $10,868 |
6
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 daysAbout the same | 1.8 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 99.2% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 97.2% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts worse | 7.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms38.6 pts worse | 56.0% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts worse | 7.1% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts better | 18.3% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.2 pts worse | 23.7% | 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 worsened0.4 pts better | 13.5% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3 pts worse | 18.8% | 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 infection0.9 pts better | 0.8% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts better | 12.2% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 1.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.3 pts better | 91.2% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 8.6% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.4 pts better | 90.5% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.8 pts worse | 34.5% | 25.7% | 23.4% |
·
Who owns and runs it
2 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 |
|---|---|---|---|
| Mamary, James | 5% Or Greater Direct Ownership Interest · Individual | 100% | 12 facilities |
| Celorier, Kristie | W-2 Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Install an approved automatic sprinkler system.
- D
Provide properly protected cooking facilities.
- C
Install a fire alarm system that can be heard throughout the facility.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- C
Have simulated fire drills held at unexpected times.
- D
Provide properly sized and located linen or trash receptacles.
Egress1F
- F
Meet other general requirements that are deficient.
Gas, Vacuum, and Electrical Systems1C
- C
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Southwood At Norwell Nursing Ctr
Norwell, MA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 1 min
- Fines
- $0
-
Queen Anne Nursing Home, Inc
Hingham, MA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0
-
Linden Ponds
Hingham, MA · Erickson Senior Living
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 29 min
- Fines
- $8,278