Federal inspection record · CMS data as of October 1, 2026
Royal Wood Mill Nursing and Rehabilitation Center
800 Essex Street, Lawrence, MA · (978) 289-5048
- Certified beds
- 94
- Residents per day
- 65
- 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.
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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.
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Quality measures
★★★★★no change
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Royal Wood Mill Nursing and Rehabilitation Center carries 33 inspection points. That is fewer than 53% 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
26 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
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.
Everything else, by area of care
Resident Assessment and Care Planning6E
- D
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.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care6D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation4D
- 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
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Rights3D
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service2E
- 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
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2026-03-25
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-04-09
12 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-04-22
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 27 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 25% of registered nurses left in the past year, along with 1 administrator.
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 days0.5 pts worse | 2.3 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 2.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.7 pts better | 99.6% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.4 pts better | 96.9% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.3% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms61.4 pts worse | 78.8% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts better | 2.0% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts worse | 27.3% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.1 pts worse | 38.6% | 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 worsened6.8 pts worse | 20.7% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts worse | 22.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.8% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts worse | 4.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse | 25.4% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.0% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 79.2% | 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 medication0.6 pts worse | 2.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.9 pts better | 90.0% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts better | 19.6% | 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 | 45% | 12 facilities |
| Mamary, James | W-2 Managing Employee · Individual | 0% | 12 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress4F
- F
Have properly located and lighted "Exit" signs.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Have properly located and lighted "Exit" signs.
Smoke4F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
M I Nursing & Restorative Center
Lawrence, MA · Covenant Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 51 min
- Fines
- $9,110
-
Nevins Nursing & Rehabilitation Center
Methuen, MA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 48 min
- Fines
- $9,318
-
Cedar View Rehabilitation And Healthcare Center
Methuen, MA · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0