Royal Norwell Nursing & Rehabilitation Center LLC
329 Washington Street · Norwell, MA · 02061 · 7816594901
86 certified beds For profit - Limited Liability company Chain: Royal Health Group
Why this verdict
- Federal penalties on record: $10,868 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $114,868 |
Inspection citations (44 in the current record)
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Potential for harm · E November 25, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 25, 2025
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.
Corrected December 10, 2025 · Pharmacy Service
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Potential for harm · E November 25, 2025
Provide and implement an infection prevention and control program.
Corrected December 10, 2025 · Infection Control
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Actual harm · G January 6, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 19, 2024 · Resident Assessment and Care Planning
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Actual harm · G January 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 30, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected October 30, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2024
Respond appropriately to all alleged violations.
Corrected October 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 18, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024
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.
Corrected October 30, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Provide and implement an infection prevention and control program.
Corrected October 30, 2024 · Infection Control
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Immediate jeopardy · J September 14, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 17, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 14, 2023
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected September 17, 2023 · Quality of Life and Care
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Actual harm · G September 14, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 22, 2023 · Quality of Life and Care
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Actual harm · H September 14, 2023
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.
Corrected October 13, 2023 · Nursing and Physician Services
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Potential for harm · D September 14, 2023
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.
Corrected September 26, 2023 · Resident Rights
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Potential for harm · E September 14, 2023
Keep residents' personal and medical records private and confidential.
Corrected September 26, 2023 · Resident Rights
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Potential for harm · D September 14, 2023
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.
Corrected October 23, 2023 · Resident Rights
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Potential for harm · D September 14, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 14, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 14, 2023
Respond appropriately to all alleged violations.
Corrected October 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 14, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 19, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 6, 2025 | Fine | $10,868 |
| September 14, 2023 | Fine | $104,000 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225482 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.