Royal Wood Mill Center

800 Essex Street · Lawrence, MA · 01841 · 9782895048

94 certified beds For profit - Limited Liability company Chain: Royal Health Group

  • No federal fines or payment denials in CMS’s 3-year window.
  • 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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 88
Staffing 20% 63
Federal penalties 15% 100
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.533.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day2.95≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)none

Inspection citations (26 in the current record)

  • Potential for harm · D March 25, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 9, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 1, 2026 · Quality of Life and Care

  • Potential for harm · D April 9, 2025

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2025

    Respond appropriately to all alleged violations.

    Corrected May 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2025

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected May 2, 2025 · Resident Rights

  • Potential for harm · D April 9, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 9, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 9, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 2, 2025 · Quality of Life and Care

  • Potential for harm · D April 9, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 2, 2025 · Quality of Life and Care

  • Potential for harm · E April 9, 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 May 2, 2025 · Pharmacy Service

  • Potential for harm · D April 9, 2025

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected May 2, 2025 · Quality of Life and Care

  • Potential for harm · E April 9, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 2, 2025 · Infection Control

  • Potential for harm · D April 22, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 29, 2024 · Resident Rights

  • Potential for harm · D April 22, 2024

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected April 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 22, 2024

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected April 29, 2024 · Quality of Life and Care

  • Potential for harm · D April 22, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 29, 2024 · Quality of Life and Care

  • Potential for harm · E April 22, 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 April 29, 2024 · Pharmacy Service

  • Potential for harm · E April 22, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 1, 2024 · Nutrition and Dietary

  • Potential for harm · D April 22, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E April 22, 2024

    Keep all essential equipment working safely.

    Corrected April 29, 2024 · Environmental

  • No harm found · B April 22, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 29, 2024 · Resident Rights

  • Actual harm · G April 9, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 25, 2024 · Quality of Life and Care

  • Actual harm · G April 9, 2024 · found via complaint

    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 April 25, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225505 · 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.