ROYAL NORWELL NURSING & REHABILITATION CENTER LLC

329 WASHINGTON STREET, NORWELL, MA 02061 · CCN 225482 · 86 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2025-01-06 — ACTUAL HARM (tag F0656, severity G)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

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

2025-01-06 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2023-09-14 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2023-09-14 — ACTUAL HARM (tag F0726, severity H)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

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.

2023-09-14 — IMMEDIATE JEOPARDY (tag F0694, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2023-09-14 — IMMEDIATE JEOPARDY (tag F0658, severity J)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.32

state median 3.36

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.62

registered nurses only

Contract (agency) staff

16%

share of all nursing hours

Nursing staff turnover

54%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $114,868 in fines.

Date	Type	Amount
2025-01-06	Fine	$10,868
2023-09-14	Fine	$104,000

Ownership

Ownership type: For profit - Limited Liability company. Part of the ROYAL HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

ROYAL BRAINTREE NURSING AND REHABILITATION CENTER (BRAINTREE, MA) — CMS overall2 of 5
Royal of Fairhaven Nursing Center (FAIRHAVEN, MA) — CMS overall2 of 5
ROYAL NURSING CENTER, LLC (FALMOUTH, MA) — CMS overall3 of 5
ROYAL MEADOW VIEW CENTER (NORTH READING, MA) — CMS overall4 of 5
ROYAL WOOD MILL CENTER (LAWRENCE, MA) — CMS overall3 of 5
Royal Cape Cod Nursing & Rehabilitation Center (BUZZARDS BAY, MA) — CMS overall3 of 5
ROYAL WAYLAND REHABILITATION AND NURSING CENTER (WAYLAND, MA) — CMS overall5 of 5
ROYAL MEGANSETT NURSING & REHABILITATION (N FALMOUTH, MA) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 4 · Potential for more than minimal harm: 37 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2025-11-25	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-11-25	F0761	Pharmacy Service Deficiencies	E	not recorded
2025-11-25	F0880	Infection Control Deficiencies	E	not recorded
2025-01-06	F0656	Resident Assessment and Care Planning Deficiencies	G	not recorded
2025-01-06	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-10-18	F0550	Resident Rights Deficiencies	D	not recorded
2024-10-18	F0558	Resident Rights Deficiencies	D	not recorded
2024-10-18	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-18	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-18	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-10-18	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-10-18	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-10-18	F0880	Infection Control Deficiencies	D	not recorded
2023-09-14	F0578	Resident Rights Deficiencies	D	not recorded
2023-09-14	F0582	Resident Rights Deficiencies	B	not recorded
2023-09-14	F0583	Resident Rights Deficiencies	E	not recorded
2023-09-14	F0585	Resident Rights Deficiencies	D	not recorded
2023-09-14	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-14	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-14	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-14	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-14	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-14	F0658	Resident Assessment and Care Planning Deficiencies	J	not recorded
2023-09-14	F0689	Quality of Life and Care Deficiencies	G	not recorded
2023-09-14	F0690	Quality of Life and Care Deficiencies	D	not recorded
2023-09-14	F0694	Quality of Life and Care Deficiencies	J	not recorded
2023-09-14	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-09-14	F0712	Nursing and Physician Services Deficiencies	D	not recorded
2023-09-14	F0726	Nursing and Physician Services Deficiencies	H	not recorded
2023-09-14	F0756	Pharmacy Service Deficiencies	E	not recorded
2023-09-14	F0760	Pharmacy Service Deficiencies	E	not recorded
2023-09-14	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-09-14	F0838	Administration Deficiencies	E	not recorded
2023-09-14	F0849	Administration Deficiencies	E	not recorded
2023-09-14	F0867	Administration Deficiencies	F	not recorded
2023-09-14	F0880	Infection Control Deficiencies	F	not recorded
2023-09-14	F0881	Infection Control Deficiencies	E	not recorded
2023-09-14	F0883	Infection Control Deficiencies	E	not recorded
2023-09-14	F0925	Environmental Deficiencies	E	not recorded
2023-09-14	F0940	Administration Deficiencies	E	not recorded
2023-09-14	F0941	Administration Deficiencies	F	not recorded
2023-09-14	F0944	Administration Deficiencies	F	not recorded
2023-09-14	F0949	Administration Deficiencies	F	not recorded
2023-07-13	F0580	Resident Rights Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ROYAL NORWELL NURSING & REHABILITATION CENTER LLC, NORWELL” at medicare.gov/care-compare.