ROYAL MEADOW VIEW CENTER in North Reading, MA has a 1-star overall rating, with especially weak staffing at 1 star and reported nurse staffing below the federal benchmark (3.41 vs. 4.1 hours per resident per day). It has no fines in the last 24 months, but recent inspection citations included infection control, insufficient nursing staff, and food temperature/palatability issues.
Last inspection: January 31, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4098.
Staffing detail
Registered nurses
0.61
Licensed practical nurses
0.90
Nurse aides
1.90
Weekend nursing
3.07
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 77%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
22%19.3%Improving
Residents with a fall causing major injury
1.1%2.1%Worsening
Residents with pressure ulcers (bedsores)
5.7%5.1%Improving
Residents with a urinary tract infection
4.8%2.2%Improving
Residents who lost too much weight
1.4%2.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.7%7.4%Improving
Residents whose ability to walk got worse
8.9%7%Improving
Long-stay residents on antianxiety or sleep medication
28.2%31%Worsening
Short-stay residents newly given an antipsychotic
—4.5%—
Residents with a long-term catheter
0.9%0.8%No change
Residents with new or worsening incontinence
29.1%22.5%Improving
Residents with depressive symptoms
7.8%17.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—89.8%—
Long-stay residents given the pneumonia vaccine
95.5%94.7%Worsening
Short-stay residents given the seasonal flu vaccine
—81%—
Short-stay residents given the pneumonia vaccine
88.1%80%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of ROYAL HEALTH GROUP · 12 homes · 2.9 stars avg
Occupancy
97 residents on an average day (86% of 113 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.