The nursing home failed to provide services that met professional standards of quality. Cited September 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: J
Nursing home report
Royal Health Norwell
Registered name: ROYAL NORWELL NURSING & REHABILITATION CENTER LLC
NORWELL, MA · Medicare-certified · 86 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Royal Health Norwell has a 3-star overall rating, with 3 stars for health inspections and staffing and 4 stars for quality measures. It reports nurse staffing below the federal benchmark (3.68 vs 4.1 hours/resident/day) and has had $10,868 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6767 hrs/resident/day
Quality measures
Last inspection: November 25, 2025Penalties, last 24 months: $10,868recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6767.
Staffing detail
- Registered nurses
- 0.90
- Licensed practical nurses
- 0.94
- Nurse aides
- 1.84
- Weekend nursing
- 3.32
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 67%
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).
Long-stay residents on antipsychotic medication
23.5%25%Worsening
Residents with a fall causing major injury
6.5%5.9%Improving
Residents with pressure ulcers (bedsores)
4.8%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.1%8.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.1%15.1%Improving
Residents whose ability to walk got worse
16%6%Improving
Long-stay residents on antianxiety or sleep medication
18%26.8%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.7%0%Improving
Residents with new or worsening incontinence
14.5%4.8%Improving
Residents with depressive symptoms
50%53.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.5%—
Short-stay residents given the pneumonia vaccine
93.8%95%Improving
What the inspectors found
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited September 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — S/S: J
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited September 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: H
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,868 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $114,868 in total fines.
- $10,868
Federal fine
Jan 6, 2025
- $104,000
Federal fine
Sep 14, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 3.1 stars avg
- Occupancy
- 75.9 residents on an average day (88% of 86 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 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.