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 NORWELL NURSING & REHABILITATION CENTER LLC
NORWELL, MA · Medicare-certified · 86 beds
Needs attention
For-profitChain member
3 of 5 overall
ROYAL NORWELL NURSING & REHABILITATION CENTER LLC has an overall rating of 3 out of 5 stars. Its staffing is 3.69 hours per resident per day, below the federal benchmark of 4.1, and it has a recent federal penalty with $10,868 in fines in the last 24 months; health inspection and staffing are both 3 stars, while quality measures are 4 stars.
Facility ratings
Health inspections
Staffing
3.6934 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 3.6934.
Staffing detail
- Registered nurses
- 0.90
- Licensed practical nurses
- 0.97
- Nurse aides
- 1.82
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 76%
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
15.2%22%Worsening
Residents with a fall causing major injury
6.3%7.8%Worsening
Residents with pressure ulcers (bedsores)
4.5%0%Improving
Residents with a urinary tract infection
0%1.6%Worsening
Residents who lost too much weight
4.7%5.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.9%20.4%Improving
Residents whose ability to walk got worse
37.4%17.3%Improving
Long-stay residents on antianxiety or sleep medication
11.1%13.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.5%Worsening
Residents with new or worsening incontinence
14.5%18.7%Worsening
Residents with depressive symptoms
10.2%59.3%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%98.4%Worsening
Short-stay residents given the seasonal flu vaccine
—95.5%—
Short-stay residents given the pneumonia vaccine
93.9%88.6%Worsening
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 · 2.9 stars avg
- Occupancy
- 73.4 residents on an average day (85% of 86 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.