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Compiled from official CMS federal data

ROYAL NORWELL NURSING & REHABILITATION CENTER LLC, NORWELL, MA — Violations & Inspection Reports

CCN 225482 · 329 WASHINGTON STREET, NORWELL, MA, 02061

Record as of Jun 2026 · Updated monthly from CMS

Does ROYAL NORWELL NURSING & REHABILITATION CENTER LLC have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), ROYAL NORWELL NURSING & REHABILITATION CENTER LLC (CCN 225482), in NORWELL, MA, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 3 deficiencies; the most severe is rated E — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2025-11-25. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $114,868 in civil money penalties on file against the facility. The record also includes 6 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Oct 2024). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 6 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Oct 2024.
  • 2 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Jan 2025.
  • 3 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS has $114,868 in civil money penalties on file against this facility.

Below is this facility's federal inspection record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$114,868

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2023-09-14
HISTORICAL
F694S/S J

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

2023-09-14
HISTORICAL
F658S/S J

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

2023-09-14
HISTORICAL
F726S/S H

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.

2025-11-25
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

40 more citations on file — Abuse & neglect 6 · Accidents & supervision 2 · Medication & pharmacy 4 · Resident rights 7 · Other citations 17 (expand)
2025-11-25
CURRENT CYCLE
F658S/S E

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

2025-11-25
CURRENT CYCLE
F761S/S E

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.

2025-01-06
HISTORICAL
F689S/S G

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

2025-01-06
HISTORICAL
F656S/S G

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

2024-10-18
HISTORICAL
F658S/S E

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

2024-10-18
HISTORICAL
F609S/S D

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

2024-10-18
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-10-18
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-10-18
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-10-18
HISTORICAL
F761S/S D

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.

2024-10-18
HISTORICAL
F550S/S D

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

2024-10-18
HISTORICAL
F607S/S D

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

2023-09-14
HISTORICAL
F689S/S G

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

2023-09-14
HISTORICAL
F941S/S F

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2023-09-14
HISTORICAL
F944S/S F

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2023-09-14
HISTORICAL
F812S/S F

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

2023-09-14
HISTORICAL
F949S/S F

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

2023-09-14
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2023-09-14
HISTORICAL
F867S/S F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2023-09-14
HISTORICAL
F849S/S E

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

2023-09-14
HISTORICAL
F838S/S E

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

2023-09-14
HISTORICAL
F881S/S E

Implement a program that monitors antibiotic use.

2023-09-14
HISTORICAL
F883S/S E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2023-09-14
HISTORICAL
F925S/S E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2023-09-14
HISTORICAL
F940S/S E

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2023-09-14
HISTORICAL
F756S/S E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2023-09-14
HISTORICAL
F760S/S E

Ensure that residents are free from significant medication errors.

2023-09-14
HISTORICAL
F583S/S E

Keep residents' personal and medical records private and confidential.

2023-09-14
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2023-09-14
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2023-09-14
HISTORICAL
F609S/S D

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

2023-09-14
HISTORICAL
F607S/S D

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

2023-09-14
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-09-14
HISTORICAL
F585S/S D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

2023-09-14
HISTORICAL
F695S/S D

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

2023-09-14
HISTORICAL
F712S/S D

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

2023-09-14
HISTORICAL
F578S/S D

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

2023-09-14
HISTORICAL
F656S/S D

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

2023-09-14
HISTORICAL
F582S/S B

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

2023-07-13
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Overall CMS star rating

This facility: 3  ·  CMS state average: 3.0

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

ROYAL NORWELL NURSING & REHABILITATION CENTER LLC — Federal Record

CMS overall 3/5 · 3 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

Add what you saw at ROYAL NORWELL NURSING & REHABILITATION CENTER LLC to this record

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What happened

What happened? Tap a category to see options — select all that apply. 'Other / I'm not sure' is fine.

No personal details on this step.

If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

Compare this facility on CMS’s own Care Compare →

Download the full federal record (PDF) →