D

ROYAL NORWELL NURSING & REHABILITATION CENTER LLC

329 WASHINGTON STREET, NORWELL, MA 02061
Score: 43 / 100

Royal Norwell Nursing & Rehabilitation Center Llc faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 38th percentile among Massachusetts nursing homes, suggesting significant room for improvement.

Staffing at Royal Norwell Nursing & Rehabilitation Center Llc is near the national average, with 4.01 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 44 deficiencies at Royal Norwell Nursing & Rehabilitation Center Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure services provided by the nursing facility meet professional standards of quality..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.01 3.8 Average
Registered Nurses (RN) 0.95 0.7 Above Average
Licensed Practical Nurses (LPN) 1.13 0.7 Above Average
Certified Nursing Assistants (CNA) 1.94 2.4 Below Average
Weekend Total Nursing 3.41 3.8 Below Average
Weekend RN Hours 0.42 0.7 Below Average

🔍 Inspection & Deficiency History

44
Total Deficiencies
Nov 24, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 41 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0658 Severity E
    Ensure services provided by the nursing facility meet professional standards of quality.
    Nov 24, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Nov 24, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Nov 24, 2025 · Infection Control Deficiencies
  • Tag 0656 Severity G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 5, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 5, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.6% 4.5% Better
Falls with major injury 7.8% 3.0% Worse
On antipsychotic medication 18.6% 14.5% Worse
Urinary tract infections 1.2% 2.5% Better
ADL decline (daily activities) 19.7% 14.0% Worse
Excessive weight loss 3.7% 7.5% Better
New/worsened incontinence 15.0% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $114,868

How This Grade Was Calculated

This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
86
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 24, 2025
Deficiencies (Cycle 1)
3