F

Victoria Haven Nursing Facility

137 NICHOLS STREET, NORWOOD, MA 02062
Score: 25 / 100

Victoria Haven Nursing Facility has received an F grade based on CMS data, with a score of 25/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this Norwood facility should carefully review its inspection history and quality metrics.

Staffing levels at Victoria Haven Nursing Facility exceed national averages, with 4.29 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.48 hours per resident per day is near the national average of 0.7 hours.

Recent inspections identified 31 deficiencies at Victoria Haven Nursing Facility. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.29 3.8 Above Average
Registered Nurses (RN) 0.48 0.7 Below Average
Licensed Practical Nurses (LPN) 0.99 0.7 Above Average
Certified Nursing Assistants (CNA) 2.83 2.4 Above Average
Weekend Total Nursing 4.08 3.8 Average
Weekend RN Hours 0.43 0.7 Below Average

🔍 Inspection & Deficiency History

31
Total Deficiencies
Feb 17, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 28 Moderate
View recent deficiencies (5 shown)
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Feb 17, 2025 · Infection Control Deficiencies
  • Tag 0883 Severity E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Feb 17, 2025 · Infection Control Deficiencies
  • Tag 0887 Severity E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document
    Feb 17, 2025 · Infection Control Deficiencies
  • Tag 0655 Severity D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Feb 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Feb 17, 2025 · Resident Assessment and Care Planning 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 4.9% 4.5% Average
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 11.4% 14.5% Better
Urinary tract infections 2.3% 2.5% Average
ADL decline (daily activities) 18.3% 14.0% Worse
Excessive weight loss 5.2% 7.5% Better
New/worsened incontinence 7.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $40,641

How This Grade Was Calculated

This facility's grade of F is based on a score of 25 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -4 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
31
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 17, 2025
Deficiencies (Cycle 1)
10