SNF

ROYAL MEADOW VIEW CENTER

CCN: 225478 · NORTH READING, MA 01864 · Middlesex County

Overview

Address
134 NORTH STREET, NORTH READING, MA 01864
Phone
9782762000
Certified beds
113
Avg daily residents
96 (85% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-07-01
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.30 3.98 3.20 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.59 0.70 0.57 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.91 0.88 0.88 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.80 2.40 1.75 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.49 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.90
hrs / resident / day
RN (weekend)
0.41
hrs / resident / day
Total nurse (adjusted, weekend)
2.81
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
53.8%
annual
RN turnover
65.2%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.41
higher acuity than avg
Case-Mix Index Ratio
1.02
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-01-31 13 13 0 64 1 64
Cycle 2/3 (prior) 2024-02-29 20 18 2 140 1 140
Total weighted health score
83.0
lower is better

Deficiencies (43)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

43 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-01-31 2025-03-07
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-01-31 2025-03-07
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-01-31 2025-03-07
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-01-31 2025-03-07
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-01-31 2025-03-07
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2025-01-31 2025-03-07
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-01-31 2025-03-07
0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. D 2025-01-31 2025-03-07
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2025-01-31 2025-03-07
0761 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. D 2025-01-31 2025-03-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-01-31 2025-03-07
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-01-31 2025-03-07
0880 Provide and implement an infection prevention and control program. E 2025-01-31 2025-03-07
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. D 2024-03-15 2024-03-06
0726 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. D 2024-03-15 2024-03-06
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-02-29 2024-03-29
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-02-29 2024-03-29
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2024-02-29 2024-03-29
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-02-29 2024-03-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-02-29 2024-03-29
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-02-29 2024-03-29
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-02-29 2024-03-29
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-02-29 2024-03-29
0692 Provide enough food/fluids to maintain a resident's health. D 2024-02-29 2024-03-29
0699 Provide care or services that was trauma informed and/or culturally competent. D 2024-02-29 2024-03-29
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2024-02-29 2024-03-29
0759 Ensure medication error rates are not 5 percent or greater. E 2024-02-29 2024-03-29
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2024-02-29 2024-03-29
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2024-02-29 2024-03-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2024-02-29 2024-03-29
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2024-02-29 2024-03-29
0880 Provide and implement an infection prevention and control program. F 2024-02-29 2024-03-29
0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. E 2024-02-29 2024-03-29
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-01-19 2023-02-10
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-01-19 2023-02-10
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-01-19 2023-02-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-01-19 2023-02-10
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-01-19 2023-02-10
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2023-01-19 2023-02-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-01-19 2023-02-10
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2023-01-19 2023-02-10
0761 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. E 2023-01-19 2023-02-10
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. D 2023-01-19 2023-02-10

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.6% Medicaid 74.2% Other 18.2%

Operating performance

Operating Margin
-4.5%
Total Margin
-2.6%
Occupancy Rate
74.9%
Cost per Resident Day
$24

Revenue & costs

Net Patient Revenue
$10.8M
Total Costs
$727K
Net Income
-$285K

Balance sheet

Total Assets
$1.8M
Total Liabilities
$6.9M
Fund Balance
-$5.1M
Current Ratio
2.15

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: ROYAL HEALTH GROUP

Chain ID
457
Facilities in chain
12
Legal business name
LOWN ACQUISITION LLC
Chain-average star ratings (for peer context)
Overall
3.3
Health
3.3
Staffing
2.3
QM
3.3

Owner / manager individuals (4)

Name Role Association
MAMARY, JAMES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/12/2017
MAMARY, JONATHAN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/12/2017
MAMARY, JOSHUA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/12/2017
MAMARY, JAMES OPERATIONAL/MANAGERIAL CONTROL since 03/12/2017

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $24 metrics.cost_per_resident_day
Cost Report Current Ratio 2.15 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 74.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.6% metrics.medicare_day_share
Cost Report Net Income ($) $-285,084 metrics.net_income
Cost Report Net Patient Revenue ($) $10,825,784 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 74.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.5% metrics.operating_margin
Cost Report Total Assets ($) $1,805,721 metrics.total_assets
Cost Report Total Costs ($) $727,128 metrics.total_costs
Cost Report Total Fund Balances ($) $-5,106,040 metrics.fund_balance
Cost Report Total Liabilities ($) $6,911,761 metrics.total_liabilities
Cost Report Total Margin (%) -2.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.87863 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.74865 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.57013 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.19740 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.80914 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 95.8 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.88393 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.40232 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.69673 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.98297 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.51057 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.3 Chain Average Staffing Rating
Provider Information Chain ID 457 Chain ID
Provider Information Chain Name ROYAL HEALTH GROUP Chain Name
Provider Information City/Town NORTH READING City/Town
Provider Information CMS Certification Number (CCN) 225478 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Middlesex County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1990-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 42.5902 Latitude
Provider Information Legal Business Name LOWN ACQUISITION LLC Legal Business Name
Provider Information Location 134 NORTH STREET,NORTH READING,MA,01864 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -71.105 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 113 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 12 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.41099 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.02420 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 134 NORTH STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ROYAL MEADOW VIEW CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 090 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-31 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 13 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 18 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-29 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 140 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 2 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 140 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 20 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.40987 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 65.2 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.49455 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.90641 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.80392 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01234 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.58815 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.29847 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 9782762000 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.89793 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 53.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 83.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 01864 ZIP Code