SNF

ROYAL NORWELL NURSING & REHABILITATION CENTER LLC

CCN: 225482 · NORWELL, MA 02061 · Plymouth County

Overview

Address
329 WASHINGTON STREET, NORWELL, MA 02061
Phone
7816594901
Certified beds
86
Avg daily residents
71 (82% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-07-01
Setting
Urban
3 /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.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
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 ★★★★★ 4/5
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
 4.01 4.08 3.80 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.95 0.71 0.90 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.13 0.91 1.07 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.94 2.46 1.83 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.07 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.08 — — —

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)
3.41
hrs / resident / day
RN (weekend)
0.42
hrs / resident / day
Total nurse (adjusted, weekend)
3.23
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
51.7%
annual
RN turnover
66.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.45
higher acuity than avg
Case-Mix Index Ratio
1.05
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) 2025-11-25 3 3 0 24 1 24
Cycle 2/3 (prior) 2024-10-18 11 8 3 80 1 80
Total weighted health score
38.0
lower is better

Deficiencies (44)

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).

1 A/B/C No actual harm — minor
37 D/E/F Actual harm — potential for minor
4 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2025-11-25 2025-12-10
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 2025-11-25 2025-12-10
0880 Provide and implement an infection prevention and control program. E 2025-11-25 2025-12-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. G 2025-01-06 2024-12-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-01-06 2024-12-19
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-10-18 2024-10-30
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-10-18 2024-10-30
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-10-18 2024-10-30
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-10-18 2024-10-30
0610 Respond appropriately to all alleged violations. D 2024-10-18 2024-10-30
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-10-18 2024-10-30
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 2024-10-18 2024-10-30
0880 Provide and implement an infection prevention and control program. D 2024-10-18 2024-10-30
0578 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. D 2023-09-14 2023-09-26
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. B 2023-09-14 2023-09-26
0583 Keep residents' personal and medical records private and confidential. E 2023-09-14 2023-09-26
0585 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. D 2023-09-14 2023-10-23
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2023-09-14 2023-10-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-09-14 2023-10-23
0610 Respond appropriately to all alleged violations. D 2023-09-14 2023-10-23
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-09-14 2023-09-22
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-09-14 2023-09-19
0658 Ensure services provided by the nursing facility meet professional standards of quality. J 2023-09-14 2023-09-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-09-14 2023-09-22
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 2023-09-14 2023-09-19
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. J 2023-09-14 2023-09-17
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-09-14 2023-09-19
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. D 2023-09-14 2023-09-26
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. H 2023-09-14 2023-10-13
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2023-09-14 2023-09-19
0760 Ensure that residents are free from significant medication errors. E 2023-09-14 2023-10-02
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-09-14 2023-10-02
0838 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. E 2023-09-14 2023-09-19
0849 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. E 2023-09-14 2023-09-19
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 2023-09-14 2023-09-29
0880 Provide and implement an infection prevention and control program. F 2023-09-14 2023-10-23
0881 Implement a program that monitors antibiotic use. E 2023-09-14 2023-09-26
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2023-09-14 2023-09-26
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2023-09-14 2023-09-19
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. E 2023-09-14 2023-09-19
0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F 2023-09-14 2023-09-19
0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F 2023-09-14 2023-09-19
0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment. F 2023-09-14 2023-09-19
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-07-13 2023-08-05

Penalties (2)

Fines issued
2
last 3 years
Total fines
$114,868
Date Type Fine amount
2025-01-06 Fine $10,868
2023-09-14 Fine $104,000

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 8.0% Medicaid 85.0% Other 7.1%

Operating performance

Operating Margin
-14.2%
Total Margin
-11.8%
Occupancy Rate
79.1%
Cost per Resident Day
$34

Revenue & costs

Net Patient Revenue
$8.8M
Total Costs
$832K
Net Income
-$1.1M

Balance sheet

Total Assets
$1.3M
Total Liabilities
$3.3M
Fund Balance
-$2.1M
Current Ratio
1.29

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
ROYAL NORWELL NURSING & REHABILITATION CENTER LLC
Chain-average star ratings (for peer context)
Overall
3.3
Health
3.3
Staffing
2.3
QM
3.3

Owner / manager individuals (2)

Name Role Association
MAMARY, JAMES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/01/2013
CELORIER, KRISTIE W-2 MANAGING EMPLOYEE since 07/02/2018

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 ($) $34 metrics.cost_per_resident_day
Cost Report Current Ratio 1.29 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 85.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 8.0% metrics.medicare_day_share
Cost Report Net Income ($) $-1,065,988 metrics.net_income
Cost Report Net Patient Revenue ($) $8,833,853 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 79.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -14.2% metrics.operating_margin
Cost Report Total Assets ($) $1,269,642 metrics.total_assets
Cost Report Total Costs ($) $832,226 metrics.total_costs
Cost Report Total Fund Balances ($) $-2,074,757 metrics.fund_balance
Cost Report Total Liabilities ($) $3,344,399 metrics.total_liabilities
Cost Report Total Margin (%) -11.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.06560 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.83432 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.89673 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.79665 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.23002 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 70.6 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 0.90579 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.46174 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71396 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.08150 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.59741 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 NORWELL City/Town
Provider Information CMS Certification Number (CCN) 225482 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Plymouth 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 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 42.1626 Latitude
Provider Information Legal Business Name ROYAL NORWELL NURSING & REHABILITATION CENTER LLC Legal Business Name
Provider Information Location 329 WASHINGTON STREET,NORWELL,MA,02061 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -70.865 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 86 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 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.44589 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.04954 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company 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 329 WASHINGTON 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 NORWELL NURSING & REHABILITATION CENTER LLC Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 150 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 24 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 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-11-25 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 24 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 8 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-10-18 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 80 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 3 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 80 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 11 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.42374 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 66.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.07444 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12648 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.93911 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07798 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.94796 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 4.01356 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 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MA State
Provider Information Telephone Number 7816594901 Telephone Number
Provider Information Total Amount of Fines in Dollars 114868.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.41455 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 51.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 38.000 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 02061 ZIP Code