Royal Norwell Nursing & Rehabilitation Center LLC

CMS star ratings

Overall★★★★★ 3/5

State avg 3.0

Health inspections★★★★★ 3/5

State avg 3.0

Staffing★★★★★ 3/5

State avg 3.1

Quality measures★★★★★ 4/5

State avg 3.3

Long-stay quality★★★★★ 3/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.68 (state 3.86 · U.S. 3.86)
Registered nurses (RN): 0.90 (state 0.65 · U.S. 0.69)
Licensed practical nurses: 0.94 (state 0.95 · U.S. 0.86)
Nurse aides: 1.84 (state 2.26 · U.S. 2.32)
Weekend total: 3.32 (state 3.48 · U.S. 3.42)
Nursing staff turnover: 53.8 (state 38.2 · U.S. 45.8)%
RN turnover: 66.7 (state 42.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: November 25, 2025
Health deficiencies (last cycle): 3.0 (state 7.2 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 43 health · 9 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2025-11-25	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-12-10
2025-11-25	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. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-12-10
2025-11-25	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-12-10
2025-01-06	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	G Actual harm	Corrected 2024-12-19
2025-01-06	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2024-12-19
2024-10-18	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-10-18	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-10-18	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-10-18	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-10-18	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-10-18	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-10-18	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-10-18	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2023-09-14	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2023-09-17
2023-09-14	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2023-09-17
2023-09-14	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. F0726 · Nursing and Physician Services Deficiencies	H Actual harm	Corrected 2023-10-13
2023-09-14	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2023-09-22
2023-09-14	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-10-02
2023-09-14	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-09-29
2023-09-14	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-10-23
2023-09-14	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-26
2023-09-14	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-10-02
2023-09-14	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. F0838 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	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. F0849 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-26
2023-09-14	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-26
2023-09-14	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	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. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-26
2023-09-14	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. F0585 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-23
2023-09-14	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-23
2023-09-14	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-23
2023-09-14	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-10-23
2023-09-14	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-22
2023-09-14	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-09-14	Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-09-26
2023-09-14	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2023-09-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $114,868 in fines.

Date	Type	Amount
2025-01-06	Fine	$10,868
2023-09-14	Fine	$104,000

Ownership & management

Name	Role	Since
Mamary, James (individual)	5%+ Direct Ownership Interest · 100%
Celorier, Kristie (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Royal Norwell Nursing & Rehabilitation Center LLC?

Royal Norwell Nursing & Rehabilitation Center LLC has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.

How many beds does Royal Norwell Nursing & Rehabilitation Center LLC have?

It has 86 certified beds and cares for about 76 residents per day.

Has Royal Norwell Nursing & Rehabilitation Center LLC been fined?

Yes. CMS lists 2 penalties totaling $114,868 in the last three years.

Who owns Royal Norwell Nursing & Rehabilitation Center LLC?

It is part of Royal Health Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Royal Norwell Nursing & Rehabilitation Center LLC?

(781) 659-4901. The facility is located at 329 Washington Street, Norwell, MA 02061.

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Contact & location

Facility details