Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Royal Norwell Nursing and Rehabilitation Center
NORWELL, MA · 86 certified beds · Last Life Safety survey November 25, 2025
CMS Certification Number 225482 · first certified July 1990
Ownership
Operated by ROYAL HEALTH GROUP · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within MA
9 citations — more than 38% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 7 citations; the earlier surveys on file averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens November 2026. This facility’s last Life Safety survey was November 2025. Facilities in MA are typically surveyed 12–14 months after the last one (median 13), measured over 553 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
Get an email about Royal Norwell Nursing and Rehabilitation Center
One email when it happens. No account; stop it any time with one click.
Physical environment (health survey)
6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 9 |
| Median facility in MA | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| September 14, 2023 | 0 |
| October 18, 2024 | 2 |
| November 25, 2025 | 7 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | 1 | 2025-11-25 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2025-11-25 |
| K-0754 | Provide properly sized and located linen or trash receptacles. | 1 | 2024-10-18 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2025-11-25 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2025-11-25 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2025-11-25 |
| K-0300 | Meet other general requirements that are deficient. | 1 | 2025-11-25 |
| K-0711 | Provide a written emergency evacuation plan. | 1 | 2025-11-25 |
What the citations cover
- Smoke Deficiencies 4
- Miscellaneous Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Egress Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Miscellaneous Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 25, 2025 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (January 21, 2026) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (January 20, 2026) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (January 21, 2026) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (January 23, 2026) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (January 23, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (January 22, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 21, 2026) |
October 18, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (December 2, 2024) |
| K-0754 | Provide properly sized and located linen or trash receptacles. | Deficient, Provider has date of correction (December 2, 2024) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.