Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SOUTHWOOD AT NORWELL NURSING CTR

NORWELL, MA · 142 certified beds · Last Life Safety survey January 2, 2026

CMS Certification Number 225597 · first certified October 1993

Ownership

Independently operated (no chain recorded by CMS) · For profit - Partnership

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MA

18 citations — more than 74% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was January 2026. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 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 three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

4 of the 18 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation 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 18 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

This facility18MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
02023-09112024-1272026-01
Citations at each Life Safety survey
Survey dateCitations
September 29, 20230
December 4, 202411
January 2, 20267

Most-cited tags

Most-cited tags at this facility
K-03411K-07111E-00291K-09181E-00041K-03531K-05111K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0341Install a fire alarm system that can be heard throughout the facility.12024-12-04
K-0711Provide a written emergency evacuation plan.12026-01-02
E-0029Develop a communication plan.12024-12-04
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-12-04
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-12-04
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-01-02
K-0511Have properly installed electrical wiring and gas equipment.12024-12-04
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-01-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Services Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies1
Miscellaneous Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 2, 2026 — 7 citations

Citations issued on January 2, 2026
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (March 20, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 20, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 20, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 20, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 20, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 20, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 20, 2026)

December 4, 2024 — 11 citations

Citations issued on December 4, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 31, 2025)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (January 31, 2025)
E-0029Develop a communication plan.Deficient, Provider has date of correction (January 31, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (January 31, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 31, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (January 31, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 31, 2025)
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Deficient, Provider has date of correction (January 31, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 31, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (January 31, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 31, 2025)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.