{"schema_version":"1.0.0","facility":{"id":"cms-225482","ccn":"225482","name":"Royal Norwell Nursing and Rehabilitation Center","source_name":"Royal Norwell Nursing and Rehabilitation Center","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MA","address":{"line1":"329 Washington Street","city":"Norwell","state":"MA","zip":"02061","county_name":"Plymouth County","county_fips":"25023","county_method":"name_match","ssa_county_code":"150","urban":true},"location":{"lat":42.1626,"lon":-70.865,"method":"cms_published_coordinates"},"phone":"7816594901","certification":{"authority":"CMS","ccn":"225482","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1990-07-01","certified_beds":86,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/225482"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":86,"avg_residents_per_day":71.8},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"ROYAL NORWELL NURSING & REHABILITATION CENTER LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":3},"quality_measures":{"value":3},"long_stay_qm":{"value":3},"short_stay_qm":{"value":4},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.81602,"lpn_hprd":0.95331,"rn_hprd":0.89428,"licensed_hprd":1.84759,"total_nurse_hprd":3.6636,"weekend_total_nurse_hprd":3.24158,"weekend_rn_hprd":0.58744,"pt_hprd":0.07049,"nursing_turnover_pct":56.6,"rn_turnover_pct":60.9,"administrators_left":0,"case_mix_index":1.42632,"case_mix_index_ratio":1.01139,"case_mix_total_nurse_hprd":3.9453,"adjusted_total_nurse_hprd":3.59391,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-11-25","cycle1_deficiencies":3,"cycle1_score":24,"cycle2_date":"2024-10-18","cycle23_deficiencies":10,"cycle23_score":76,"total_weighted_score":37},"cms_penalty_counts":{"fines":1,"fine_total":10868,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-457","cms_chain_id":"457","name":"ROYAL HEALTH GROUP"},"operator_id":"op-royal-norwell-nursing-and-rehabilitation-center-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/225482","provenance":[{"source_id":"cms_provider_info","source_record_id":"225482","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"225482","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2025-11-25","latest_standard_health":"2025-11-25","earliest_date":"2023-09-14","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":52,"health_count":43,"fire_count":9,"open_count":0,"actual_harm_count":4,"immediate_jeopardy_count":2,"serious_count":6,"complaint_count":2,"by_severity":{"potential":42,"minimal":4,"actual_harm":4,"immediate_jeopardy":2},"by_scope_severity":{"F":9,"D":20,"C":3,"E":13,"G":3,"J":2,"H":1,"B":1},"by_concept":{"environment_life_safety":10,"clinical_care":11,"medication":4,"infection_prevention":5,"resident_rights":12,"staffing":2,"food_nutrition":1,"administration":7},"type_ids":["cms-k0300","cms-k0351","cms-k0711","cms-k0324","cms-k0341","cms-k0712","cms-k0918","cms-f0658","cms-f0761","cms-f0880","cms-f0656","cms-f0689","cms-k0372","cms-k0754","cms-f0550","cms-f0558","cms-f0607","cms-f0609","cms-f0610","cms-f0694","cms-f0726","cms-f0812","cms-f0867","cms-f0941","cms-f0944","cms-f0949","cms-f0583","cms-f0756","cms-f0760","cms-f0838","cms-f0849","cms-f0881","cms-f0883","cms-f0925","cms-f0940","cms-f0578","cms-f0585","cms-f0655","cms-f0690","cms-f0695","cms-f0712","cms-f0582"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":10868,"payment_denials":0,"latest_date":"2025-01-06"},"ownership_summary":{"disclosures":2,"organizations":0,"individuals":2,"not_available":false}},"row":{"id":"cms-225482","ccn":"225482","name":"Royal Norwell Nursing and Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MA","city":"Norwell","zip":"02061","county_fips":"25023","county_name":"Plymouth County","address":"329 Washington Street","beds":86,"residents":71.8,"ownership":"for_profit","operator_id":"op-royal-norwell-nursing-and-rehabilitation-center-llc","operator_name":"Royal Norwell Nursing & Rehabilitation Center LLC","chain_id":"cms-chain-457","chain_name":"Royal Health Group","lat":42.1626,"lon":-70.865,"overall":3,"health_rating":3,"staffing_rating":3,"qm_rating":3,"nurse_hprd":3.66,"turnover":56.6,"inspections":7,"last_inspection":"2025-11-25","deficiencies":52,"serious":6,"ij":2,"open":0,"penalties":1,"fines_total":10868,"deficiency_type_ids":["cms-k0300","cms-k0351","cms-k0711","cms-k0324","cms-k0341","cms-k0712","cms-k0918","cms-f0658","cms-f0761","cms-f0880","cms-f0656","cms-f0689","cms-k0372","cms-k0754","cms-f0550","cms-f0558","cms-f0607","cms-f0609","cms-f0610","cms-f0694","cms-f0726","cms-f0812","cms-f0867","cms-f0941","cms-f0944","cms-f0949","cms-f0583","cms-f0756","cms-f0760","cms-f0838","cms-f0849","cms-f0881","cms-f0883","cms-f0925","cms-f0940","cms-f0578","cms-f0585","cms-f0655","cms-f0690","cms-f0695","cms-f0712","cms-f0582"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-royal-norwell-nursing-and-rehabilitation-center-llc","name":"Royal Norwell Nursing & Rehabilitation Center LLC","legal_name":"ROYAL NORWELL NURSING & REHABILITATION CENTER LLC","facility_count":1,"states":["MA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-457","name":"Royal Health Group","cms_chain_id":"457","facility_count":12,"states":["MA","RI"],"cms_reported":{"facility_count":12,"avg_overall_rating":3.2,"avg_health_inspection_rating":3.2,"avg_staffing_rating":2.5,"avg_qm_rating":3.1}},"ownership":[{"owner_type":"individual","owner_name":"James Mamary","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2013-12-01","owner_name_raw":"MAMARY, JAMES"},{"owner_type":"individual","owner_name":"Kristie Celorier","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2018-07-02","owner_name_raw":"CELORIER, KRISTIE"}],"inspections":[{"id":"cms-225482-20251125-fire","ccn":"225482","date":"2025-11-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0300","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-21","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-20","std":1,"tv":"New"},{"t":"cms-k0351","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-23","std":1,"tv":"New"},{"t":"cms-k0711","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-23","std":1,"tv":"New"},{"t":"cms-k0341","ss":"C","sl":1,"cs":"corrected","cd":"2026-01-21","std":1,"tv":"New"},{"t":"cms-k0712","ss":"C","sl":1,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0918","ss":"C","sl":1,"cs":"corrected","cd":"2026-01-21","std":1,"tv":"New"}]},{"id":"cms-225482-20251125-health","ccn":"225482","date":"2025-11-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-10","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-10","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-10","std":1}]},{"id":"cms-225482-20250106-health","ccn":"225482","date":"2025-01-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2024-12-19","cmp":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2024-12-19","cmp":1}]},{"id":"cms-225482-20241018-fire","ccn":"225482","date":"2024-10-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0372","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-02","std":1,"tv":"New"},{"t":"cms-k0754","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-02","std":1,"tv":"New"}]},{"id":"cms-225482-20241018-health","ccn":"225482","date":"2024-10-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1},{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-30","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-30","std":1}]},{"id":"cms-225482-20230914-fire","ccn":"225482","date":"2023-09-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-225482-20230914-health","ccn":"225482","date":"2023-09-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":30,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0658","ss":"J","sl":4,"cs":"corrected","cd":"2023-09-17","std":1},{"t":"cms-f0694","ss":"J","sl":4,"cs":"corrected","cd":"2023-09-17","std":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2023-09-22","std":1},{"t":"cms-f0726","ss":"H","sl":3,"cs":"corrected","cd":"2023-10-13","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0583","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-23","std":1},{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-23","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-23","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-23","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-22","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0712","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-02","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-02","std":1},{"t":"cms-f0838","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0849","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0867","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-29","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0883","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0925","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0940","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0941","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0944","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0949","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-19","std":1},{"t":"cms-f0582","ss":"B","sl":1,"cs":"corrected","cd":"2023-09-26","std":1}]}],"deficiency_types":{"cms-k0300":{"code":"K-0300","title":"Meet other general requirements that are deficient.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0754":{"code":"K-0754","title":"Provide properly sized and located linen or trash receptacles.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0726":{"code":"F-0726","title":"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.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0941":{"code":"F-0941","title":"Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0944":{"code":"F-0944","title":"Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0949":{"code":"F-0949","title":"Provide behavior health training consistent with the requirements and as determined by a facility assessment.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0583":{"code":"F-0583","title":"Keep residents' personal and medical records private and confidential.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0838":{"code":"F-0838","title":"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.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0849":{"code":"F-0849","title":"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.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0883":{"code":"F-0883","title":"Develop and implement policies and procedures for flu and pneumonia vaccinations.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0940":{"code":"F-0940","title":"Develop, implement, and/or maintain an effective training program for all new and existing staff members.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0578":{"code":"F-0578","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0585":{"code":"F-0585","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0712":{"code":"F-0712","title":"Ensure that the resident and his/her doctor meet face-to-face at all required visits.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"}},"penalties":[{"id":"cms-225482-pen-f3867","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-01-06","amount":10868,"fine_id":"3867","evidence_class":"VERIFIED","source_record_id":"225482|Fine|3867"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225482&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MA","overall_rating":3.1,"health_inspection_rating":3,"qm_rating":3.3,"staffing_rating":3.1,"avg_residents_per_day":97.6,"cycle1_health_deficiencies":6.4,"cycle1_fire_deficiencies":3.9,"nurse_aide_hprd":2.31,"lpn_hprd":0.97,"rn_hprd":0.65518,"licensed_hprd":1.63,"total_nurse_hprd":3.93743,"weekend_total_nurse_hprd":3.5165,"weekend_rn_hprd":0.46,"pt_hprd":0.08,"nursing_turnover_pct":37.6,"rn_turnover_pct":42.7,"administrators_left":0.4,"case_mix_index":1.40112,"fines":0.7,"fine_amount":33030,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MA","name":"Massachusetts"},"county":{"fips":"25023","name":"Plymouth County"},"zip":"02061","city":"Norwell"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-225058","ccn":"225058","name":"Royal Braintree Nursing and Rehabilitation Center","address":"95 Commercial Street","city":"Braintree","state":"MA","zip":"02184","beds":204,"overall":2,"inspections":9,"last_inspection":"2026-02-11","deficiencies":56,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225117","ccn":"225117","name":"Royal Fairhaven Nursing and Rehabilitation Center","address":"184 Main Street","city":"Fairhaven","state":"MA","zip":"02719","beds":107,"overall":3,"inspections":6,"last_inspection":"2026-05-08","deficiencies":6,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225459","ccn":"225459","name":"Royal Falmouth Nursing and Rehabilitation Center","address":"359 Jones Rd","city":"Falmouth","state":"MA","zip":"02540","beds":121,"overall":3,"inspections":8,"last_inspection":"2025-12-18","deficiencies":41,"serious":1,"ij":0,"open":0,"fines_total":8278,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225478","ccn":"225478","name":"Royal Meadow View Nursing and Rehabilitation Cente","address":"134 North Street","city":"North Reading","state":"MA","zip":"01864","beds":113,"overall":4,"inspections":8,"last_inspection":"2026-06-08","deficiencies":60,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225505","ccn":"225505","name":"Royal Wood Mill Nursing and Rehabilitation Center","address":"800 Essex Street","city":"Lawrence","state":"MA","zip":"01841","beds":94,"overall":3,"inspections":9,"last_inspection":"2026-03-25","deficiencies":35,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225538","ccn":"225538","name":"Royal Cape Cod Nursing and Rehabilitation Center","address":"8 Lewis Point Road","city":"Buzzards Bay","state":"MA","zip":"02532","beds":99,"overall":3,"inspections":8,"last_inspection":"2026-01-20","deficiencies":19,"serious":1,"ij":0,"open":0,"fines_total":9004,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225591","ccn":"225591","name":"Royal Wayland Nursing and Rehabilitation Center","address":"188 Commonwealth Road","city":"Wayland","state":"MA","zip":"01778","beds":40,"overall":5,"inspections":6,"last_inspection":"2026-05-18","deficiencies":15,"serious":1,"ij":0,"open":0,"fines_total":10725,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-225679","ccn":"225679","name":"Royal Megansett Nursing and Rehabilitation Center","address":"209 County Road Box 408","city":"N Falmouth","state":"MA","zip":"02556","beds":90,"overall":4,"inspections":6,"last_inspection":"2026-05-20","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":11,"same_site_review":[],"nearby":[{"id":"cms-225597","ccn":"225597","name":"Southwood at Norwell Nursing Ctr","address":"501 Cordwainer Drive","city":"Norwell","state":"MA","zip":"02061","beds":142,"overall":5,"inspections":6,"last_inspection":"2026-01-02","deficiencies":27,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.4},{"id":"cms-225254","ccn":"225254","name":"Queen Anne Nursing Home, Inc","address":"50 Recreation Park Drive","city":"Hingham","state":"MA","zip":"02043","beds":106,"overall":5,"inspections":7,"last_inspection":"2025-06-11","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.7},{"id":"cms-225773","ccn":"225773","name":"Linden Ponds","address":"400 Linden Ponds Way","city":"Hingham","state":"MA","zip":"02043","beds":132,"overall":4,"inspections":8,"last_inspection":"2026-04-30","deficiencies":6,"serious":2,"ij":0,"open":0,"fines_total":8278,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.2},{"id":"cms-225184","ccn":"225184","name":"Webster Park Rehabilitation and Healthcare Center","address":"56 Webster Street","city":"Rockland","state":"MA","zip":"02370","beds":110,"overall":5,"inspections":6,"last_inspection":"2026-04-06","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.3},{"id":"cms-225215","ccn":"225215","name":"Southshore Health Care Center","address":"115 North Avenue","city":"Rockland","state":"MA","zip":"02370","beds":96,"overall":1,"inspections":12,"last_inspection":"2026-04-13","deficiencies":61,"serious":1,"ij":0,"open":0,"fines_total":26395,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.7},{"id":"cms-225739","ccn":"225739","name":"Dwyer Home","address":"25 Stonehaven Drive","city":"Weymouth","state":"MA","zip":"02190","beds":50,"overall":5,"inspections":6,"last_inspection":"2026-02-04","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.8},{"id":"cms-225634","ccn":"225634","name":"Care One at Weymouth","address":"64 Performance Drive","city":"Weymouth","state":"MA","zip":"02189","beds":154,"overall":3,"inspections":10,"last_inspection":"2026-07-14","deficiencies":32,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.5},{"id":"cms-225435","ccn":"225435","name":"Colony Center for Health and Rehabilitation","address":"277 Washington Street","city":"Abington","state":"MA","zip":"02351","beds":92,"overall":1,"inspections":9,"last_inspection":"2026-06-01","deficiencies":60,"serious":3,"ij":0,"open":0,"fines_total":65923,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":9.8}]}}