Royal Wood Mill Nursing and Rehabilitation Center — nursing home in Lawrence, MA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 94 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 64.9 CMS, MDS-derived
CMS Certification Number: 225505
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1990
Ownership type: For profit - Limited Liability company
Operator (legal business name): Lown Acquisition LLC
CMS chain: Royal Health Group 12 facilities
Phone: (978) 289-5048
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Mar 25, 2026

Citations

35

26 health · 9 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D16	E7	F9
Minimal	A·	B1	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 225505
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 94
First approved: Jul 1, 1990
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Massachusetts.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 25, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 25, 2026	Health	Health Standard	1	Potential harm	—	Open →
Mar 9, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 9, 2025	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Apr 9, 2025	Health	Health Standard	12	Potential harm	—	Open →
Apr 22, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Apr 22, 2024	Health	Health Standard	9	Potential harm	—	Open →
Apr 9, 2024	Health	Health Complaint	2	Actual harm	—	Open →
Dec 12, 2023	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D16	E7	F9
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 25, 2026	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 7, 2026
Mar 25, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 17, 2026
Mar 25, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2026
Mar 9, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance Feb 1, 2026	Complaint
Apr 9, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2025
Apr 9, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2025
Apr 9, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2025
Apr 9, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2025
Apr 9, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2025
Apr 9, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2025
Apr 9, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2025
Apr 9, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-0626	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 2, 2025
Apr 9, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 2, 2025
Apr 9, 2025	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 2, 2025
Apr 9, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 2, 2025
Apr 9, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 2, 2025
Apr 22, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 29, 2024
Apr 22, 2024	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 29, 2024
Apr 22, 2024	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 29, 2024
Apr 22, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 29, 2024
Apr 22, 2024	F-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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 22, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 1, 2024
Apr 22, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 29, 2024
Apr 22, 2024	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 22, 2024	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Apr 29, 2024
Apr 9, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 25, 2024	Complaint
Apr 9, 2024	F-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. Pharmacy Service Deficiencies · Medication management	G · Actual harm Isolated	Corrected Apr 25, 2024	Complaint
Dec 12, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 12, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 3.1

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.45

State avg 3.94US avg 3.90

Registered nurse (RN)0.51

State avg 0.66US avg 0.69

Licensed practical nurse1.05

State avg 0.97US avg 0.86

Nurse aide1.89

State avg 2.31US avg 2.35

Weekend total nurse3.02

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.88 (case-mix index 1.67).

Staff turnover

Total nursing staff turnover50.0%

State avg 37.6%US avg 45.3%

Registered nurse turnover25.0%

State avg 42.7%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Mar 25, 2026
Cycle 1 health score: 8
Total weighted score: 33

Operating entity

Lown Acquisition LLC

CMS legal business name of the certified provider. Operates 2 facilities.

VerifiedLinked by exact legal name

CMS chain

Royal Health Group

12 facilities in 2 states. CMS chain ID 457.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

2

Organizations

0

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Mamary	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	45%	Mar 12, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Mamary	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	45%	Mar 12, 2017
James Mamary	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Mar 12, 2017

Other facilities operated by Lown Acquisition LLC

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Royal Meadow View Nursing and Rehabilitation Cente 134 North Street, North Reading, MA 01864 CCN 225478	113		Jun 8, 2026	60	—

Same chain in Massachusetts

All 11 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Royal Braintree Nursing and Rehabilitation Center 95 Commercial Street, Braintree, MA 02184 CCN 225058	204	Feb 11, 2026	56	—
Royal Fairhaven Nursing and Rehabilitation Center 184 Main Street, Fairhaven, MA 02719 CCN 225117	107	May 8, 2026	6	—
Royal Falmouth Nursing and Rehabilitation Center 359 Jones Rd, Falmouth, MA 02540 CCN 225459	121	Dec 18, 2025	411 harm	$8,278
Royal Meadow View Nursing and Rehabilitation Cente 134 North Street, North Reading, MA 01864 CCN 225478	113	Jun 8, 2026	60	—
Royal Norwell Nursing and Rehabilitation Center 329 Washington Street, Norwell, MA 02061 CCN 225482	86	Nov 25, 2025	522 IJ4 harm	$11k
Royal Cape Cod Nursing and Rehabilitation Center 8 Lewis Point Road, Buzzards Bay, MA 02532 CCN 225538	99	Jan 20, 2026	191 harm	$9,004
Royal Wayland Nursing and Rehabilitation Center 188 Commonwealth Road, Wayland, MA 01778 CCN 225591	40	May 18, 2026	151 harm	$11k
Royal Megansett Nursing and Rehabilitation Center 209 County Road Box 408, N Falmouth, MA 02556 CCN 225679	90	May 20, 2026	13	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 800 Essex Street, Lawrence, MA 01841
ZIP: 01841
County: Essex County FIPS 25009
State: Massachusetts
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
M I Nursing & Restorative Center 172 Lawrence Street, Lawrence, MA 01841 CCN 225154	1.7 km	250	Jan 29, 2026	541 harm	$9,110
Nevins Nursing & Rehabilitation Center Ten Ingalls Court, Methuen, MA 01844 CCN 225409	3 km	153	Jan 7, 2026	452 harm	$9,318
Cedar View Rehabilitation and Healthcare Center 480 Jackson Street, Methuen, MA 01844 CCN 225333	3.8 km	106	Jan 14, 2026	18	—
Prescott House 140 Prescott Street, North Andover, MA 01845 CCN 225510	4.7 km	126	Jan 21, 2026	671 harm	$10k
The Meadows 575 Osgood Street, North Andover, MA 01845 CCN 225724	5.1 km	60	Jun 24, 2026	6	—
Andover Manor Rehab and Nursing 89 Morton Street, Andover, MA 01810 CCN 225294	6.5 km	174	Jan 15, 2026	77	—
Vantage at Andover LLC 80 Andover Street, Andover, MA 01810 CCN 225558	7.2 km	135	Aug 21, 2025	43	—
Whittier Bradford Transitional Care Unit 145 Ward Hill Avenue, Bradford, MA 01835 CCN 225783	8.3 km	20	Jul 24, 2025	11	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	225505	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	225505	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 225505

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction