| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E2 | F1 |
| Minimal | A· | B· | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 18, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 18, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| May 28, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 28, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jul 24, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jul 24, 2024 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 24, 2024 | Civil money penalty (fine) | $10,725 | — | 225591|Fine|3830 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E2 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 18, 2026 | 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 Jul 25, 2026 | |
| May 18, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 5, 2026 | |
| May 18, 2026 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
12 facilities in 2 states. CMS chain ID 457.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Mamary | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jun 16, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Mamary | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jun 16, 2016 |
| James Mamary | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 16, 2016 |
| Facility | Beds | CMS overall | 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Beaumont Rehab & Skilled Nursing Ctr - Natick 3 Vision Drive, Natick, MA 01760 CCN 225727 | 1.8 km | 53 | Apr 6, 2026 | 312 harm2 open | $11k | |
| Eliot Center for Health and Rehabilitation 168 West Central Street, Natick, MA 01760 CCN 225516 | 4.2 km | 114 | Jun 9, 2026 | 46 | — | |
| Mary Ann Morse Nursing & Rehabilitation 45 Union Street, Natick, MA 01760 CCN 225555 | 4.5 km | 124 | May 20, 2026 | 181 harm | — | |
| Adviniacare Newton Wellesley 694 Worcester Road, Wellesley, MA 02181 CCN 225222 | 5.5 km | 110 | Dec 31, 2025 | 604 harm | $132k | |
| St Patrick's Manor 863 Central Street, Framingham, MA 01701 CCN 225430 | 5.6 km | 333 | May 12, 2026 | 293 harm | $19k | |
| Oak Knoll Rehabilitation and Healthcare Center 9 Arbetter Drive, Framingham, MA 01701 CCN 225682 | 5.6 km | 123 | Feb 13, 2026 | 362 IJ | $212k | |
| Regalcare at Sudbury 136 Boston Post Road, Sudbury, MA 01776 CCN 225710 | 5.7 km | 142 | Mar 5, 2026 | 491 harm | $16k | |
| Casa De Ramana Rehabilitation Center 485 Franklin Street, Framingham, MA 01702 CCN 225179 | 6.3 km | 124 | Mar 5, 2026 | 241 harm | $8,512 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 225591 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 225591 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration |
| E · Potential harm Pattern |
| Corrected Jun 5, 2026 |
| Jul 24, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 2, 2024 |
| Jul 24, 2024 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2024 |
| Jul 24, 2024 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2024 |
| Jul 24, 2024 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2024 |
| Jul 24, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Jul 24, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Jul 24, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Jul 24, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Jul 24, 2024 | 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 Aug 2, 2024 |
| Jul 24, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 24, 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 | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 24, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 2, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.37 (case-mix index 1.39).
| 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 Wood Mill Nursing and Rehabilitation Center 800 Essex Street, Lawrence, MA 01841 CCN 225505 | 94 | Mar 25, 2026 | 352 harm | — |
| 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 Megansett Nursing and Rehabilitation Center 209 County Road Box 408, N Falmouth, MA 02556 CCN 225679 | 90 | May 20, 2026 | 13 | — |