Facility profile · CCN 225482
Royal Norwell Nursing & Rehabilitation Center Llc
44 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $114,868.
Record summary
Federal record · Q1 202644
Total citations
44
Last 3 years
6
Actual harm+
2
Federal penalties
$114,868
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 25, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 25, 2025 | F761 | 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. | E | Standard |
| Nov 25, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jan 6, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 6, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint |
| Oct 18, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 18, 2024 | F761 | 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. | D | Standard |
| Oct 18, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Oct 18, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Oct 18, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Oct 18, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Oct 18, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Oct 18, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Sep 14, 2023 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard |
| Sep 14, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard |
| Sep 14, 2023 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Standard |
| Sep 14, 2023 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard |
| Sep 14, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Sep 14, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Sep 14, 2023 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Sep 14, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Sep 14, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Sep 14, 2023 | F849 | 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. | E | Standard |
| Sep 14, 2023 | F838 | 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. | E | Standard |
| Sep 14, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 14, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Sep 14, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Sep 14, 2023 | F726 | 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. | H | Standard |
| Sep 14, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Sep 14, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 14, 2023 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | J | Standard |
| Sep 14, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Sep 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Sep 14, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Standard |
| Sep 14, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 14, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Sep 14, 2023 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Sep 14, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Sep 14, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Sep 14, 2023 | F585 | 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. | D | Standard |
| Sep 14, 2023 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Sep 14, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| Sep 14, 2023 | F578 | 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. | D | Standard |
| Jul 13, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $114,868 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 6, 2025 | Fine | $10,868 | — |
| Sep 14, 2023 | Fine | $104,000 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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