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Royal Norwell Nursing & Rehabilitation Center LLC

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About Royal Norwell Nursing & Rehabilitation Center LLC

General Information

Legal Business NameRoyal Norwell Nursing & Rehabilitation Center LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1990 (26 years)
Capacity86
Residents69
Percent Occupied80%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Royal Norwell Nursing & Rehabilitation Center LLC

Royal Norwell Nursing & Rehabilitation Center LLC
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Massachusetts Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 24, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.

July 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
CManyPotential for Minimal HarmFire Safety InspectionProperly maintained smoke detectors.
CManyPotential for Minimal HarmFire Safety InspectionProperly installed electrical wiring and equipment.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
CManyPotential for Minimal HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
CManyPotential for Minimal HarmFire Safety InspectionProperly sized and located compartments to protect residents from smoke.
CManyPotential for Minimal HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
CManyPotential for Minimal HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProperly constructed linen or trash chutes.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
BSomePotential for Minimal HarmFire Safety InspectionProper medical gas storage and administration areas.
BSomePotential for Minimal HarmFire Safety InspectionCorridor and hallway doors that block smoke.

July 1, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,500 fine
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionGive the resident's representative the ability to exercise the resident's rights.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Royal Norwell Nursing & Rehabilitation Center LLC require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 30min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
55min
1hr 5min
ReportedExpected
RN
3hr 60min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.2%
98.4%
98.4%
96.7%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
98.0%
98.2%
94.3%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
52.5%
Q1 2015Q2 2015Q3 2015MA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
19.6%
22.0%
24.1%
19.3%
Q1 2015Q2 2015Q3 2015MA
Received an Antipsychotic Medication
7.3%
17.9%
7.0%
15.0%
Q1 2015Q2 2015Q3 2015MA
Need for Help with ADLs has Increased
0.0%
2.3%
2.1%
5.7%
Q1 2015Q2 2015Q3 2015MA
Self Report Moderate to Severe Pain
8.9%
9.8%
9.4%
6.7%
Q1 2015Q2 2015Q3 2015MA
Lose Too Much Weight
6.1%
7.5%
7.3%
4.8%
Q1 2015Q2 2015Q3 2015MA
High Risk Residents With Pressure Ulcers
9.3%
2.2%
2.0%
3.5%
Q1 2015Q2 2015Q3 2015MA
Have Depressive Symptoms
8.9%
3.9%
5.7%
4.6%
Q1 2015Q2 2015Q3 2015MA
With a Urinary Tract Infection
5.3%
3.9%
1.8%
3.0%
Q1 2015Q2 2015Q3 2015MA
Experiencing One or More Falls with Major Injury
4.3%
5.2%
8.0%
2.6%
Q1 2015Q2 2015Q3 2015MA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015MA
Were Physically Restrained

Quality Measures for Short Stay Residents

96.4%
96.4%
96.3%
82.4%
Q1 2015Q2 2015Q3 2015MA
Assessed and Appropriately Given the Pneumococcal Vaccine
96.4%
96.4%
96.4%
85.2%
Q1 2015Q2 2015Q3 2015MA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
11.0%
6.3%
12.4%
17.5%
Q1 2015Q2 2015Q3 2015MA
Self Report Moderate to Severe Pain
1.6%
0.0%
3.0%
1.7%
Q1 2015Q2 2015Q3 2015MA
Newly Received an Antipsychotic Medication
0.6%
3.2%
0.7%
1.2%
Q1 2015Q2 2015Q3 2015MA
With Pressure Ulcers That Are New or Worsened