Royal Meadow View Center
134 North Street · North Reading, MA · 01864 · 9782762000
113 certified beds For profit - Corporation Chain: Royal Health Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (43 in the current record)
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Potential for harm · D January 31, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 7, 2025 · Resident Rights
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Potential for harm · D January 31, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · E January 31, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 31, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 31, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D January 31, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · D January 31, 2025
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.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · E January 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 7, 2025 · Nutrition and Dietary
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Potential for harm · D January 31, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 31, 2025
Provide and implement an infection prevention and control program.
Corrected March 7, 2025 · Infection Control
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Potential for harm · D March 15, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 6, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024 · found via complaint
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.
Corrected March 6, 2024 · Nursing and Physician Services
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Potential for harm · D February 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 29, 2024 · Resident Rights
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Potential for harm · E February 29, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 29, 2024 · Resident Rights
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Potential for harm · D February 29, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 29, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 29, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225478 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.