nursing home in Lawrence, MA

Royal Wood Mill Center

800 Essex Street, Lawrence, MA 01841 · (978) 289-5048

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★2
  • Quality measures★★★★★2

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Royal Wood Mill Center at a glance

Royal Wood Mill Center is a 94-bed for-profit nursing home in Lawrence, Massachusetts (Essex County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Massachusetts average of 3.

Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.9 hours.

Its most recent standard health inspection (March 25, 2026) found 2 health citations. The Massachusetts average is 6.8.

It has not received a federal fine in the past three years.

Nursing staff turnover is 50% per year (state average 38.2%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
94
Certified for
Medicare and Medicaid
Chain / affiliated entity
Royal Health Group
Medicare-certified since
July 1, 1990
Resident/family council
Resident
County
Essex County
CMS Certification Number
225505

Ratings

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 53 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)2 / 53.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53.3 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 53.4 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)2 / 53 / 53.3 / 5Worse

Staffing

This facility3.76 hrsMassachusetts average3.86 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.76 hrs3.86 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.57 hrs0.65 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.02 hrs2.25 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.23 hrs3.48 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)50%38.2%45.8%Worse
Registered nurse turnover (yearly) (lower is better)28.6%42.6%42.9%Better
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility2Massachusetts average7U.S. average9
Health citations in the most recent inspection: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)279Better
Citations from complaint investigations (latest cycle) (lower is better)113Better
Weighted health inspection score ⓘ (lower is better)3351.880.6Better

Penalties

This facility0Massachusetts average1U.S. average1
Fines in the past 3 years: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$34,265$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Certified beds94120107
Average residents per day609986
Occupancy64.1%82.1%80.9%

Long-stay residents

This facility0.8%Massachusetts average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.8%3.4%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.6%4.2%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)45.5%21.4%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)4.8%1.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.3%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)29.6%16.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)27.5%15.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)2.4%5.1%5.2%Better
Long-stay residents with depressive symptoms (lower is better)78.4%15.5%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)25.7%19.5%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)26.7%21.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)98.6%94.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%92.6%93.6%Better

Short-stay residents

This facility1.9%Massachusetts average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.9%1.4%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)74.3%77.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)84%78.3%82%Average

Inspection citations

State inspectors cited this home for 26 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.

DateCitationSeverityStatus
March 25, 2026
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected April 7, 2026
March 25, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected April 17, 2026
March 25, 2026
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected April 10, 2026
March 9, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected February 1, 2026
April 9, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected May 7, 2025
April 9, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected May 7, 2025
April 9, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected May 7, 2025
April 9, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected May 7, 2025
April 9, 2025
Fire safety
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 · Tag K0222
F
Potential harm, widespread
Corrected May 7, 2025
April 9, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected May 7, 2025
April 9, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected May 7, 2025
April 9, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected May 2, 2025
April 9, 2025
Standard
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 · Tag F0842
E
Potential harm, pattern
Corrected May 2, 2025
April 9, 2025
Standard
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 · Tag F0761
E
Potential harm, pattern
Corrected May 2, 2025
April 9, 2025
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · Tag F0626
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
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 · Tag F0656
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 2, 2025
April 9, 2025
Standard
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Tag F0825
D
Potential harm, isolated
Corrected May 2, 2025
April 22, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected May 1, 2024
April 22, 2024
Standard
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 · Tag F0761
E
Potential harm, pattern
Corrected April 29, 2024
April 22, 2024
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
E
Potential harm, pattern
Corrected April 29, 2024
April 22, 2024
Standard
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 · Tag F0842
D
Potential harm, isolated
Corrected April 29, 2024
April 22, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected April 29, 2024
April 22, 2024
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected April 29, 2024
April 22, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected April 29, 2024
April 22, 2024
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected April 29, 2024
April 22, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
B
No harm, pattern
Corrected April 29, 2024
April 9, 2024
Complaint
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 · Tag F0761
G
Actual harm, isolated
Corrected April 25, 2024
April 9, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected April 25, 2024
December 12, 2023
Complaint
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 · Tag F0842
E
Potential harm, pattern
Corrected January 12, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
MAMARY, JAMES
Individual
5% or greater direct ownership interest45%03/12/2017
MAMARY, JAMES
Individual
w-2 managing employeeNOT APPLICABLE03/12/2017

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    ★★★★★3Average
  2. Nevins Nursing & Rehabilitation Center

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    Non-profit · 153 beds

    ★★★★★2Below average
  3. Cedar View Rehabilitation and Healthcare Center

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    ★★★★★5Much above average
  4. Prescott House

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    For-profit · 126 beds · Part of Best Care Services

    ★★★★★2Below average
  5. Meadows, the

    575 Osgood Street, North Andover, MA 01845 · 3.2 mi

    Non-profit · 60 beds

    • CMS high performer
    ★★★★★5Much above average
  6. Andover Manor Rehab and Nursing

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All nursing homes in Lawrence, MA · Compare side by side

Frequently asked questions

What is Royal Wood Mill Center's rating?

Royal Wood Mill Center has 3 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.

How many inspection citations did Royal Wood Mill Center receive?

Its most recent standard health inspection found 2 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.

Does Royal Wood Mill Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Royal Wood Mill Center?

It is for profit - limited liability company and part of Royal Health Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Royal Wood Mill Center and how do I contact it?

Royal Wood Mill Center is at 800 Essex Street, Lawrence, MA 01841. Phone: (978) 289-5048.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.