nursing home in Norwood, MA

Victoria Haven Nursing Facility

137 Nichols Street, Norwood, MA 02062 · (781) 762-0858

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★5
  • Quality measures★★★★★5

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

Victoria Haven Nursing Facility at a glance

Victoria Haven Nursing Facility is a 31-bed for-profit nursing home in Norwood, Massachusetts (Norfolk County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Massachusetts average of 3.

Residents receive about 4.6 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 3.9 hours.

Its most recent standard health inspection (January 21, 2026) found 17 health citations. The Massachusetts average is 6.8.

Federal regulators fined it 1 time in the past three years, totaling $40,641.

Nursing staff turnover is 21.7% per year (state average 38.2%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
31
Certified for
Medicare and Medicaid
Chain / affiliated entity
Rehabilitation Associates
Medicare-certified since
March 1, 1994
Resident/family council
Resident
County
Norfolk County
CMS Certification Number
225608

Ratings

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

Staffing

This facility4.58 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)4.58 hrs3.86 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.70 hrs0.65 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.93 hrs2.25 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.19 hrs3.48 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)21.7%38.2%45.8%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility17Massachusetts 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)1779Worse
Citations from complaint investigations (latest cycle) (lower is better)013Better
Weighted health inspection score ⓘ (lower is better)12051.880.6Worse

Penalties

This facility1Massachusetts 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)111Worse
Total fines in the past 3 years (lower is better)$40,641$34,265$30,972Worse
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Certified beds31120107
Average residents per day269986
Occupancy82.9%82.1%80.9%

Long-stay residents

This facility0%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%3.4%3.2%Better
Long-stay residents with pressure ulcers (lower is better)1%4.2%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)14.6%21.4%15.4%Average
Long-stay residents with a urinary tract infection (lower is better)0%1.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)11.3%16.4%13.9%Better
Long-stay residents whose walking worsened (lower is better)12.4%15.4%14.1%Better
Long-stay residents who lose too much weight (lower is better)8.3%5.1%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)0%15.5%12.8%Better
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)5.6%19.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)6.9%21.2%19%Better
Long-stay residents given a flu vaccine (higher is better)95.7%94.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)94%92.6%93.6%Average

Short-stay residents

This facility0%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)0%1.4%1.6%Better
Short-stay residents given a flu vaccine (higher is better)46.4%77.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)75.9%78.3%82%Worse

Inspection citations

State inspectors cited this home for 39 health deficiencies and 33 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.

DateCitationSeverityStatus
January 21, 2026
Fire safety
Have correct number of accessible exits for each story.
Egress Deficiencies · Tag K0241
F
Potential harm, widespread
Corrected March 14, 2026
January 21, 2026
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
F
Potential harm, widespread
Corrected March 14, 2026
January 21, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected April 6, 2026
January 21, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected April 6, 2026
January 21, 2026
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
F
Potential harm, widespread
Corrected March 14, 2026
January 21, 2026
Fire safety
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912
E
Potential harm, pattern
Corrected April 6, 2026
January 21, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected April 8, 2026
January 21, 2026
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
C
No harm, widespread
Corrected March 14, 2026
January 21, 2026
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
C
No harm, widespread
Corrected March 14, 2026
January 21, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
C
No harm, widespread
Corrected March 14, 2026
January 21, 2026
Standard
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected March 2, 2026
January 21, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected February 27, 2026
January 21, 2026
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected February 27, 2026
January 21, 2026
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
F
Potential harm, widespread
Corrected March 2, 2026
January 21, 2026
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 February 14, 2026
January 21, 2026
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
E
Potential harm, pattern
Corrected February 3, 2026
January 21, 2026
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected February 2, 2026
January 21, 2026
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected February 6, 2026
January 21, 2026
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 February 20, 2026
January 21, 2026
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected February 14, 2026
January 21, 2026
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 February 2, 2026
January 21, 2026
Standard
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Administration Deficiencies · Tag F0840
D
Potential harm, isolated
Corrected February 19, 2026
January 21, 2026
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
D
Potential harm, isolated
Corrected March 2, 2026
January 21, 2026
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected February 13, 2026
January 21, 2026
Standard
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Tag F0777
D
Potential harm, isolated
Corrected February 14, 2026
January 21, 2026
Standard
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Administration Deficiencies · Tag F0772
D
Potential harm, isolated
Corrected February 4, 2026
January 21, 2026
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected February 2, 2026
February 18, 2025
Fire safety
Establish policies and procedures for medical documentation.
Emergency Preparedness Deficiencies · Tag E0023
F
Potential harm, widespread
Corrected April 1, 2025
February 18, 2025
Fire safety
Have correct number of accessible exits for each story.
Egress Deficiencies · Tag K0241
F
Potential harm, widespread
Corrected April 10, 2025
February 18, 2025
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
F
Potential harm, widespread
Corrected April 10, 2025
February 18, 2025
Fire safety
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies · Tag E0018
F
Potential harm, widespread
Corrected April 1, 2025
February 18, 2025
Fire safety
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies · Tag E0022
F
Potential harm, widespread
Corrected April 1, 2025
February 18, 2025
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
F
Potential harm, widespread
Corrected April 10, 2025
February 18, 2025
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
F
Potential harm, widespread
Corrected April 1, 2025
February 18, 2025
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
E
Potential harm, pattern
Corrected April 1, 2025
February 18, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
C
No harm, widespread
Corrected April 10, 2025
February 18, 2025
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
C
No harm, widespread
Corrected April 10, 2025
February 18, 2025
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
C
No harm, widespread
Corrected April 10, 2025
February 18, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 26, 2025
February 18, 2025
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
E
Potential harm, pattern
Corrected March 26, 2025
February 18, 2025
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
E
Potential harm, pattern
Corrected March 26, 2025
February 18, 2025
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected March 26, 2025
February 18, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected March 26, 2025
February 18, 2025
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected March 26, 2025
February 18, 2025
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 March 26, 2025
February 18, 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
D
Potential harm, isolated
Corrected March 26, 2025
February 18, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected March 26, 2025
February 18, 2025
Standard
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
B
No harm, pattern
Corrected March 26, 2025
February 29, 2024
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
F
Potential harm, widespread
Corrected March 12, 2024
February 29, 2024
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
F
Potential harm, widespread
Corrected March 12, 2024
February 29, 2024
Fire safety
Have correct number of accessible exits for each story.
Egress Deficiencies · Tag K0241
F
Potential harm, widespread
Corrected March 12, 2024
February 29, 2024
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
D
Potential harm, isolated
Corrected March 25, 2024
February 29, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
D
Potential harm, isolated
Corrected April 15, 2024
February 29, 2024
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
D
Potential harm, isolated
Corrected April 15, 2024
February 29, 2024
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected April 15, 2024
February 29, 2024
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
D
Potential harm, isolated
Corrected March 25, 2024
February 29, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
C
No harm, widespread
Corrected March 12, 2024
February 29, 2024
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
C
No harm, widespread
Corrected March 12, 2024
February 29, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected April 1, 2024
February 29, 2024
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
C
No harm, widespread
Corrected March 12, 2024
February 29, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected April 2, 2024
February 29, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
G
Actual harm, isolated
Corrected April 2, 2024
February 29, 2024
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 April 2, 2024
February 29, 2024
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
E
Potential harm, pattern
Corrected April 2, 2024
February 29, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
E
Potential harm, pattern
Corrected April 2, 2024
February 29, 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 8, 2024
February 29, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected April 2, 2024
February 29, 2024
Standard
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
D
Potential harm, isolated
Corrected April 2, 2024
February 29, 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 2, 2024
February 29, 2024
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 April 2, 2024
February 29, 2024
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
B
No harm, pattern
Corrected April 2, 2024
February 29, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
B
No harm, pattern
Corrected April 2, 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 1 federal penalty in the past three years, including $40,641 in fines.

DatePenaltyAmount / length
February 29, 2024Fine$40,641

Owners and managers

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

NameRoleShareSince
THISSE, MARION
Individual
5% or greater direct ownership interest100%03/14/2024
THISSE, PETER
Individual
corporate officerNOT APPLICABLE01/03/1990
REHABILITATION ASSOCIATES INC
Organization
operational/managerial controlNOT APPLICABLE02/01/1985
THISSE, GILBERT
Individual
operational/managerial controlNOT APPLICABLE01/06/2025

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Frequently asked questions

What is Victoria Haven Nursing Facility's rating?

Victoria Haven Nursing Facility has 2 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.

How many inspection citations did Victoria Haven Nursing Facility receive?

Its most recent standard health inspection found 17 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.

Does Victoria Haven Nursing Facility 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 Victoria Haven Nursing Facility?

It is for profit - corporation and part of Rehabilitation Associates. The ownership section on this page lists the owners and managers reported to CMS.

Where is Victoria Haven Nursing Facility and how do I contact it?

Victoria Haven Nursing Facility is at 137 Nichols Street, Norwood, MA 02062. Phone: (781) 762-0858.

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.