Starfile

Starfile / Massachusetts

Victoria Haven Nursing Facility

137 NICHOLS STREET, NORWOOD, MA 02062 · CCN 225608

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
31
Avg residents/day
26.7
Phone
7817620858

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMassachusetts avgNational avgvs state
12025-02-18108.99.5+1.1 worse
22024-02-291210.09.8+2.0 worse
32022-10-21912.79.3-3.7 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning3
Pharmacy service3
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.2936.0%
RN staffing (reported)0.48
Total nurse staffing (adjusted)4.66

Fines & penalties

Total fines
$40,641
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
REHABILITATION ASSOCIATES
Facilities in chain
6
Chain avg overall
3.20 / 5

Inspection citations (31)2 actual harm

  1. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-02-18 · Health · corrected 2025-03-26

    Potential for minimal harm

  2. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  5. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  6. DF0758Implement 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.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  7. DF0761Ensure 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.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  8. EF0880Provide and implement an infection prevention and control program.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  9. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  10. EF0887Educate 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.2025-02-18 · Health · corrected 2025-03-26

    Potential for more than minimal harm

  11. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-29 · Health · corrected 2024-04-02

    Actual harm

  12. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-02-29 · Health · corrected 2024-04-02

    Potential for minimal harm

  13. BF0625Notify 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.2024-02-29 · Health · corrected 2024-04-02

    Potential for minimal harm

  14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  15. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  16. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-29 · Health · corrected 2024-04-02

    Actual harm

  17. DF0759Ensure medication error rates are not 5 percent or greater.2024-02-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  18. EF0761Ensure 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.2024-02-29 · Health · corrected 2024-04-08

    Potential for more than minimal harm

  19. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-02-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  20. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  21. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  22. EF0887Educate 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.2024-02-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  23. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  24. DF0578Honor 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.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  25. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  26. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  27. EF0758Implement 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.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  28. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  29. EF0880Provide and implement an infection prevention and control program.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  30. EF0885Report COVID19 data to residents and families.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

  31. EF0886Perform COVID19 testing on residents and staff.2022-10-21 · Health · corrected 2022-11-18

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
THISSE, MARIONIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-03-14
REHABILITATION ASSOCIATES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL1985-02-01
THISSE, GILBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-06
THISSE, PETERIndividualCORPORATE OFFICER1990-01-03

Other facilities in NORWOOD

NameOverallBeds
ELLIS NURSING HOME (THE)★★★★☆191
CHARLWELL HOUSE HEALTH AND REHABILITATION★☆☆☆☆124
NORWOOD HEALTHCARE★☆☆☆☆170

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.