Home›Browse›Massachusetts›Lawrence›Royal Wood Mill Nursing and Rehabilitation Center

Nursing homeFAID #5862

Royal Wood Mill Nursing and Rehabilitation Center

800 ESSEX STREET, LAWRENCE, MA, 01841

(978) 289-5048

94 licensed beds

CMS rates Royal Wood Mill Nursing and Rehabilitation Center 3 out of 5 overall. Federal inspectors issued 35 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

800 Essex Street

Lawrence, MA 01841

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Public record summary

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Bed capacity

CMS facility ID

225505

Care type

Nursing home

County

Essex

Facility name

Royal Wood Mill Nursing and Rehabilitation Center

Street address

800 ESSEX STREET

City / state / ZIP

Lawrence, MA 01841

Phone

(978) 289-5048

About this facility — Royal Wood Mill Nursing and Rehabilitation Center

Royal Wood Mill Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Lawrence, Massachusetts. It is licensed for 94 beds — below the median for skilled nursing facilities in Massachusetts (123 beds).

It is one of 9 senior care facilities in Lawrence and 341 skilled nursing facilities across Massachusetts. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Royal Health Group, a group of 12 facilities on this site.

Federal inspectors have cited Royal Wood Mill Nursing and Rehabilitation Center 35 times across 9 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Royal Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Mamary, James

Direct owner · Managing employee — 45% stake — since 2017

Regulatory standing

Federal court records

3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1990-07-01

CMS overall rating

3 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-25

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$363 per day (≈ $11,040/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

90% Medicaid · 8% Medicare · 2% private/other

Occupancy

66% (fiscal year 2023)

Vs. state median

26% below the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-03-25Health inspection1 citation

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-04-10

2026-03-09Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-02-01

6 earlier / fire-safety inspections (33 citations)

2025-04-09Health inspection12 citations

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-05-02

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-02

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2025-05-02

F-0626

D · No harm found

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2025-05-02

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-02

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-05-02

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-02

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-02

F-0761

E · No harm found

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 2025-05-02

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2025-05-02

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-02

2024-04-22Health inspection9 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-04-29

F-0582

B · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-04-29

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-04-29

F-0694

D · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-04-29

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-29

F-0761

E · No harm found

Corrected 2024-04-29

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-01

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-04-29

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2024-04-29

2024-04-09Health inspectionComplaint-triggered2 citations

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-25

F-0761

G · Actual harmFrom a complaint

Corrected 2024-04-25

2023-12-12Health inspectionComplaint-triggered1 citation

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-01-12

2026-03-25Fire-safety inspection2 citations

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-04-07

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-04-17

2025-04-09Fire-safety inspection7 citations

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-07

K-0222

F · No harm found

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.

Corrected 2025-05-07

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-05-07

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-07

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-07

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-07

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 225505.

Quality of care & staffing

How it compares in Massachusetts.

Inspection citations, 3 years

More than 47% of nursing homes in the state

State median: 36

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.5

Higher than 17% of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

50%

Higher than 85% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the Massachusetts average on 6 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	22.9%	15.8%	13.5%	Worse than state
Lose too much weight	2.0%	5.0%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.8%	0.7%	0.7%	Near state average
With a urinary tract infection	4.4%	1.7%	1.5%	Worse than state
Have depressive symptoms	78.8%	17.4%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	1.3%	3.4%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.6%	92.9%	93.7%	Near state average
Ability to walk independently worsened	20.7%	13.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	27.3%	19.5%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	96.9%	93.5%	95.3%	Near state average
With pressure ulcers	3.0%	4.2%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	25.4%	20.4%	18.3%	Worse than state
Received an antipsychotic medication	38.6%	21.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.32	1.84	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.69	1.45	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	79.2%	78.9%	82.3%	Near state average
Newly received an antipsychotic medication	2.0%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	90.0%	78.1%	80.1%	Better than state
Were rehospitalized after a nursing home admission	19.6%	25.7%	23.4%	Better than state
Had an outpatient emergency department visit	13.8%	11.8%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0761 3 inspections. 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.
F-0842 3 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0658 2 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
K-0293 2 inspections. Have properly located and lighted "Exit" signs.
K-0345 2 inspections. Have approved installation, maintenance and testing program for fire alarm systems.

Verify & compare

Where to check, and what's nearby.

Who to contact in Massachusetts

Licensing: Massachusetts Department of Public Health, Division of Health Care Facility Licensure and Certification
File a complaint: 800-462-5540 · Online
Long-Term Care Ombudsman: 617-222-7495. A free advocate for residents and families.
Adult Protective Services: 800-922-2275. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Merrimack Health Lawrence Hospital, about 1.5 miles. CMS rating 2 of 5.
Holy Family Hospital, about 1.8 miles. CMS rating 2 of 5.
Lowell General Hospital, about 9.3 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

M I Nursing & Restorative Center, Lawrence, about 1.0 miles. CMS rating 3 of 5.
Nevins Nursing & Rehabilitation Center, Methuen, about 1.9 miles. CMS rating 2 of 5.
Cedar View Rehabilitation and Healthcare Center, Methuen, about 2.3 miles. CMS rating 5 of 5.
Prescott House, North Andover, about 3.0 miles. CMS rating 2 of 5.
The Meadows, North Andover, about 3.2 miles. CMS rating 5 of 5.

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered