Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Southwood At Norwell Nursing Ctr during CMS and state inspections, most recent first.
Oxygen Flow Not Set as Ordered and Use Not Documented A resident with CHF and respiratory failure-related oxygen therapy had an O2 order for 2 L/min via NC, but the concentrator was observed set at 1.5 L/min while the resident was asleep and later eating breakfast. Nursing documentation did not verify the ordered liter flow or record oxygen use, and an RN and unit manager confirmed the flow should have been 2 L/min and that staff were expected to document the oxygen settings and use.
Medications were not administered under direct nurse supervision and a medication cart was left unlocked and unattended. A resident with depression, osteoarthritis, and fibromyalgia was observed with multiple meds left at the bedside, and the resident stated that some nurses leave meds without watching to ensure they are taken. An RN said she left meds at the bedside when the resident needed to use the restroom, even though there was no order for self-administration. In a separate observation, a medication cart was found unlocked and out of the nurse’s sight for over an hour.
Oxygen Flow Not Set as Ordered and Use Not Documented
Penalty
Summary
Respiratory care was not provided consistently with professional standards for one resident who had CHF, a history of altered mental status, lethargy, and low oxygen levels, and who was receiving oxygen therapy. The resident’s physician ordered oxygen at 2 L/min via nasal cannula, including continuous oxygen and oxygen as needed to maintain saturations above 90%, and also ordered monitoring of oxygen saturation and respirations with documentation of total minutes used during respiratory assessment every shift. The resident’s care plan also identified oxygen therapy related to CHF and respiratory failure, with oxygen settings listed as 2 L continuous. During observations, the resident’s oxygen concentrator was on but set at 1.5 L/min instead of the ordered 2 L/min while the resident was in bed asleep and later while eating breakfast. The nasal cannula was in place, but the MAR/TAR did not show nursing staff verified that the oxygen liter flow was set according to the physician’s orders on the dates and times observed, and it did not document its use. A nurse later confirmed the concentrator was set at 1.5 L and should have been 2 L, and the unit manager stated nurses are supposed to confirm the liter flow and document that the oxygen flow rate is set according to physician’s orders as well as when it is in use.
Medications Left at Bedside and Cart Left Unlocked
Penalty
Summary
Drugs and biologicals were not stored and administered in accordance with professional standards of practice when medications were left at a resident’s bedside and a medication cart was left unlocked and unattended. The facility’s policy stated that medications are to be administered as prescribed, the resident is to be observed after administration to ensure the dose is completely ingested, and the medication cart is to remain closed and locked when out of the nurse’s sight. Resident #6, admitted in March 2021 with diagnoses including major depressive disorder, osteoarthritis, and fibromyalgia, had previously declined self-administration and wanted nursing staff to administer medications. During observation, the resident was found in bed with a medication cup containing multiple medications on the overbed table and stated that some nurses leave the medications while others stay and watch to make sure all medications are taken. Later the same day, the resident was again observed with a medication cup containing four medications on the overbed table and stated that some nurses leave the medications while others stay and watch to ensure ingestion. Review of the MAR showed multiple scheduled medications ordered for the resident throughout the day, and Nurse #2 stated she left medications at the bedside and was not aware the resident had not taken morning medications right away. She also stated she left afternoon medications at the bedside when the resident needed to use the restroom and told the resident she would return, despite the resident not having an order for self-administration. In a separate observation, the medication cart on Hall N of the Rosewood Unit was seen unlocked and out of Nurse #2’s line of sight for 1 hour and 5 minutes before it was secured.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Norwell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Royal Norwell Nursing & Rehabilitation Center Llc | 0.9 mi | ★★★★★ | 10 | 0 |
| Queen Anne Nursing Home, Inc | 1.5 mi | ★★★★★ | 0 | 0 |
| Linden Ponds | 2.5 mi | ★★★★★ | 4 | 0 |
| Webster Park Rehabilitation And Healthcare Center | 2.8 mi | ★★★★★ | 4 | 0 |
| Southshore Health Care Center | 3 mi | ★★★★★ | 23 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.