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Nursing HomeMedicaid Investigative

Royal Wood Mill Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

800 Essex Street, Lawrence, MA 0184194 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 13 Google reviews

Royal Wood Mill Center Nursing Home in Lawrence, MA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 7.0)

Bottom 25% in MA · Below recommended RN staffing · Worst in ROYAL HEALTH GROUP chain · No penalties on record

Source: Medicare data

What this means for your family

The facility has received strong praise recently for its rehabilitation services and attentive staff, making it a potential candidate for short-term recovery. However, given historical reports of neglect and hygiene issues, we strongly recommend that families conduct an unannounced visit to observe the quality of CNA care and cleanliness firsthand.

Google Reviews

Google Reviews

13 reviews on Google
Royal Wood Mill Center receives highly polarized feedback, with recent reviews highlighting a strong rehabilitation program and attentive nursing staff, while older reviews describe significant failures in basic care and hygiene. Families praise the facility for successful recovery outcomes and compassionate staff, though historical reports of neglect and communication barriers suggest inconsistent quality of care.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean5.0Activities8.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Effective rehabilitation therapy team
  • Attentive and compassionate nursing staff
  • Supportive administrative and social services
  • Positive recovery outcomes for patients

Concerns

  • Poor hygiene and neglectful CNA care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02017(1)5.02020(1)5.02021(1)1.02023(1)1.02024(1)5.02025(7)5.02026(2)

Distribution · 14 analyzed

5
11
4
0
3
0
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation therapy team; could you tell us more about how they work with residents to improve their mobility?
  • 2How does the nursing staff ensure that personal hygiene and daily care needs are consistently met for every resident?
  • 3With the recent improvements in your administrative and social services, how do you keep families updated on their loved one's progress?
  • 4What is your process for communicating important medical updates or changes in condition to family members?
  • 5In the event of a medical emergency during the night, what is the protocol for immediate care and notifying the family?
  • 6What kind of daily activities or social programs do you have planned to keep residents engaged and connected with each other?

Personalized based on this facility's data


Key Review Excerpts

Nurse Martha and Nurse Anne were consistently kind, attentive, and responsive. PT Steven and OT Michelle were skilled, motivating, and essential to my progress.

Rehab patient · 2026★★★★★

Every member of the team—nurses, CNAs, dietary staff, and the activities department—played a vital role in making their final years comfortable, dignified, and filled with moments of joy.

Long-term resident's family · 2025★★★★★

CNA care is atrocious, they don't work but sit and collect their wages. Patients are ignored and left in bed or placed in dayroom to sit all day in wet diapers.

Long-term resident · 2017☆☆☆☆
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
79%
Registered nurses for medical care
Total Nursing
3.53hrs
86%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

9

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility80.0%
Worse than Avg
Here
80.0%
US
12.1%
MA
13.7%
Essex
17.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility49.5%
Worse than Avg
Here
49.5%
US
15.5%
MA
21.3%
Essex
22.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.8%
Worse than Avg
Here
28.8%
US
14.4%
MA
16.9%
Essex
13.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
15.3%
MA
16.4%
Essex
13.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
19.4%
MA
21.4%
Essex
20.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
93.4%
MA
92.4%
Essex
93.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility74.3%
Worse than Avg
Here
74.3%
US
79.8%
MA
77.7%
Essex
82.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.2%
Better than Avg
Here
85.2%
US
81.8%
MA
77.6%
Essex
82.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Worse than Avg
Here
1.8%
US
1.6%
MA
1.3%
Essex
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (8.9)
4 complaint-triggered

This facility has persistent issues requiring careful consideration before visiting. Families have filed complaints about safety hazards and medication management problems, with medication labeling deficiencies appearing across multiple surveys from 2023-2024. The facility shows recurring problems with accident prevention, medical record management, and fire safety systems, though all identified issues have correction dates indicating the facility addresses deficiencies when cited.

Mar 25, 2026Routine
3
0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Mar 9, 2026Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Apr 9, 2025Routine
19
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 22, 2024Routine
9
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0582Minimal · PatternCorrected

Resident Rights Deficiencies

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

Apr 9, 2024Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Dec 12, 2023Complaint
1
0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Royal Wood Mill Center

Organization Type

for profit

Chain Affiliation

Chain Name

Royal Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 3.3/5 · Rank 12 of 12 (Worst)

Ownership & Management

Owners

Mamary, James

Owner

25%

Mamary, Jonathan

Owner

25%

Mamary, Joshua

Owner

5%

Key personnel

Mamary, JamesW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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