Victoria Haven Rehabilitation & Skilled Nursing Center

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 2, 2026

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 6, 2026

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 6, 2026

• Have an enclosure around a vertical opening shaft.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 14, 2026

• Have correct number of accessible exits for each story.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 14, 2026

• Use approved construction type or materials.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 14, 2026

• Observe each nurse aide's job performance and give regular training.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 2, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 20, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2026

• Have power receptacles that are properly grounded.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 6, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 2, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 2, 2026

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 3, 2026

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 6, 2026

• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2026

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 2, 2026

• Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 4, 2026

• Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 19, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 13, 2026

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 2, 2026

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 14, 2026

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

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 14, 2026

• Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 14, 2026

• Establish policies and procedures for sheltering.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 1, 2025

• Establish procedures for tracking staff and patients during an emergency.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 1, 2025

• Have correct number of accessible exits for each story.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2025

• Use approved construction type or materials.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2025

• Establish roles under a Waiver declared by secretary.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 1, 2025

• Establish policies and procedures for medical documentation.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 1, 2025

• Have an enclosure around a vertical opening shaft.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2025

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 26, 2025

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 26, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 26, 2025

• Provide a written emergency evacuation plan.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 1, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2025

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2025

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2025

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 10, 2025

• Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 10, 2025

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

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 10, 2025

• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity B of L: potential for minimal harm, patternCorrected Mar 26, 2025

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity G of L: actual harm, isolatedCorrected Apr 2, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedCorrected Apr 2, 2024

• Have an enclosure around a vertical opening shaft.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 12, 2024

• Use approved construction type or materials.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 12, 2024

• Have correct number of accessible exits for each story.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 12, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2024

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2024

• List the names and contact information of those in the facility.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2024

• Meet requirements for the installation and maintenance of electrical systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 15, 2024

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 2, 2024

• Have a policy regarding use and storage of foods brought to residents by family and other visitors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 2, 2024

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 2, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 2, 2024

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 25, 2024

• Have simulated fire drills held at unexpected times.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 1, 2024

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 12, 2024

• Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 12, 2024

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

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 12, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity B of L: potential for minimal harm, patternCorrected Apr 2, 2024

• 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.

  Severity B of L: potential for minimal harm, patternCorrected Apr 2, 2024

Victoria Haven Rehabilitation & Skilled Nursing Center offers Skilled Nursing / Long Term Care.

Victoria Haven Rehabilitation & Skilled Nursing Center is located at 137 Nichols Street in Norwood, Massachusetts.

Victoria Haven Rehabilitation & Skilled Nursing Center had 3 government inspection visits in the last three years, with 72 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Victoria Haven Rehabilitation & Skilled Nursing Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.