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Victoria Haven Nursing Facility

137 NICHOLS STREET, Norwood, MA, 02062

Nursing home31 licensed beds0 citations on record
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6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 17 deficiencies against Victoria Haven Nursing Facility in Norwood, Massachusetts at its most recent standard inspection on 2026-01-21. 2 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $40,641. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
31certified beds
17deficiencies at the last inspection
0immediate-jeopardy findings on record
2actual-harm findings on record
1federal fines, $40,641
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.34
Potential for minimal harmThe least serious band.3
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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.

Nursing and Physician Services Deficiencies · F0727 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

F

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

Nursing and Physician Services Deficiencies · F0730 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

F

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

Administration Deficiencies · F0867 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

F

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0684 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

E

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

Pharmacy Service Deficiencies · F0756 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

E

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

Nutrition and Dietary Deficiencies · F0805 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

E

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

Nutrition and Dietary Deficiencies · F0812 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0580 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

D

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

Administration Deficiencies · F0772 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

D

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

Administration Deficiencies · F0777 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Administration Deficiencies · F0840 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Infection Control Deficiencies · F0887 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

D

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

Nursing and Physician Services Deficiencies · F0947 · 2026-01-21 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-02-18 · standard survey · No actual harm, potential for more than minimal harm

E

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

Infection Control Deficiencies · F0883 · 2025-02-18 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Infection Control Deficiencies · F0887 · 2025-02-18 · standard survey · No actual harm, potential for more than minimal harm

E
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.58214
Nursing staff turnoverShare of nursing staff who left in a year21.7%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$40,641
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Victoria Haven Nursing Facility

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
THISSE, MARIONIndividual100%since 03/14/2024
THISSE, PETERIndividualNOT APPLICABLEsince 01/03/1990
REHABILITATION ASSOCIATES INCOrganizationNOT APPLICABLEsince 02/01/1985
THISSE, GILBERTIndividualNOT APPLICABLEsince 01/06/2025

Part of the REHABILITATION ASSOCIATES group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Victoria Haven Nursing Facility a question

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What is needed

Victoria Haven Nursing Facility has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 7817620858 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 225608.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction