Public Record
Victoria Haven Nursing Facility
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 31
- Avg. residents per day
- 26.8
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 87
- Inspections on file
- 8
- Last inspection
- 2026-01-21
*CMS
*CMS
*CMS
Citations
87 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0211Generalno actual harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0225Generalno actual harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0232Generalno actual harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 0241Generalpotential for harm
Have correct number of accessible exits for each story.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0912Generalpotential for harm
Have power receptacles that are properly grounded.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0777Generalpotential for harm
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- 0805Generalpotential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0840Generalpotential for harm
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.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0887Generalpotential for harm
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.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0727Generalpotential for harm
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.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0761Generalpotential for harm
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.
- 0772Generalpotential for harm
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0887Generalpotential for harm
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.
- 0018Generalpotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0022Generalpotential for harm
Establish policies and procedures for sheltering.
- 0023Generalpotential for harm
Establish policies and procedures for medical documentation.
- 0711Generalpotential for harm
Provide a written emergency evacuation plan.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0241Generalpotential for harm
Have correct number of accessible exits for each story.
- 0225Generalno actual harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0211Generalno actual harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0026Generalpotential for harm
Establish roles under a Waiver declared by secretary.
- 0232Generalno actual harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 0640Generalno actual harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0758Generalpotential for harm
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.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0580Seriousactual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0623Generalno actual harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalno actual harm
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.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0684Seriousactual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0761Generalpotential for harm
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.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0887Generalpotential for harm
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.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0030Generalpotential for harm
List the names and contact information of those in the facility.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0211Generalno actual harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0225Generalno actual harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0232Generalno actual harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 0241Generalpotential for harm
Have correct number of accessible exits for each story.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0712Generalno actual harm
Have simulated fire drills held at unexpected times.
- 0911Generalpotential for harm
Meet requirements for the installation and maintenance of electrical systems.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0241Generalpotential for harm
Have correct number of accessible exits for each story.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0211Generalno actual harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0745Generalpotential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0553Generalpotential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- 0886Generalpotential for harm
Perform COVID19 testing on residents and staff.
- 0885Generalpotential for harm
Report COVID19 data to residents and families.
- 0808Generalpotential for harm
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- 0758Generalpotential for harm
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.
- 0225Generalno actual harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 0232Generalno actual harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
FAQ
Questions and answers
- What is Victoria Haven Nursing Facility?
- Victoria Haven Nursing Facility is a Medicare- and Medicaid-certified nursing home in Norwood, MA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 225608.
- What is the CMS rating for Victoria Haven Nursing Facility?
- Victoria Haven Nursing Facility has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Victoria Haven Nursing Facility have?
- Victoria Haven Nursing Facility is certified for 31 beds. It serves an average of 26.8 residents per day.
- How many citations does Victoria Haven Nursing Facility have?
- Victoria Haven Nursing Facility has 87 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Victoria Haven Nursing Facility last inspected?
- Victoria Haven Nursing Facility was last inspected on January 21, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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