Norfolk County, Massachusetts · Nursing home
Charlwell House Health and Rehabilitation
1 of 5 overall from CMS
305 Walpole Street, Norwood, MA 02062
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.36 hours Below the state average of 3.86
- Nursing staff who left in a year 27.0% Below the state average of 38.2%
- Health citations, last 3 inspection cycles 63 4 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 60.8% of 124 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Charlwell House Health and Rehabilitation is a 124-bed nursing home in Norwood, Massachusetts (Norfolk County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.36 nurse staffing hours per resident per day, below the Massachusetts average of 3.86. CMS lists no fines in the past three years.
- Certified beds
- 124
- Residents per day (average)
- 75.4
- Certified since
- 1972 (54 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Best Care Services (10 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Charlwell House Health and Rehabilitation
Chosen from this home's public data.
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on May 30, 2025 plus complaint and infection-control inspections); the Massachusetts average is 6.8. Which have been corrected?Inspection results in CMS data
- About 60.8% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Massachusetts average 3.0
- Health inspections 2 of 5 Massachusetts average 3.0
- Staffing 4 of 5 Massachusetts average 3.1
- Quality measures 1 of 5 Massachusetts average 3.3
The vertical line marks the Massachusetts average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.36 h Massachusetts average 3.86
- Nurse aides 2.06 h Massachusetts average 2.25
- Licensed practical nurses 0.63 h Massachusetts average 0.95
- Registered nurses 0.66 h Massachusetts average 0.65
- All staff, weekends 3.10 h Massachusetts average 3.48
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Massachusetts average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover27.0%
- Massachusetts average38.2%
- Registered nurse turnover35.7%
- Massachusetts average42.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Massachusetts and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Massachusetts | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 35.2% | 16.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.5% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.4% | 1.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 5.1% | 15.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 6.4% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.4% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 27.3% | 15.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.2% | 19.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.0% | 94.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.9% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% | 21.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.0% | 21.4% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.78 | 1.88 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.52 | 1.50 | 1.78 |
Short-stay residents
| Measure | This home | Massachusetts | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.1% | 78.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 39.2% | 77.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.0% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 17.9% | 11.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 63 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 1 was cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 1, 2022: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 30, 2025 | 13 | 5 |
| Apr 16, 2024 | 8 | 6 |
| Sep 1, 2022 | 42 | 6 |
Massachusetts homes averaged 6.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (63)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 26, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 26, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jun 26, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jun 26, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 26, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 10, 2024)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2024)
-
EPotential for more than minimal harm, pattern
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (May 15, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (May 15, 2024)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2024)
-
LImmediate jeopardy, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Oct 21, 2022)
-
LImmediate jeopardy, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 5, 2022)
-
LImmediate jeopardy, widespread
Perform COVID19 testing on residents and staff.
Infection Control · Deficient, Provider has date of correction (Nov 11, 2022)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2022)
-
FPotential for more than minimal harm, widespread
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 21, 2022)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 21, 2022)
-
FPotential for more than minimal harm, widespread
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration · Deficient, Provider has date of correction (Oct 21, 2022)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Oct 21, 2022)
Showing the 30 most recent of 63.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Massachusetts homes averaged 0.8 fines and $34,265 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Massachusetts
- Size141 of 341 by certified beds
- Massachusetts average residents per day98.5
- ChainBest Care Services
- Chain average overall rating2.3 of 5
- Resident or family councilResident
- Homes in Norwood4
- Homes in Norfolk County33
Common questions
What is the CMS star rating for Charlwell House Health and Rehabilitation?
Charlwell House Health and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 1.
How many beds does Charlwell House Health and Rehabilitation have?
Charlwell House Health and Rehabilitation has 124 certified beds. It averages 75.4 residents per day, about 60.8% of its certified beds.
How much nursing care do residents get at Charlwell House Health and Rehabilitation?
The home reports 3.36 hours of nurse staffing per resident per day, including 0.66 hours from registered nurses. The Massachusetts average is 3.86 hours and 0.65 hours from registered nurses.
Has Charlwell House Health and Rehabilitation been fined?
CMS lists no fines for this home in the past three years.
Does Charlwell House Health and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Victoria Haven Nursing Facility 31beds 82.9%in use 4.58nurse hours a day
- 1 of 5 Norwood Healthcare 170beds 66.7%in use 3.48nurse hours a day
- 2 of 5 Premier Healthcare at Harrington House 90beds 86.1%in use 3.80nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Norfolk County
Who to call in Massachusetts
These offices serve residents of every nursing home in Massachusetts.
- Long-term care ombudsman Massachusetts Long-Term Care Ombudsman Program 617-222-7495 (Long-Term Care Ombudsman line listed on the state's nursing and rest home ombudsman page. Local ombudsman programs are listed by city/town on the same page. MassOptions: 800-243-4636.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit, Division of Health Care Facility Licensure and Certification 800-462-5540 (24-hour Consumer Complaint Line. Main Intake Number 617-753-8150 (during business hours). Fax 617-753-8165. Mail: Complaint Intake Unit, 67 Forest Street, Marlborough, MA 01752. No online form; email is not accepted for complaint materials.) The state agency that inspects nursing homes.
Massachusetts staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 225208. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.