Nursing homes › Massachusetts › Victoria Haven Nursing Facility
137 Nichols Street, Norwood, MA 02062 · 7817620858 · 31 certified beds
Per CMS filings, this facility is affiliated with Rehabilitation Associates, a group operating 6 facilities in 1 states. Group record: average rating 3.7/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $40,641 in federal fines. This facility rates below its group average (3.7/5).
Total nurse staffing: 4.58 (Massachusetts median: 3.71). RN hours: 0.70. Weekend total: 4.19. Nursing staff turnover: 22%.
All-time on record: 39 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-21 | 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. | F | Health | corrected 2026-03-02 |
| 2026-01-21 | Observe each nurse aide's job performance and give regular training. | F | Health | corrected 2026-03-02 |
| 2026-01-21 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2026-02-27 |
| 2026-01-21 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-02-27 |
| 2026-01-21 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2026-02-02 |
| 2026-01-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-02-02 |
| 2026-01-21 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2026-02-03 |
| 2026-01-21 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-02-06 |
| 2026-01-21 | 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. | E | Health | corrected 2026-02-20 |
| 2026-01-21 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Health | corrected 2026-02-14 |
| 2026-01-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-02-14 |
| 2026-01-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-02-02 |
| 2026-01-21 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Health | corrected 2026-02-04 |
| 2026-01-21 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | Health | corrected 2026-02-14 |
| 2026-01-21 | 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. | D | Health | corrected 2026-02-19 |
| 2026-01-21 | 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. | D | Health | corrected 2026-02-13 |
| 2026-01-21 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2026-03-02 |
| 2025-02-18 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-03-26 |
| 2025-02-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2025-03-26 |
| 2025-02-18 | 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. | E | Health | corrected 2025-03-26 |
| 2025-02-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-03-26 |
| 2025-02-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-03-26 |
| 2025-02-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-03-26 |
| 2025-02-18 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-03-26 |
| 2025-02-18 | 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. | D | Health | corrected 2025-03-26 |
| 2025-02-18 | 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. | D | Health | corrected 2025-03-26 |
| 2025-02-18 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Health | corrected 2025-03-26 |
| 2024-02-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Health | corrected 2024-04-02 |
| 2024-02-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Health | corrected 2024-04-02 |
| 2024-02-29 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-04-02 |
| 2024-02-29 | 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. | E | Health | corrected 2024-04-08 |
| 2024-02-29 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2024-04-02 |
| 2024-02-29 | 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. | E | Health | corrected 2024-04-02 |
| 2024-02-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-04-02 |
| 2024-02-29 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-04-02 |
| 2024-02-29 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2024-04-02 |
| 2024-02-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-04-02 |
| 2024-02-29 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Health | corrected 2024-04-02 |
| 2024-02-29 | 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. | B | Health | corrected 2024-04-02 |
| Date | Type | Amount |
|---|---|---|
| 2024-02-29 | Fine | $40,641 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THISSE, MARION | 5% Or Greater Direct Ownership Interest | Individual | 100% | since 03/14/2024 |
| THISSE, PETER | Corporate Officer | Individual | NOT APPLICABLE | since 01/03/1990 |
| REHABILITATION ASSOCIATES INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/1985 |
| THISSE, GILBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 225608. Corrections: data@carerecords.org.