nursing home in Wayland, MA
Royal Wayland Rehabilitation and Nursing Center
188 Commonwealth Road, Wayland, MA 01778 · (508) 653-8500
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Royal Wayland Rehabilitation and Nursing Center at a glance
Royal Wayland Rehabilitation and Nursing Center is a 40-bed for-profit nursing home in Wayland, Massachusetts (Middlesex County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Massachusetts average of 3.
Residents receive about 3.5 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 18, 2026) found 2 health citations. The Massachusetts average is 6.8.
Federal regulators fined it 1 time in the past three years, totaling $10,725.
Nursing staff turnover is 54.5% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 40
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Royal Health Group
- Medicare-certified since
- August 1, 1993
- Resident/family council
- Resident
- County
- Middlesex County
- CMS Certification Number
- 225591
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.48 hrs | 3.86 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.74 hrs | 0.65 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.00 hrs | 2.25 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.27 hrs | 3.48 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 54.5% | 38.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 42.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 12 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,725 | $34,265 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 120 | 107 | |
| Average residents per day | 34 | 99 | 86 | |
| Occupancy | 85.5% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.4% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 39.8% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.5% | 16.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.3% | 15.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.9% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 67.2% | 15.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.8% | 19.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13.1% | 21.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 92.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.4% | 78.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 7 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 18, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 25, 2026 |
| May 18, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected June 5, 2026 |
| May 18, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected June 5, 2026 |
| July 24, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected August 23, 2024 |
| July 24, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected August 23, 2024 |
| July 24, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected August 23, 2024 |
| July 24, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected August 23, 2024 |
| July 24, 2024 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | D Potential harm, isolated | Corrected August 30, 2024 |
| July 24, 2024 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | D Potential harm, isolated | Corrected August 30, 2024 |
| July 24, 2024 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | D Potential harm, isolated | Corrected August 30, 2024 |
| July 24, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected August 2, 2024 |
| July 24, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 2, 2024 |
| July 24, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected August 2, 2024 |
| July 24, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 2, 2024 |
| July 24, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 2, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $10,725 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 24, 2024 | Fine | $10,725 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MAMARY, JAMES Individual | 5% or greater direct ownership interest | 25% | 06/16/2016 |
| MAMARY, JAMES Individual | w-2 managing employee | NOT APPLICABLE | 06/16/2016 |
Other nursing homes near Royal Wayland Rehabilitation and Nursing Center
Beaumont Rehab & Skilled Nursing Ctr - Natick
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For-profit · 53 beds
★★★★★4Above averageEliot Center for Health and Rehabilitation
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★★★★★3AverageMary Ann Morse Nursing & Rehabilitation
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- CMS high performer
★★★★★5Much above averageAdviniacare Newton Wellesley
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★★★★★4Above averageSt Patrick's Manor
863 Central Street, Framingham, MA 01701 · 3.5 mi
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★★★★★5Much above averageOak Knoll Rehabilitation and Healthcare Center
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★★★★★3Average
Frequently asked questions
What is Royal Wayland Rehabilitation and Nursing Center's rating?
Royal Wayland Rehabilitation and Nursing Center has 5 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Royal Wayland Rehabilitation and Nursing Center receive?
Its most recent standard health inspection found 2 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Royal Wayland Rehabilitation and Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Royal Wayland Rehabilitation and Nursing Center?
It is for profit - limited liability company and part of Royal Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Royal Wayland Rehabilitation and Nursing Center and how do I contact it?
Royal Wayland Rehabilitation and Nursing Center is at 188 Commonwealth Road, Wayland, MA 01778. Phone: (508) 653-8500.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.