Home / Massachusetts / Wayland
Royal Wayland Rehabilitation and Nursing Center
188 Commonwealth Road, Wayland, MA 01778 · Middlesex County · (508) 653-8500
40 certified beds, about 34 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225591 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 18, 2026, inspectors cited 2 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
Of 7 health citations since July 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,725 in the last three years; the largest was $10,725, and the latest is dated July 24, 2024.
Nurses and nurse aides worked 3.48 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
54.5% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Royal Health Group, an affiliated group of 12 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
May 18, 2026Standard inspection · 2 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record reviews, interviews and policy review, the facility failed to provide a dignified dining experience in the facility's main dining room. Specifically, the facility failed to ensure residents seated at the same table were served/assisted with meals at the same time as their table mates.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations and two test trays, the facility failed to provide food that was palatable to taste based on temperature.
May 28, 2025Standard inspection · 0 citations
July 24, 2024Standard inspection · 5 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility failed to ensure one Resident (#17), out of a total sample of 16 residents, received care and treatment to prevent worsening of a pressure injury. Specifically, the facility failed to implement a wound treatment timely resulting in a delay in treatment and deterioration of the wound to a stage 3 pressure ulcer (partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer) to the Resident's sacrum (an area at the base of the spine).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record reviews and interviews, the facility failed to follow the physician order to obtain weekly weights for 1 Resident (#35) out of a total sample of 16 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to ensure quality of care was provided according to facility protocols and professional standards of practice for one Resident (#6) , out of a total sample of 16 residents. Specifically, the facility failed to identify a skin alteration on Resident #6's foot and document accordingly.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review and interview the facility failed to implement a physician's order for the use of a bed alarm for one Resident (#1) out of a total sample of 16 residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to prevent unnecessary medication after the recommendation of a gradual dose reduction for one Resident (#30) out of a total sample of 16 residents.
Fire safety inspections
8 fire safety citations on file: 1 on May 18, 2026, 7 on July 24, 2024.
Every fire safety citation8 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Develop Emergency Preparedness policies and procedures.
- D Develop a communication plan.
- D Establish emergency prep training and testing.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 24, 2024 | Fine | $10,725 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.48 | 3.86 | 3.86 |
| Registered nurses | 0.74 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.48 | 3.42 |
| Nurse aides | 2.00 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 54.5% | 38.2% | 45.8% |
| Registered nurse turnover | 71.4% | 42.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.80 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.56 on weekdays and 3.27 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.35 in April to June 2025 to 3.48 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.48 | 0.74 | 3.56 | 3.27 | 19.2% | 0 of 90 | 34 |
| Oct to Dec 2025 | 3.56 | 0.82 | 3.72 | 3.15 | 12.9% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.30 | 0.67 | 3.41 | 3.02 | 9.1% | 0 of 92 | 35 |
| Apr to Jun 2025 | 3.35 | 0.86 | 3.48 | 3.02 | 0.6% | 0 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.5 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.3 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 39.8 | 21.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.8 |
Owners and operators
Legal business name: ROYAL WAYLAND NURSING HOME LLC. CMS links this home to Royal Health Group, a group of 12 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mamary, James | 5% or greater direct ownership interest | Individual | 25% | 06/16/2016 |
| Mamary, James | W-2 managing employee | Individual | 06/16/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 24, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 18, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 18, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 24, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Massachusetts average of 3.48.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Beaumont Rehab & Skilled Nursing Ctr - Natick Natick, 1.1 mi · 4 of 5 stars · 9 citations
- Eliot Center for Health and Rehabilitation Natick, 2.6 mi · 3 of 5 stars · 32 citations
- Mary Ann Morse Nursing & Rehabilitation Natick, 2.8 mi · 5 of 5 stars · 18 citations
- Adviniacare Newton Wellesley Wellesley, 3.4 mi · 4 of 5 stars · 43 citations
- St. Patrick's Manor Framingham, 3.5 mi · 5 of 5 stars · 18 citations
- Oak Knoll Rehabilitation and Healthcare Center Framingham, 3.5 mi · 3 of 5 stars · 27 citations
- Regalcare at Sudbury Sudbury, 3.5 mi · 2 of 5 stars · 43 citations
- Casa De Ramana Rehabilitation Center Framingham, 3.9 mi · 4 of 5 stars · 12 citations
Common questions
- What is Royal Wayland Rehabilitation and Nursing Center's Medicare star rating?
- CMS rates Royal Wayland Rehabilitation and Nursing Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Royal Wayland Rehabilitation and Nursing Center get at its last inspection?
- 2 health deficiencies at the standard inspection on May 18, 2026. The Massachusetts average is 6.8.
- Has Royal Wayland Rehabilitation and Nursing Center been fined?
- Yes. CMS lists 1 fine totaling $10,725 in the last three years.
- Does Royal Wayland Rehabilitation and Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Royal Wayland Rehabilitation and Nursing Center?
- CMS lists 2 owners and managers, and links the home to Royal Health Group. Legal business name: ROYAL WAYLAND NURSING HOME LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
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