Royal Wayland Rehabilitation and Nursing Center
188 Commonwealth Road · Wayland, MA · 01778 · 5086538500
40 certified beds For profit - Limited Liability company Chain: Royal Health Group
- Cleaner inspection record than most facilities nationally.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.15 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 1 · $10,725 |
Inspection citations (19 in the current record)
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Actual harm · G July 24, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 2, 2024 · Pharmacy Service
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Potential for harm · E June 30, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 28, 2023 · Resident Rights
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Potential for harm · D June 30, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 30, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 30, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected July 21, 2023 · Pharmacy Service
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Potential for harm · D June 30, 2023
Provide or obtain dental services for each resident.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected July 21, 2023 · Nutrition and Dietary
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Potential for harm · E June 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 21, 2023 · Nutrition and Dietary
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Potential for harm · E June 30, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 21, 2023 · Resident Assessment and Care Planning
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No harm found · C June 30, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 12, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 24, 2024 | Fine | $10,725 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225591 · certified since August 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.