Royal Wayland Rehabilitation and Nursing Center
188 Commonwealth Road, Wayland, MA 01778
Royal Wayland Rehabilitation and Nursing Center, a 40-bed for profit - limited liability company nursing facility in Wayland, MA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #49 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5086538500
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #49 of 338
- In-state rank among rated MA homes
- 3.48
- Below average · nurse hrs/day · nat'l 3.86
- 19
- Inspection findings · 1 serious
The verdict
Royal Wayland Rehabilitation and Nursing Center, a 40-bed for profit - limited liability company nursing facility in Wayland, MA, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #49 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 5 / 5
- CMS overall · national 3.0
- #49 of 338
- In-state rank among rated MA homes
- 3.48
- Nurse hrs/resident-day · national 3.86
- 19
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 341 MA nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 225591
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 40
- Residents
- 34
- In Hospital
- No
- County
- Middlesex
- Last Inspection
- May 28, 2025
Staffing Data
How the 3.48 total nursing hours per resident-day are staffed:
- RN Hours
- 0.74 (nat'l avg: 0.69)
- LPN Hours
- 0.73
- CNA Hours
- 2.00
- Total Nursing Hours
- 3.48 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 54.5%
- RN Turnover
- 71.4%
What the CMS Record Reveals About Royal Wayland Rehabilitation and Nursing Center
According to CMS Nursing Home Compare, Royal Wayland Rehabilitation and Nursing Center ranks #49 of 338 rated nursing homes in MA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Royal Wayland Rehabilitation and Nursing Center operates 40 certified beds in Wayland, MA with approximately 34 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 3★ · quality 5★).
The inspection file contains 19 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $11K levied against this facility. Reported nurse staffing runs 3.48 total hours per resident day (national average 3.86); RN hours specifically are 0.74 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Royal Wayland Rehabilitation and Nursing Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 54.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (19 most recent)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Aug 2, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 2, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 2, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 2, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 2, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Jul 12, 2023
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 21, 2023
Provide or obtain dental services for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 21, 2023
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Jul 21, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 21, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 21, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 21, 2023
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 21, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 21, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 21, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 21, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 21, 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.
Category: Resident Rights Deficiencies
Corrected: Jul 28, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 39.8% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 0.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 67.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 16.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 13.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $11K
| Date | Type | Amount |
|---|---|---|
| Jul 24, 2024 | Fine | $11K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Royal Wayland Rehabilitation and Nursing Center, both outside MA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MA (40 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MA (3.51 here).
Nearby Nursing Homes in MA
340 other nursing homes are on record in MA; 6 are shown here.
Abbott Skilled Nursing & Rehabilitation Center
Lynn, MA
Aberjona Rehabilitation and Nursing Center
Winchester, MA
Adviniacare at Northbridge
Northbridge, MA
Adviniacare at Provincetown
Provincetown, MA
Adviniacare Newburyport
Newburyport, MA
Adviniacare Newton Wellesley
Wellesley, MA
Understanding Nursing Home Data
What the CMS records show for Royal Wayland Rehabilitation and Nursing Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MA registry aggregates state averages and the highest-rated homes in this cohort. View MA registry
- Peer homes near 40 beds show how CMS stars vary at a similar scale in MA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Royal Wayland Rehabilitation and Nursing Center?
Where does Royal Wayland Rehabilitation and Nursing Center rank among nursing homes in MA?
What are the staffing levels at Royal Wayland Rehabilitation and Nursing Center?
How many beds does Royal Wayland Rehabilitation and Nursing Center have?
Does Royal Wayland Rehabilitation and Nursing Center have any deficiencies on record?
Has Royal Wayland Rehabilitation and Nursing Center received any fines or penalties?
Who owns Royal Wayland Rehabilitation and Nursing Center?
When was Royal Wayland Rehabilitation and Nursing Center last inspected?
What quality measures are tracked for Royal Wayland Rehabilitation and Nursing Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
