Nursing HomeInspections

Royal Wayland Rehabilitation and Nursing Center

Nursing home in Wayland, MA

Medicare & Medicaid certified5★ overall (CMS)

Call (508) 653-8500Send a messageMap ↗

Public-record details

Address
188 Commonwealth Road, Wayland, MA 01778
Phone
(508) 653-8500
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
225591
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
40
Average residents per day
34
Ownership
For-profit, limited Liability company
Legal business name
Royal Wayland Nursing Home LLC
Chain
Royal Health Group (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225591. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 28, 2025. CMS lists 19 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 30, 2023 to Jul 24, 2024): 0 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 24, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 24, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 24, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 24, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 24, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated
Jun 30, 2023Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		C
Potential for minimal harm, widespread
Jun 30, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 30, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 30, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 30, 2023Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 30, 2023Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 30, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 19. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,725 in the last three years.

Jul 24, 2024Fine: $10,725

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.48 hours
Registered nurse (RN) time per resident per day
0.74 hours
Nurse aide time per resident per day
2.00 hours
Total nurse staffing on weekends
3.27 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
71%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.