Federal inspection record · CMS data as of October 1, 2026
Royal Wayland Nursing and Rehabilitation Center
188 Commonwealth Road, Wayland, MA · (508) 653-8500
- Certified beds
- 40
- Residents per day
- 34
- Ownership
- For-Profit
- Chain
- Royal Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1993
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Royal Wayland Nursing and Rehabilitation Center carries 12 inspection points. That is fewer than 82% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights1E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary1E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection history
2026-05-18
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2025-05-28
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-07-24
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
3 h 21 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 75% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,725 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-24 | Fine | $10,725 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.6 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 100.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 100.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 4.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms57.2 pts worse | 74.6% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts better | 0.9% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts better | 13.8% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16.9 pts worse | 38.4% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.3 pts better | 6.6% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7 pts better | 8.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.8% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.9 pts better | 12.5% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.2% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20 pts better | 98.9% | 78.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.6 pts better | 89.7% | 78.1% | 80.1% |
·
Who owns and runs it
2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mamary, James | 5% Or Greater Direct Ownership Interest · Individual | 50% | 12 facilities |
| Mamary, James | W-2 Managing Employee · Individual | 0% | 12 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3D
- D
Develop Emergency Preparedness policies and procedures.
- D
Develop a communication plan.
- D
Establish emergency prep training and testing.
Smoke3D
- 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.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
★★★★★
- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 39 min
- Fines
- $10,517
-
Eliot Center For Health And Rehabilitation
Natick, MA · Azure Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Mary Ann Morse Nursing & Rehabilitation
Natick, MA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 8 min
- Fines
- $0