Wayland, MA

Royal Wayland Rehabilitation And Nursing Center

5-star overall rating with 5-star inspections with $10,725 in total fines

188 Commonwealth Road, Wayland, MA

(508) 653-8500

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

35

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Royal Health Group

Operator or chain grouping

Approved since

1993-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.26 · national 2.35

Total nurse hours

3.30

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.02

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.15

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,984

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.43

Composite VBP score used to determine payment impact.

Payment multiplier

0.9820

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.75

Baseline 78.95% · Performance 61.36% · Measure score 2.75 · Achievement 0.57 · Improvement 2.75

Adjusted total nurse staffing

0.94

Baseline 4.04 hours · Performance 3.34 hours · Measure score 0.94 · Achievement 0.94 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.9%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 11.54% · Lower 95% interval 6.37%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.74	1.02 0.3 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	22.86%	8.2% 14.7 pts better	Numerator 8 · Denominator 35
Staff flu vaccination coverage	63.46%	42% 21.5 pts better	Numerator 33 · Denominator 52
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.9 0.1 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 0.9 · Expected 0.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.2% 7.8 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.8% 5.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.5% 0.2 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.0% · Q3 6.5% · Q4 2.9% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	31.3%	12.0% 19.3 pts worse	11.4% 19.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.1% · Q3 58.6% · Q4 62.9% · 4Q avg 31.3%
Percentage of long-stay residents who lose too much weight	2.5%	5.2% 2.7 pts better	5.4% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.4% · Q3 0.0% · Q4 3.3% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.2%	19.2% 1 pts worse	19.6% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 24.1% · Q3 20.7% · Q4 16.7% · 4Q avg 20.2%
Percentage of long-stay residents who received an antipsychotic medication	34.8%	22.5% 12.3 pts worse	16.7% 18.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 28.6% · Q3 43.5% · Q4 41.7% · 4Q avg 34.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.9%	17.7% 12.8 pts better	16.3% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.7%	17.6% 2.9 pts better	14.9% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 20.0% · Q3 16.0% · Q4 8.0% · 4Q avg 14.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.0% 1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	2.0% 1.3 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.1%	21.7% 10.6 pts better	19.8% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 11.7% · Q3 15.5% · Q4 10.6% · 4Q avg 11.1%
Percentage of long-stay residents with pressure ulcers	5.0%	4.6% 0.4 pts worse	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.0% · Q3 3.2% · Q4 0.0% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.2%	77.1% 18.1 pts better	81.7% 13.5 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 95.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-28 · Fire 2025-05-28

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-24 · Fire 2024-07-24

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2023-06-30 · Fire 2023-06-30

14 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-07-24

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-24

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-24

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-24

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-23

F · Potential for more than minimal harm 2023-06-30

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-07-21

F · Potential for more than minimal harm 2023-06-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-21

Inspection history

Recent health citations

G · Actual harm 2024-07-24

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-24

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-08-02

E · Potential for more than minimal harm 2023-06-30

F584 · Resident Rights Deficiencies

Health

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 2023-07-28

E · Potential for more than minimal harm 2023-06-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-21

E · Potential for more than minimal harm 2023-06-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2023-07-21

D · Potential for more than minimal harm 2023-06-30

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-07-21

C · Minimal harm 2023-06-30

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-07-12

Penalties and ownership

What sits behind the stars

$10,725 2024-07-24

Fine

Fine · fine $10,725

Fine

Ownership

Mamary, James

5% Or Greater Direct Ownership Interest · Individual

25% 12 facilities 2016-06-16

Mamary, Jonathan

5% Or Greater Direct Ownership Interest · Individual

25% 5 facilities 2016-06-16

Mamary, James

W-2 Managing Employee · Individual

0% 12 facilities 2016-06-16

Nearby options

Other facilities in reach

#1

Beaumont Rehab & Skilled Nursing Ctr - Natick

Natick, MA

3-star overall rating with 4-star inspections with $10,517 in total fines with 3 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle

Overall: 3 / 5
Health: 4 / 5
Staffing: 1 / 5
Fines: $10,517

#2