Nursing home · Top rated by CMS
Royal Wayland Rehabilitation and Nursing Center
188 Commonwealth Road, Wayland, MA 01778 · Map
For profit - Limited Liability company · Part of Royal Health Group (12 facilities) · 40 certified beds
Royal Wayland Rehabilitation and Nursing Center is a Medicare-certified nursing home in Wayland, Massachusetts. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.30 hours per resident per day, below the Massachusetts average of 3.86. Its most recent inspection on May 28, 2025 cited 0 deficiencies.
- 1 fine totaling $10,725In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royal Wayland Rehabilitation and Nursing Center compares
This facility vs. the Massachusetts and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Massachusetts avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.30 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.67 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.89 | 2.26 | 2.34 | below avg |
| Nursing staff turnover | 61.8% | 39.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 0.0 | 8.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $10,725, 1 total penalty.
What inspectors found at Royal Wayland Rehabilitation and Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 24, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 24, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jun 30, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 30, 2023 - Potential for harm
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.
Resident Rights Deficiencies · Jun 30, 2023 - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Jun 30, 2023 - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Jun 30, 2023 - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jun 30, 2023 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jun 30, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 188 Commonwealth Road
Wayland, MA 01778 - CMS certification #
- 225591
- Ownership
- For profit - Limited Liability company
- Certified beds
- 40
- Avg residents/day
- 34.9
- Provider type
- Medicare and Medicaid
- First certified
- 1993-08-01
- Chain
- Royal Health Group (12 facilities)
- Setting
- Urban
Part of Royal Health Group
Royal Health Group operates 12 nursing facilities across the United States. View all Royal Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Royal Wayland Rehabilitation and Nursing Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Metrowest Medical Center, Framingham. 3.8 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Beaumont Rehab & Skilled Nursing CTR - Natick, Natick. 1.1 miles away, straight line.
- Nearest home health agency office
- Natick Visiting Nurse Association, Natick. 2.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 01778 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care Wellesley, Wellesley, 2.1 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Framingham, Framingham, 4.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Wellesley Dialysis, Wellesley, 6.0 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 18 Medicare hospices tell CMS they serve ZIP code 01778.
Dignity Hospice Care, office in Framingham, 2.4 miles away, straight line
Hands And Hearts Hospice Corporation, office in Wellesley Hills, 5.2 miles away, straight line
Brighton Hospice Massachusetts, LLC, office in Newton, 7.3 miles away, straight line - Nearest geriatric medicine practice
- Seha Medical And Wound Care LLC, Wellesley. 2.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Royal Wayland Rehabilitation and Nursing Center a good nursing home?
CMS gives Royal Wayland Rehabilitation and Nursing Center an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royal Wayland Rehabilitation and Nursing Center staffed?
Royal Wayland Rehabilitation and Nursing Center reports 3.30 total nurse hours per resident per day, compared with the Massachusetts average of 3.86.
Has Royal Wayland Rehabilitation and Nursing Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Royal Wayland Rehabilitation and Nursing Center have?
Royal Wayland Rehabilitation and Nursing Center is certified for 40 beds.