B

ROYAL WAYLAND REHABILITATION AND NURSING CENTER

188 COMMONWEALTH ROAD, WAYLAND, MA 01778
Score: 79 / 100

Royal Wayland Rehabilitation And Nursing Center earns a solid B grade from CMS data, with a score of 79/100. Performing above average across most metrics, this Wayland facility ranks in the 79th percentile among Massachusetts nursing homes.

Staffing levels are a potential concern at Royal Wayland Rehabilitation And Nursing Center, with 3.30 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 19 deficiencies at Royal Wayland Rehabilitation And Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.30 3.8 Below Average
Registered Nurses (RN) 0.67 0.7 Average
Licensed Practical Nurses (LPN) 0.74 0.7 Average
Certified Nursing Assistants (CNA) 1.89 2.4 Below Average
Weekend Total Nursing 3.02 3.8 Below Average
Weekend RN Hours 0.32 0.7 Below Average

🔍 Inspection & Deficiency History

19
Total Deficiencies
Jul 23, 2024
Most Recent Inspection
⚪ 1 Minor 🟠 18 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jul 23, 2024 · Quality of Life and Care Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jul 23, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 23, 2024 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 23, 2024 · Quality of Life and Care Deficiencies
  • Tag 0757 Severity D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    Jul 23, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.0% 4.5% Worse
Falls with major injury 3.7% 3.0% Worse
On antipsychotic medication 34.8% 14.5% Worse
Urinary tract infections 0.7% 2.5% Better
ADL decline (daily activities) 14.7% 14.0% Average
Excessive weight loss 2.5% 7.5% Better
New/worsened incontinence 11.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $10,725

How This Grade Was Calculated

This facility's grade of B is based on a score of 79 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
40
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 27, 2025
Deficiencies (Cycle 1)
0