Royal Wayland Rehabilitation and Nursing Center

Name: Royal Wayland Rehabilitation and Nursing Center
Address: 188 COMMONWEALTH ROAD, Wayland, MA, 01778, US
Telephone: 5086538500

188 Commonwealth Road, Wayland, MA 01778 · Middlesex County · 40 certified beds · avg 34 residents/day · certified since Aug 1, 1993

Part of chain: ROYAL HEALTH GROUP (12 facilities, chain avg rating 3.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

$10,725

Fines, last 3 years

3.51

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jul 24, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 2, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 24, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 24, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jun 30, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 30, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 30, 2023	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 30, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 30, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jun 30, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Jun 30, 2023	C · Minimal risk, facility-wide	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	14	0	E
2024	5	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $10,725.

Date	Type	Amount / length
Jul 24, 2024	Fine	$10,725

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.51	3.89	3.95	bottom 33% in Massachusetts; bottom 37% in the U.S.
Registered Nurse hours	0.75	0.65	0.69	top 23% in Massachusetts; top 31% in the U.S.
Weekend total nurse staffing	3.30	3.51	3.50	bottom 43% in Massachusetts; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.46	0.48	bottom 48% in Massachusetts; top 48% in the U.S.
Total nursing staff turnover (%)	54.5	38.2	45.8	bottom 10% in Massachusetts; bottom 26% in the U.S.
RN turnover (%)	71.4	42.6	42.9	bottom 8% in Massachusetts; bottom 11% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.48, RN 0.74, weekend 3.27. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Mamary, James	Individual	5% or Greater Direct Ownership Interest	25%	06/16/2016
Mamary, James	Individual	W-2 Managing Employee	NOT APPLICABLE	06/16/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Beaumont Rehab & Skilled Nursing Ctr - Natick	1.1 mi	Natick, MA	★★★★☆	4/5
Eliot Center for Health and Rehabilitation	2.6 mi	Natick, MA	★★★☆☆	3/5
Mary Ann Morse Nursing & Rehabilitation	2.8 mi	Natick, MA	★★★★★	4/5
Adviniacare Newton Wellesley	3.4 mi	Wellesley, MA	★★★★☆	3/5
St Patrick's Manor	3.5 mi	Framingham, MA	★★★★☆	3/5
Oak Knoll Rehabilitation and Healthcare Center	3.5 mi	Framingham, MA	★★★☆☆	3/5
Vantage at Sudbury LLC	3.5 mi	Sudbury, MA	★★☆☆☆	2/5
Casa de Ramana Rehabilitation Center	3.9 mi	Framingham, MA	★★★★☆	4/5
Riverbend of South Natick	4.1 mi	S Natick, MA	★★★★★	4/5
Carlyle House	4.6 mi	Framingham, MA	★☆☆☆☆	2/5
Campion Health & Wellness, INC	4.8 mi	Weston, MA	★★★★★	5/5
Bethany Skilled Nursing Facility	4.9 mi	Framingham, MA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Wayland →

Facility data as of CMS processing date 2026-08-01. CCN 225591.

The Care File

Visit checklist — Royal Wayland Rehabilitation and Nursing Center

188 Commonwealth Road, Wayland, MA 01778 · 5086538500

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $10,725

Most serious findings on record:

▲ Jul 24, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225591 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)