The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
ROYAL WAYLAND REHABILITATION AND NURSING CENTER
WAYLAND, MA · Medicare-certified · 40 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Overall rating: 5 of 5 stars. Royal Wayland Rehabilitation and Nursing Center has top scores for health inspections and quality measures, but staffing is lower at 3 of 5 stars with 3.48 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $10,725 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.476 hrs/resident/day
Quality measures
Last inspection: May 28, 2025Penalties, last 24 months: $10,725recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.476.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.00
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
40.9%34.8%Improving
Residents with a fall causing major injury
6.5%6.5%No change
Residents with pressure ulcers (bedsores)
3.2%3.3%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%0%Improving
Residents whose ability to walk got worse
—4.3%—
Long-stay residents on antianxiety or sleep medication
20.7%14.8%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.5%12.2%Improving
Residents with depressive symptoms
58.6%75.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited July 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $10,725 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,725 in total fines.
- $10,725
Federal fine
Jul 24, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ROYAL HEALTH GROUP · 12 homes · 3.1 stars avg
- Occupancy
- 34.2 residents on an average day (86% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.