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
5 of 5 overall
5 out of 5 stars overall, with a 5-star health inspection and 4-star quality measures, but weaker staffing at 2 stars and 3.56 nurse hours per resident day versus the 4.1 federal benchmark. The facility also has a recent federal penalty and $10,725 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.561 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 3.561.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.72
- Nurse aides
- 2.02
- Weekend nursing
- 3.15
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
38.6%Worsening
Residents with a fall causing major injury
4.6%Worsening
Residents with pressure ulcers (bedsores)
2.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.3%Improving
Residents whose ability to walk got worse
6.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.9%Worsening
Residents with depressive symptoms
49.2%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
96.4%Steady
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 · 2.9 stars avg
- Occupancy
- 34 residents on an average day (85% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.