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
In good standing
For-profitChain member
Data as of September 1, 2026
5 of 5 overall
ROYAL WAYLAND REHABILITATION AND NURSING CENTER has an overall 5 out of 5 stars, with strong quality measures and a 4-star health inspection rating, but staffing is lower at 3 stars and reported nurse staffing is 3.48 hours per resident per day versus the 4.1 federal benchmark. There were no fines in the last 24 months, and recent inspection citations included pressure ulcer care, residents’ rights, and food temperature/palatability.
Facility ratings
Health inspections
Staffing
3.476 hrs/resident/day
Quality measures
Last inspection: May 18, 2026Penalties, last 24 months: $0
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 were treated with dignity and could make their own choices and communicate freely. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — 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
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- 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 · 3.2 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.