ROYAL WAYLAND REHABILITATION AND NURSING CENTER – WAYLAND, MA

CMS Verified | 2026-03-01

Royal Wayland Rehabilitation And Nursing Center

188 COMMONWEALTH ROAD, Wayland, MA 1778
(508) 653-8500
40 beds
All Wayland facilities
5.0*
Overall
5.0*
Health Inspection
4.0*
Quality Care
2.0*
Staffing
75.15
Score /100
#5863
National Rank

#5863
of 14703 facilities
National
60.1% position
#136
of 341 in MA
State Rank
#32
of 72 in Middlesex
County Rank
#1
of 1 in Wayland
City Rank
#1
of 1 in ZIP 1778
ZIP Rank






About Royal Wayland Rehabilitation And Nursing CenterRoyal Wayland Rehabilitation And Nursing Center is located at 188 Commonwealth Road, Wayland, MA, reachable at (508) 653-8500. This For profit – Limited Liability company facility operates 40.0 certified beds and serves an average of 34 residents per day. It is part of the Royal Health Group network (12 facilities nationwide). Medicare and Medicaid services have been provided since 1993-08-01. The facility currently holds a excellent (5-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Royal Wayland Rehabilitation And Nursing Center

Address

188 Commonwealth Road, Wayland, MA 1778

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 40 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: ROYAL HEALTH GROUP

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Excellent (5★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 10 fine(s) over 5 years
5-Year Trend
Improving over 5 years
75.15
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#5863 of 14703 nationally – #136 of 341 in Massachusetts

Who Is This Facility Best For?

Royal Wayland Rehabilitation And Nursing Center is a strong choice for families in the Wayland, MA area seeking a well-inspected, high-quality care environment. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

5 / 5
Health Inspection

5 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightRoyal Wayland Rehabilitation And Nursing Center currently provides 3 hours 18 minutes of total nurse staffing per resident per day, including 40 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 61.8%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 18 minutes
Nurse Aide Hours1 hour 54 minutes
Licensed Practical Nurse (LPN) Hours44 minutes
Registered Nurse (RN) Hours40 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 1 minute
Weekend Registered Nurse (RN) Hours19 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $10,725. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $10725.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 9.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#5,863
of 14,703
National
Top 40%
#136
of 341
MA State
Top 40% in MA
#32
of 72
️ Middlesex County
#32 of 72
#1
of 1
️ Wayland
Best in city
#1
of 1
ZIP 1778
Best in ZIP

Nationally, Royal Wayland Rehabilitation And Nursing Center ranks 5863rd out of 14,703 facilities (composite score: 75.2/100), placing it in the above average nationwide. Within MA, it ranks 136th out of 341 nursing homes. For 2026 staffing: total nurse hours rank #11,063 nationally and RN hours rank #5,400 nationally (#114 in MA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MA State Rank Note
2022 3.61 #7,001 / 14,703 #167 / 341 Above average
2023 4.01 #4,077 / 14,703 #60 / 341 Above average
2024 3.24 #10,712 / 14,703 #281 / 341 Below average
2025 3.21 #11,608 / 14,703 #298 / 341 ⚠️ Bottom 25%
2026 3.30 #11,063 / 14,703 #289 / 341 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MA State Rank Note
2022 0.63 #6,340 / 14,703 #172 / 341 Above average
2023 0.83 #3,001 / 14,703 #65 / 341 Top 25%
2024 0.41 #10,193 / 14,703 #284 / 341 Below average
2025 0.47 #9,171 / 14,703 #243 / 341 Below average
2026 0.67 #5,400 / 14,703 #114 / 341 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Royal Wayland Rehabilitation And Nursing Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-08-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (508) 653-8500 or your local Medicaid office to verify current eligibility.

Royal Wayland Rehabilitation And Nursing Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 75.2/100, placing it #5863 of 14703 facilities nationally and #136 of 341 in Massachusetts. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Royal Wayland Rehabilitation And Nursing Center receives a reported average of 3 hours 18 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 40 minutes; Licensed Practical Nurse (LPN) — 44 minutes; Nurse Aide — 1 hour 54 minutes. On weekends, total nurse staffing is 3 hours 1 minute per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 61.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $10,725. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $10,725, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 9.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Royal Wayland Rehabilitation And Nursing Center ranks 5863rd out of 14,703 facilities (composite score: 75.2/100), placing it in the above average nationwide. Within MA, it ranks 136th out of 341 nursing homes. For 2026 staffing: total nurse hours rank #11,063 nationally and RN hours rank #5,400 nationally (#114 in MA). Our composite quality score of 75.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Wayland, visit: https://nursinghomesnearme.org/massachusetts/wayland/

Contact and Location

ADR
Address

188 COMMONWEALTH ROAD, Wayland, MA 1778
Get directions on Google Maps

TEL
LLC
Legal Name

ROYAL WAYLAND NURSING HOME LLC

MAP
Browse by Location

All Massachusetts ·
Middlesex County ·
Wayland ·
ZIP 1778

Facility Details

Number of Certified Beds 40
Average Residents / Day 34 (87% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Middlesex County, MA
City Wayland, MA
ZIP Code 1778
Approved Since August 1, 1993
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 225591
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org