Home›Browse›Massachusetts›Wayland›Royal Wayland Nursing and Rehabilitation Center

Nursing homeFAID #5910

Royal Wayland Nursing and Rehabilitation Center

188 COMMONWEALTH ROAD, WAYLAND, MA, 01778

(508) 653-8500

40 licensed beds

CMS rates Royal Wayland Nursing and Rehabilitation Center 5 out of 5 overall. Federal inspectors issued 15 citations across 6 inspections in the last three years, with $10,725 in fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

188 Commonwealth Road

Wayland, MA 01778

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Public record summary

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Bed capacity

CMS facility ID

225591

Care type

Nursing home

County

Middlesex

Facility name

Royal Wayland Nursing and Rehabilitation Center

Street address

188 COMMONWEALTH ROAD

City / state / ZIP

Wayland, MA 01778

Phone

(508) 653-8500

About this facility — Royal Wayland Nursing and Rehabilitation Center

Royal Wayland Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Wayland, Massachusetts. It is licensed for 40 beds — well below the median for skilled nursing facilities in Massachusetts (123 beds).

It is one of 4 senior care facilities in Wayland and 341 skilled nursing facilities across Massachusetts. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Royal Health Group, a group of 12 facilities on this site.

Federal inspectors have cited Royal Wayland Nursing and Rehabilitation Center 15 times across 6 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $10,725 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Royal Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Mamary, James

Direct owner · Managing employee — 50% stake — since 2016

Regulatory standing

Federal court records

3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1993-08-01

CMS overall rating

5 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

$10,725 total

Last standard inspection

2026-05-18

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$360 per day (≈ $10,940/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

85% Medicaid · 4% Medicare · 11% private/other

Occupancy

92% (fiscal year 2023)

Vs. state median

26% below the MA median of $489/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-05-18Health inspection2 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-06-05

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-06-05

2024-07-24Health inspection5 citations

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-02

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-02

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-08-02

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-02

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-08-02

2 earlier / fire-safety inspections (8 citations)

2026-05-18Fire-safety inspection1 citation

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-07-25

2024-07-24Fire-safety inspection7 citations

E-0013

D · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2024-08-30

E-0029

D · No harm found

Develop a communication plan.

Corrected 2024-08-30

E-0036

D · No harm found

Establish emergency prep training and testing.

Corrected 2024-08-30

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-23

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-23

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-23

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-08-23

Federal penalties

2024-07-24Fine$10,725

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 225591.

Quality of care & staffing

How it compares in Massachusetts.

Inspection citations, 3 years

More than 11% of nursing homes in the state

State median: 36

Federal fines, 3 years

$10,725

More than 66% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.3

Higher than 11% of nursing homes in the state

State median: 3.7

Nursing staff turnover, annual

50%

Higher than 85% of nursing homes in the state

State median: 36%

Resident outcomes

On 19 federal quality measures, this facility does better than the Massachusetts average on 14 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	8.8%	15.8%	13.5%	Better than state
Lose too much weight	0.9%	5.0%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.8%	1.7%	1.5%	Better than state
Have depressive symptoms	74.6%	17.4%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	4.7%	3.4%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	92.9%	93.7%	Near state average
Ability to walk independently worsened	6.6%	13.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	13.8%	19.5%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5%	95.3%	Near state average
With pressure ulcers	2.2%	4.2%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	12.5%	20.4%	18.3%	Better than state
Received an antipsychotic medication	38.4%	21.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.62	1.84	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.96	1.45	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.9%	78.9%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	89.7%	78.1%	80.1%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Verify & compare

Where to check, and what's nearby.

Who to contact in Massachusetts

Licensing: Massachusetts Department of Public Health, Division of Health Care Facility Licensure and Certification
File a complaint: 800-462-5540 · Online
Long-Term Care Ombudsman: 617-222-7495. A free advocate for residents and families.
Adult Protective Services: 800-922-2275. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Metrowest Medical Center, about 3.8 miles. CMS rating 1 of 5.
Newton-wellesley Hospital, about 5.9 miles. CMS rating 5 of 5.
Beth Israel Deaconess Hospital - Needham, about 7.0 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Beaumont Rehab & Skilled Nursing Ctr - Natick, Natick, about 1.1 miles. CMS rating 3 of 5.
Eliot Center for Health and Rehabilitation, Natick, about 2.6 miles. CMS rating 3 of 5.
Mary Ann Morse Nursing & Rehabilitation Center, Natick, about 2.8 miles. CMS rating 5 of 5.
Adviniacare Newton Wellesley, Wellesley, about 3.4 miles. CMS rating 3 of 5.
St Patrick's Manor, Framingham, about 3.5 miles. CMS rating 5 of 5.

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 15 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered