Royal Wayland Rehabilitation and Nursing Center
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 35 Google reviews

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What this means for your family
Royal Wayland is highly regarded for its warm, personalized care and exceptional activities program, making it a strong contender for those prioritizing emotional well-being. However, because there are recent reports of hygiene neglect and overnight staffing concerns, we strongly recommend that you visit during off-hours and ask specifically about the nurse-to-patient ratio during the night shift.
Google Reviews
Google Reviews
35 reviews on Google“Royal Wayland Rehabilitation and Nursing Center is frequently praised for its compassionate, attentive staff and a strong sense of community, particularly regarding the activities department. While many families report high satisfaction with the personalized care and communication, there are isolated but serious reports of hygiene neglect and medication management issues that families should investigate during their tour.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Highly engaging activities director
- Warm, family-like atmosphere
- Responsive communication with families
Concerns
- Inadequate overnight staffing and slow response times (mentioned by 2 reviewers)
- Hygiene neglect and failure to assist with basic needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 37 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the intimate size of your 40-resident community, how do you ensure that each resident receives consistent, personalized attention during the overnight hours?
- 2I noticed your activities director is highly praised; could you share some examples of how they tailor daily programs to keep residents engaged and connected?
- 3With medication management being a critical part of daily care, what specific protocols do you have in place to ensure accuracy and timely administration for your residents?
- 4How do you maintain your high standards for hygiene and daily living assistance, particularly during shift changes or busier times of the day?
- 5Since you have a reputation for being responsive to families, what is the best way for us to communicate with the nursing team if we have a concern about our loved one's care?
- 6How does your team balance the high-quality clinical care reflected in your 5-star rating with the need for consistent staffing support throughout the entire 24-hour cycle?
Personalized based on this facility's data
Key Review Excerpts
“The activities director—Chastity—goes out of her way to brighten each resident’s day. The nurses are attentive and encourage visits from guests, even for those patients who need memory-care.”
“Royal Wayland always shared Jack's condition with us and never did we walk into a situation that we were unaware of. They always walked us through our frustration and concern. The level of care was exceptional.”
“At Royal he was cared for with respect and kindness and his personal preferences were noted and responded to. Large isn't always good as I discovered. Sometimes good things come in small packages and although a small facility, they have what counts - good care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
13
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of recurring issues across multiple care areas, with 28 deficiencies found in two recent surveys. The main problem areas include care planning and quality standards, emergency preparedness and fire safety systems, and medication management. Several serious issues persist between surveys, including pressure ulcer care, accident prevention, and treatment according to resident preferences, suggesting ongoing challenges with clinical care quality despite reported corrections.
Jul 24, 2024Routine12
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Jun 30, 2023Routine16
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Federal Penalties
Fine
Jul 24, 2024
$10,725
Ownership & Operations
Who Operates This Facility
Royal Wayland Rehabilitation and Nursing Center
for profit
Chain Affiliation
Royal Health Group
12 facilities nationwide
Chain avg rating: 3.3/5 · Rank 2 of 12 (Best)
Ownership & Management
Owners
Mamary, James
Owner
Mamary, Jonathan
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit royalhealthgroup.com
Medicare data downloads
Original nursing home datasets
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