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Nursing HomeMedicaid Top Rated

Royal Wayland Rehabilitation and Nursing Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

188 Commonwealth Road, Cochituate · Wayland, MA 0177840 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 35 Google reviews

5
4
3
2
1
Royal Wayland Rehabilitation and Nursing Center Nursing Home in Wayland, MA — Street View
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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 details
Food8.0Staff8.0Clean7.0Activities10.0Meds4.0Memory9.0Comms9.0ValueN/A

Strengths

  • 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

234'16(2)'18(4)'21(2)'24(4)'26(1)

Distribution · 37 analyzed

5
24
4
5
3
0
2
0
1
8

How They Respond to Reviews

0%response rate

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.

Memory care family member · 2023★★★★★

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.

Long-term resident's family · 2024★★★★★

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.

Long-term resident's family · 2025★★★★
Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.82hrs
OK
Registered nurses for medical care
Total Nursing
3.56hrs
87%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Total 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

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility49.2%
Worse than Avg
Here
49.2%
US
12.1%
MA
13.7%
Middlesex
11.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility38.6%
Worse than Avg
Here
38.6%
US
15.4%
MA
21.3%
Middlesex
22.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
15.3%
MA
16.4%
Middlesex
13.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.9%
Better than Avg
Here
12.9%
US
19.4%
MA
21.4%
Middlesex
19.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MA
92.4%
Middlesex
92.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MA
94.8%
Middlesex
95.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.4%
Better than Avg
Here
96.4%
US
81.8%
MA
77.6%
Middlesex
76.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MA
1.3%
Middlesex
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
1penalties
Well below state avg (8.9)
$10,725 in fines
Clean record — no deficiencies

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, 2024Routine
12
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0013Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0029Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0036Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Jun 30, 2023Routine
16
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0584Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · PatternCorrected

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0656Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0806Potential for harm · IsolatedCorrected

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.

0582Minimal · WidespreadCorrected

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

Owner / Operator

Royal Wayland Rehabilitation and Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Royal Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 3.3/5 · Rank 2 of 12 (Best)

Ownership & Management

Owners

Mamary, James

Owner

50%

Mamary, Jonathan

Owner

25%

Key personnel

Mamary, JamesW-2 Managing Employee
Source: Medicare provider data

Contact

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References & Resources

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