Royal Wayland Rehabilitation and Nursing Center: Staffing, Turnover, and Inspection Record
Royal Wayland Rehabilitation and Nursing Center is a 40-bed for-profit nursing home in Wayland, Massachusetts, part of Royal Health Group. In the CMS August 2026 release it reported 2.00 nurse aide hours per resident per day, 12% below the Massachusetts average of 2.26, and 54.5% nursing staff turnover (Massachusetts average 38.2%).
Royal Wayland Rehabilitation and Nursing Center
188 Commonwealth RoadWayland, MA 01778
Middlesex County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royal Wayland Rehabilitation and Nursing Center, nurse aides logged 2.00 hours per resident per day, 12% below the Massachusetts average. With about 34 residents a day, that works out to roughly 68 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.00 | 2.26 | 2.32 |
| Licensed practical nurses | 0.73 | 0.95 | 0.86 |
| Registered nurses | 0.74 | 0.65 | 0.69 |
| All nursing staff | 3.48 | 3.86 | 3.86 |
| All nursing staff, weekends | 3.27 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.5% of nursing staff at Royal Wayland Rehabilitation and Nursing Center left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 71.4%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 28, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (Massachusetts average 7.2). CMS lists 1 fine totaling $10,725 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 24, 2024 | Fine | $10,725 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royal Wayland Rehabilitation and Nursing Center holds 5 of 5 overall; the Massachusetts average is 3.0.
About Royal Wayland Rehabilitation and Nursing Center
- Ownership: For profit - Limited Liability company
- Chain: Royal Health Group, 12 homes
- Legal name: Royal Wayland Nursing Home LLC
- Medicare and Medicaid certified since: Aug 1, 1993
- Councils: resident council
- Area: urban
Nursing homes near Royal Wayland Rehabilitation and Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Beaumont Rehab & Skilled Nursing Ctr - Natick Natick | 1.1 | 53 | 2.02 | 3.71 | 32.5% | 4 | $10,517 |
| Eliot Center for Health and Rehabilitation Natick | 2.6 | 114 | 2.10 | 3.71 | 40.5% | 3 | None |
| Mary Ann Morse Nursing & Rehabilitation Natick | 2.8 | 124 | 2.54 | 4.13 | 31.1% | 5 | None |
| Adviniacare Newton Wellesley Wellesley | 3.4 | 110 | 2.41 | 3.59 | 20.7% | 4 | $132,408 |
| St Patrick's Manor Framingham | 3.5 | 333 | 2.41 | 4.09 | 30.1% | 4 | $33,157 |
| Oak Knoll Rehabilitation and Healthcare Center Framingham | 3.5 | 123 | 2.08 | 3.79 | 41.4% | 3 | $211,819 |
| Vantage at Sudbury LLC Sudbury | 3.5 | 142 | 2.02 | 3.59 | 31.9% | 2 | $15,672 |
| Casa de Ramana Rehabilitation Center Framingham | 3.9 | 124 | 1.94 | 3.58 | 24.1% | 4 | $8,512 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.