Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Royal Wayland Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
Failure to provide a dignified dining experience: residents seated at the same table were not served or assisted with meals at the same time as their table mates. During meal observations, several residents waited 10 to 30 minutes after food was placed in front of them before CNA or admin assistance began, including residents in broda chairs with meals on overbed tables. Staff and the Administrator stated that residents should be served and assisted promptly and at the same time to maintain dignity.
Food was not maintained at proper temperatures during meal service. A family member said meals often sat in front of residents for a long time before assistance and were often cold. Surveyors observed delayed meal assistance in the dining room, and two test trays showed hot foods served cold or cool and cold items served above expected cold temperatures. The Administrator and [NAME] said they were unsure of the required holding temperatures and would refer to the facility policy.
A resident with severe cognitive impairment and mobility dependence developed a pressure ulcer that worsened to stage 3 due to the facility's failure to provide timely care. Despite a skin check revealing the ulcer, the physician was not notified, and treatment was delayed until a wound physician intervened days later.
A resident with dementia and severe malnutrition was not weighed weekly as ordered by a physician. Despite the order being in place since April, the resident had not been weighed weekly since the end of May. Nutritional assessments highlighted the need for weekly weights, but staff interviews confirmed the order was not followed.
A facility failed to document a skin alteration on a diabetic resident's foot, despite protocols requiring regular skin checks and diabetic foot care. The resident, with type 2 diabetes and dementia, had a dark calloused area on the foot that was not recorded in the Treatment Administration Record. Nurse #1 and the DON acknowledged the oversight, highlighting a lapse in adhering to care protocols.
A resident with severe cognitive impairment and a history of falls was not provided with a functioning bed alarm as ordered by a physician. Observations revealed the alarm was not attached to the sensor pad, rendering it non-functional. Staff were unaware of the malfunction, despite being responsible for ensuring the alarm's operation.
A resident with dementia and major depressive disorder experienced unnecessary medication use due to a delay in implementing a recommended dose reduction of Seroquel. Despite a psychiatric evaluation suggesting a decrease from 150 mg to 125 mg at night to address increased lethargy, the change was not made until over a month later. The facility's protocol requires presenting such recommendations to a doctor, but the Director of Nursing could not explain the delay.
Failure to Provide Dignified Dining Assistance
Penalty
Summary
The facility failed to provide a dignified dining experience in the main dining room by not ensuring residents seated at the same table were served and assisted with meals at the same time as their table mates. The facility policy titled "Promoting/Maintaining Resident Dignity During Mealtimes Policy," revised February 2025, stated that residents are to be treated with respect and dignity and that staff involved in feeding assistance are to promote and maintain resident dignity during mealtimes. During interviews, a family member reported that there was often not enough staff in the dining room, residents who needed assistance had to wait a long time, and food was placed in front of them while they waited and became cold before help was provided. During lunch observations, one resident had a covered meal and drinks in front of him/her while the table mate was already eating, and the resident did not begin receiving assistance until 12 minutes later, after the table mate had finished eating. At another table, three residents were served at different times, with the last resident not served until 13 minutes after the first. Several residents who needed assistance had meals placed in front of them and then waited 12, 20, and 30 minutes before staff began assisting them; one resident was observed licking an empty spoon while waiting. Two residents seated in broda chairs that would not fit under the dining tables also had covered meals and drinks placed on overbed tables and waited 21 and 24 minutes before CNA assistance began. During breakfast observations, two residents at one table were served at the same time, but one did not receive assistance until 10 minutes later; at another table, three residents were served together, but one resident did not receive assistance until 14 minutes later. Another resident in a broda chair had an uncovered puree meal on an overbed table and waited 11 minutes before the Administrator began assisting. Staff and the Administrator stated that residents at the same table should be served at the same time and assisted promptly to ensure a dignified dining experience.
Food Served at Improper Temperatures
Penalty
Summary
Food and drink were not kept at palatable and safe appetizing temperatures during meal service. The facility policy titled Record of Food Temperatures, revised May 2025, stated hot foods would be held at 135 degrees Fahrenheit or greater, potentially hazardous cold foods at or below 41 degrees Fahrenheit, and no food would be served that did not meet food code standard temperatures. During an interview on 5/17/26 at 12:01 P.M., a resident's family member said food often sat in front of residents for a long time before assistance was provided and that food was often cold. On 5/17/26 at 12:28 P.M., the surveyor observed meal delivery to the main dining room, and the last resident was assisted with the meal at 12:58 P.M. A test tray completed at that time found steamed spinach at 80 degrees Fahrenheit, sweet potato at 82 degrees Fahrenheit, and ham at 78 degrees Fahrenheit, all tasting cold. A second test tray on 5/18/26 at 8:36 A.M. found cream of wheat at 94 degrees Fahrenheit tasting warm not hot, orange juice at 56 degrees Fahrenheit tasting cold, milk at 58 degrees Fahrenheit tasting cool not cold, French toast at 88 degrees Fahrenheit tasting cold, and sausage at 86 degrees Fahrenheit tasting cool. During breakfast observation in the main dining room from approximately 8:21 A.M. to 8:33 A.M., the surveyors attempted to interview residents but were unable to participate. During interviews on 5/18/26, the Administrator and [NAME] both said they were unsure what temperatures food should be held at and would refer to the facility policy.
Failure to Provide Timely Pressure Ulcer Care
Penalty
Summary
The facility failed to provide timely care and treatment to prevent the worsening of a pressure injury for a resident with severe cognitive impairment and mobility dependence. The resident was admitted with a history of dementia and traumatic brain injury. On April 18, 2024, a skin check revealed a pressure ulcer on the coccyx, but the clinical record did not indicate that the physician or nurse practitioner was notified of this change in skin condition. The facility's policy required immediate notification and intervention for skin integrity issues, but this was not followed. By April 22, 2024, the resident's wound had opened and required a protective dressing, yet no treatment measures were documented, nor was the physician or NP notified. It was not until April 24, 2024, that a wound physician diagnosed the resident with a stage 3 pressure ulcer, and appropriate treatment orders were made. This delay in treatment resulted in the deterioration of the wound, highlighting a significant lapse in the facility's adherence to its skin integrity management policy.
Failure to Follow Physician's Order for Weekly Weights
Penalty
Summary
The facility failed to adhere to a physician's order to obtain weekly weights for a resident diagnosed with dementia and unspecified severe protein-calorie malnutrition. The resident, who was admitted in March 2024, was assessed to have severe cognitive impairment and required substantial assistance for daily tasks. The physician's order for weekly weights was initiated on April 25, 2024, but the resident had not been weighed weekly since May 31, 2024, as evidenced by the weight log. Nutritional assessments conducted on March 12, 2024, and June 4, 2024, reiterated the need for weekly weights. During interviews, a nurse confirmed the lapse in following the order, and the Director of Nursing acknowledged that orders should be followed as written.
Failure to Document Skin Alteration in Diabetic Resident
Penalty
Summary
The facility failed to provide quality care according to its protocols and professional standards for a resident with type 2 diabetes mellitus, diabetic neuropathy, and dementia. The resident, who was moderately cognitively impaired and dependent on staff for activities of daily living, had a dark calloused area on the right foot's third toe that was not identified or documented by the facility staff. The facility's policy on 'Skin Integrity Management' required skin inspections on admission and weekly, as well as daily diabetic foot care, but these were not properly executed as the skin alteration was not documented in the Treatment Administration Record. During the survey, it was observed that the resident's foot condition was not noted during the required weekly skin checks or daily diabetic foot care. Nurse #1 acknowledged the presence of the black dark toe and stated it should have been documented. The Director of Nursing confirmed that the area was observed by a physician assistant, who recommended a follow-up with podiatry, but emphasized that any skin alteration should have been documented. This oversight indicates a failure to adhere to the facility's care protocols and documentation requirements.
Failure to Implement Bed Alarm for Fall Risk Resident
Penalty
Summary
The facility failed to implement a physician's order for the use of a bed alarm for a resident, which was intended to prevent falls. The resident, admitted in September 2018, has diagnoses including unspecified dementia, neuropathy, pain, and depression, and was assessed as having severely impaired cognitive skills. The resident was identified as being at risk for falls, with a care plan indicating the use of a bed alarm at all times while in bed. However, during observations, the bed alarm was found to be non-functional, with the alarm box blinking red and not attached to the sensor pad, which was misplaced behind the bed. Interviews with staff revealed that the nurses were responsible for ensuring the bed alarm was in place and functioning, but the alarm was not working due to a broken part. The nurse interviewed was unaware of the malfunction and stated that the bed alarm should always be plugged in and operational. Despite the resident's history of falls and the physician's order, the facility did not ensure the bed alarm was properly set up and functioning, leading to a deficiency in providing adequate supervision to prevent accidents.
Failure to Implement Recommended Medication Reduction
Penalty
Summary
The facility failed to prevent unnecessary medication for a resident diagnosed with dementia with agitation and major depressive disorder. The resident was admitted in February 2023 and was taking 150 milligrams of Seroquel at night as of June 2023. A psychiatric evaluation on June 27, 2023, recommended a gradual dose reduction to 125 milligrams at night due to increased lethargy. However, the medication administration record did not reflect this change until August 30, 2023, over a month after the recommendation. The physician's notes did not indicate that the recommendation was reviewed or addressed after June 27, 2023. During an interview, the Director of Nursing stated that it is facility protocol to present such recommendations to the doctor for approval or denial but could not explain the delay in implementing the medication reduction.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wayland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Beaumont Rehab & Skilled Nursing Ctr - Natick | 1.1 mi | ★★★★★ | 6 | 0 |
| Eliot Center For Health And Rehabilitation | 2.6 mi | ★★★★★ | 12 | 0 |
| Mary Ann Morse Nursing & Rehabilitation | 2.8 mi | ★★★★★ | 1 | 0 |
| Adviniacare Newton Wellesley | 3.4 mi | ★★★★★ | 11 | 0 |
| St Patrick's Manor | 3.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.