Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 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.
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 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 | ★★★★★ | 1 | 0 |
| Eliot Center For Health And Rehabilitation | 2.6 mi | ★★★★★ | 1 | 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 July 2026) and official state health department websites.