Royal at Wayland Rehabilitation & Nursing Center
188 Commonwealth Road, Wayland MA 01778 · (508) 653-8500 · 76% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Royal at Wayland Rehabilitation & Nursing Center is a small nursing home in Wayland, Massachusetts. Featuring an overall score of B+, this facility should work for most prospective residents. Based on our ratings, you could do much worse than this facility. This facility's strong report card was highlighted by its short-term care score, which you can find in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 40 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Short-term Care Quality
This nursing home received a strong overall grade as described above, but we especially wanted to emphasize its excellent short-term care score. We awarded them an impressive grade of A in this area. Short-term care grades are meaningful for people needing rehabilitation. Rehabilitation typically requires additional highly-skilled nursing. Skilled nursing includes a vast range of nursing services, spanning from registered nurses to physical and respiratory therapists, as well as other types of therapy. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. The final metric we looked at in this category is the number of residents who were able to leave the nursing home and return home. This place fared as well as just about any facility in Massachusetts in this area with 80 percent of its residents returning home.
Facility Inspections
Turning to another one of this nursing home's strengths, it also received a very impressive inspection score. Inspections proved to be one of its best categories. We gave this nursing home an A-. Perhaps the most important factor we look at in determining our inspection scores is deficiencies. Deficiencies are found on a facility's recent inspection reports. Nursing homes with higher scores in this area most likely dodged the most severe deficiencies involving patient abuse or death. Fortunately, although this place had a few minor dings on its report, it had zero severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This tells you the government inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple relatively minor deficiencies aren't necessarily the end of the world.
Nurse Quality
This nursing home performed well in our nursing category. In fact, we awarded it a grade of A- for that category, which is one of our highest scores. Our nursing rating is based on a handful of factors, however, the most important one is the quantity of nurse hours spent with patients. This particular nursing home provided 3.6 hours of nursing care per resident per day. Lastly, we also assessed certain nursing quality-based metrics in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We look at these statistics as reliable measures of the quality of nursing care being provided, since better care tends to reduce these problems.
Long-term Care Quality
The next category we assessed is long-term care. In this category, we awarded this nursing home a solid grade of C. This actually was this facility's worst category. In forming these long-term care scores, we look at the nursing home's personal care services. After we finished looking at the volume of nursing care, we next considered the facility's vaccination records. We were a bit worried that this facility vaccinated only 75.21368 percent of its residents for pneumonia. On a more positive note, this nursing home was able to limit hospitalizations. Indeed, it had only 0.85 hospitalizations per one thousand long-term resident days, which is an impressively low number.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Royal at Wayland Rehabilitation & Nursing Center Quality Metrics
Minimizes Pressure Ulcers
This is the percent of residents who have had a pressure ulcer. Pressure ulcers are skin damage caused by staying in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is a measure of the percent of long-term stay residents who have experienced a fall resulting in severe injury. We use this statistic in computing our nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure gauges the percent of long-term stay residents who had a urinary tract infection. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be problematic to compare between nursing homes due to nursing homes having reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of patients given antipsychotic drugs. Antipsychotic drugs are given to residents for many conditions, including dementia. Tragically, in some situations, excessive reliance on these medications may suggest a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients who were given antianxiety drugs. These medications are prescribed to residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of residents showing signs of depression. High levels of depression could reveal a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of residents who were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint is a measure of the percent of long-term residents that needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and eating. Some would argue that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term residents who maintained mobility. Many in the industry would argue that mobility is important for residents' physical and mental health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric is a measure of the number of hospitalizations per thousand days of patient care. Staying out of the hospital is critical to the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint is a measure of the number of rehospitalizations per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better