Staffing & PBJ snapshot
Royal Wayland Rehabilitation and Nursing Center
188 Commonwealth Road, Wayland, MA 01778 · CCN 225591 · 40 certified beds · Part of Royal Health Group
King & Co. ConsultingPrepared October 19, 2026
CMS data as of September 2026
CMS data as of September 2026
Staffing compared with averages
| Measure | Facility | MA | U.S. |
|---|---|---|---|
| Total nurse hours per resident day | 3.48 | 3.86 | 3.86 |
| Weekend nurse hours per resident day | 3.27 | 3.48 | 3.42 |
| RN hours per resident day | 0.74 | 0.65 | 0.69 |
| Nurse aide hours per resident day | 2.00 | 2.25 | 2.32 |
| Total nursing staff turnover | 54.5% | 38.2% | 45.8% |
| RN turnover | 71.4% | 42.6% | 42.9% |
What stands out
- Reported nurse hours are 10% below the MA averageIf the building is staffed better than this, hours may be missing from the PBJ file. Agency staff, contract nurses and salaried nurse managers are the most common gaps.
- Nursing turnover is 16 points above the MA averageHigh turnover drives agency spend, onboarding workload and PBJ errors from constant employee changes. Recruiting and onboarding support pays off quickly here.
- $10,725 in federal fines on recordFines are tied to survey findings. Staffing documentation, training records and personnel files are frequently part of the review.
Free 15-minute PBJ review for this facility
We will walk through these numbers, what is driving them and what to fix before the next submission.
Source: CMS Care Compare Provider Information and State and US Averages, processed 2026-09-01. Staffing hours are reported per resident per day from Payroll-Based Journal data. This snapshot summarizes public data for discussion and is not a CMS determination.