Royal of Westerly Nursing Center

In the surveyor’s words

From the most serious findings on record at Royal of Westerly Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 4, 2025

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 1 resident reviewed who was transferred to the hospital and found to have an ileus (a temporary lack of movement in the intestines that can lead to pain, nausea, bloating, and other symptoms) and a fecal impaction (when a large, hard mass of stool is stuck in your colon or rectum and you are unable to push it out), Resident ID #1. […]

• No harm, potential for more than minimal, patternF552Feb 19, 2026

  Based on clinical record review and staff interview, the facility failed to inform the resident or resident's representative, in advance, of the care to be furnished by the physician or other provider, of the risks and benefits of proposed care or treatment alternatives relative to the ordering of, and administration of, psychotropic medications (a medication that affects brain activities associated with mental processes and behavior) for 5 of 5 residents reviewed for psychotropic consent, Resident ID #s 3, 9, 26, 46 and 64.Findings are as follows:Review of a facility policy titled, Policy and Procedure for Informed Consent for Psychotropic Medications, states in part, .It is the policy of this facility that informed consent for the administration of psychotropic medications will be… […]

• No harm, potential for more than minimal, patternF658Feb 19, 2026

  Based on clinical record review and staff interview, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 3 of 3 residents reviewed for Hospice services, Resident ID #s 3, 5, and 48 and and for 1 of 1 resident reviewed for a medication with administration parameters, Resident ID #67.Findings are as follows:1. According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states in part, The physician is responsible for directing medical treatment. Nurses are obligated to follow physician's orders unless they believe that the orders are in error or would harm the clients.a. […]

• No harm, potential for more than minimal, patternF690Feb 19, 2026

  Based on clinical record review and staff interview, the facility failed to provide appropriate treatment and services for 1 of 3 residents reviewed with a foley catheter (a flexible plastic tube inserted into your bladder to drain urine), Resident ID #70, and for 1 of 1 resident reviewed with a suprapubic catheter (SP tube, a flexible plastic tube inserted into your bladder to drain urine through an opening in the abdomen), Resident ID #5.Findings are as follows:1. Record review revealed that Resident ID #5 was admitted to the facility in June of 2021 with a diagnosis including, but not limited to, obstructive and reflux uropathy (a condition when urine flow is blocked or flows backward into the kidneys).Record review revealed that the resident has an SP tube.Review of a urology… […]

• No harm, potential for more than minimal, patternF710Feb 19, 2026

  Based on clinical record review and staff interview, the facility failed to ensure the medical care of each resident is supervised by a physician for 3 of 3 resident's reviewed who receive Hospice services, Resident ID #s 3, 9 and 48.Findings are as follows:1. According to Mosby's 4th Edition, Fundamentals of Nursing, page 314 states in part, The physician is responsible for directing medical treatment. Nurses are obligated to follow physician's orders unless they believe that the orders are in error or would harm the clients.a. Record review revealed Resident ID #3 was admitted to the facility in December of 2024 with a diagnosis including, but not limited to, Alzheimer's disease. […]