Royal Wayland Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Royal Wayland Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 24, 2024

  Based on record review and interview, the facility failed to ensure one Resident (#17), out of a total sample of 16 residents, received care and treatment to prevent worsening of a pressure injury. Specifically, the facility failed to implement a wound treatment timely resulting in a delay in treatment and deterioration of the wound to a stage 3 pressure ulcer (partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer) to the Resident's sacrum (an area at the base of the spine). Findings include: Resident #17 was admitted to the facility in December 2023 with diagnoses including dementia and a history of a traumatic brain injury. […]

• Actual harm, isolatedF689Jul 27, 2022

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who was assessed to be at risk for elopement from the facility and required use of a wanderguard bracelet (a device used to alert staff when a resident attempts to exit the Facility), the Facility failed to ensure that he/she was provided adequate supervision to maintain his/her safety to prevent an incident of elopement. -On 06/26/22, around dinner time, staff were unable to locate Resident #1 anywhere inside the Facility or on Facility grounds. […]

• Actual harm, isolatedF603May 20, 2021

  Based on observation, record review and interview the facility failed to ensure one Resident (#7) was free from involuntary seclusion, out of a total of 16 sampled residents. Specifically, Resident #7, against his/her wishes, was confined to a locked dementia unit, wearing a wanderguard and unable to leave or go outside unaccompanied, despite being his/her own person. There is no indication in Resident #7's medical record to indicate the need for a locked dementia unit or need to wear a wanderguard, resulting in the Resident having persistent feelings of sadness and anxiety. […]

• Actual harm, isolatedF684May 20, 2021

  Based on observation, record review, and interview, the facility failed to 1. ensure residents received care in accordance with the comprehensive person-centered care plan for 2 Residents (#30 and #35) and 2. ensure that residents receive treatment and care in accordance with professional standards of practice for 1 Resident (#3). Findings include: 1. Resident #30 was admitted to the facility in [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set (MDS) assessment dated [DATE], indicated Resident #30 scored a 9 out of a possible 15 on the Brief Interview for Mental Status, indicating moderate cognitive impairment. […]

• Actual harm, isolatedF689May 20, 2021

  Based on observation, record review and interview, the facility failed to provide adequate supervision to prevent accidents for 3 Residents (#11, #22, and #24) from a total sample of 16 sampled residents, resulting in a laceration for Resident #22. Findings include: 1. Resident #22 was admitted to the facility in July 2020 with diagnoses including dementia and [CONDITION(S)]. Review of the Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #22 had moderate cognitive impairment. […]