Royalton Manor, LLC

In the surveyor’s words

From the most serious findings on record at Royalton Manor, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 6, 2021

  This citation refers to Intake Numbers: MI 123, MI 990 Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent the elopement and ensure the safety of one resident (Resident #101), of three residents reviewed for safety/supervision, resulting in an Immediate Jeopardy when on 9/21/2021, Resident #101 exited the facility through an unsecured door, unbeknownst to facility staff, and was discovered by off duty facility staff on the edge of the roadway, with the likelihood of begin struck by a vehicle resulting in serious harm, injury and/or death. […]

• Actual harm, isolatedF604Apr 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident was free from physical restraints imposed for the purpose of convenience in 1 of 1 resident (Resident #11) reviewed for restraints, resulting in the restriction of mobility, episodes of anxiety and frustration, a potential for decline in physical functioning, and an increased risk of injury. Findings include: Review of Physical restraint in older people: an opinion from the Early Career Network of the International Psychogeriatric Association, October 2023, www.researchgate.net , revealed: .The fundamental rationale for employing physical restraints is ostensibly to ensure the safety of the patient .common justi?cations for resorting to physical restraints include: . […]

• Actual harm, isolatedF684Oct 3, 2024

  This citation pertains to intake #MI00147013 Based on observations, interview, and record review the facility failed to provide prompt medical care after a fall for 1 (Resident #100) of 4 residents reviewed for falls resulting in Resident #100 experiencing significant pain, suffering, and a delay in emergent care after a fall with fracture. Findings include: Resident #100 Review of an Admission Record revealed Resident #100, was originally admitted to the facility on [DATE] with pertinent diagnoses which included: age-related osteoporosis (disease that causes the bones to become weak and more likely to break), alzheimer's disease (disease that causes loss of cognitive abilities), fracture of pelvis, and falls. […]

• Actual harm, isolatedF686Apr 3, 2024

  This citation pertains to intake #MI00137836 Based on observation, interview, and record review the facility failed to prevent the development of and worsening of pressure ulcers in 2 resident (Resident #9 and Resident #13) of 2 residents reviewed for pressure ulcers resulting in the development of (3) facility acquired pressure ulcers and the worsening of existing pressure ulcer. Findings include: Resident #9 Review of an Admission Record revealed Resident #9 had pertinent diagnoses which included: type 2 diabetes, and peripheral vascular disease (the narrowing of blood vessels away from the heart in arms and legs), and cerebellar stoke syndrome (when circulation to the cerebellum (part of the brain) is impaired (blocked)). […]

• Actual harm, isolatedF684Feb 9, 2023

  Based on observation, interview and record review the facility failed to ensure residents received care in accordance with treatment orders and professional standards for non-pressure wounds in 2 of 3 residents (Resident #100 and #13) reviewed for quality of care, resulting in the worsening of existing wound for Resident #100 and a delay in treatment of a new wound for Resident #13. Findings Include: Review of a Minimum Data Set (MDS) assessment for Resident #100, with a reference date of 1/12/23 revealed resident originally admitted to the facility on [DATE], and a Brief Interview for Mental Status (BIMS) score of 13, out of a total possible score of 15, which indicated Resident #100 was cognitively intact. […]