Deficiency Records for Royal Wayland Rehabilitation and Nursing Center
Updated as of September 01, 2018
This is not the most recent data for Royal Wayland Rehabilitation and Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Royal Wayland Rehabilitation and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2018-01-16 | 2018-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-16 | 2018-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-16 | 2018-02-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-01-16 | 2018-02-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-16 | 2018-02-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-01-16 | 2018-02-09 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-01-16 | 2018-02-09 | N |
| Respond appropriately to all alleged violations. | Health | 2018-01-16 | 2018-02-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-01-16 | 2018-02-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-16 | 2018-02-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-01-16 | 2018-02-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-01-16 | 2018-02-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-01-16 | 2018-02-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-16 | 2018-02-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-16 | 2018-02-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-01-16 | 2018-02-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-01-16 | 2018-02-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-01-16 | 2018-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-16 | 2018-02-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-01-16 | 2018-02-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-01-16 | 2018-02-09 | N |
| Provide or obtain dental services for each resident. | Health | 2018-01-16 | 2018-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-16 | 2018-02-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-01-16 | 2018-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-16 | 2018-02-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-01-16 | 2018-02-02 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-30 | 2017-03-06 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-01-30 | 2017-03-06 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-04-19 | 2016-05-12 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-04-19 | 2016-05-12 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-03-24 | 2016-05-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-24 | 2016-05-04 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-03-24 | 2016-05-04 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-03-24 | 2016-05-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-24 | 2016-05-04 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2016-03-24 | 2016-05-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-24 | 2016-05-04 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-03-24 | 2016-04-29 | N |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2015-11-03 | 2016-02-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-03 | 2016-02-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-03 | 2016-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-03 | 2016-02-17 | Y |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | Health | 2015-11-03 | 2016-02-17 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-03 | 2016-02-17 | Y |
