Royal Wood Mill Center
ROYAL WOOD MILL CENTER in LAWRENCE, MA — inspection on April 9, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The facility failed to ensure medication and treatment carts were locked while a nurse was not present and failed to ensure medications were not left unattended on top of the medication cart when a nurse was not present.
2.
The facility failed to ensure medications were not left at the bedside for one Resident (#64) out of a total of 20 sampled Residents.
Findings include:
1.
Review of the facility policy titled Administering Medications, dated August 2024 indicated that during the administration of medications, the medication cart will be kept closed and locked when out of sight of the nurse.
Further review indicated that no medications are to be left on top of the cart and all medications must be inaccessible to residents and other passers by.
Review of the facility policy titled Storage of medications, not dated, indicated that unlocked medication carts are not left unattended.
On 4/6/25, at 7:04 A.M., the surveyor observed the first floor medication carts and a treatment cart open and not in view of the nurse.
Nurse #5 then left the area without securing the carts, while the oncoming nurse and 2 residents were in the hallway next to the open carts and had full access to them.
On 4/7/25, at 9:08 A.M. the surveyor observed Nurse #4 walk away from the medication cart with an entire card of Rosuvastatin on top of the cart.
During an interview on 4/07/25, at 9:08 AM Nurse #4 said she should not have left the card of medicine on top of the medication cart
On 4/7/25 at 9:40 A.M., the surveyor observed Nurse #3 seated behind the nurses station.
Nurse #3's medication cart was in the hallway, out of view and unlocked and unattended.
Nurse #3 then entered the medication room and closed door behind her, while her medication cart continued to be unlocked and unsupervised.
Nurse #3 exited the medication room and sat at the nurses station to continue her documentation.
Unit Manager #1 arrived on the unit and then secured the medication cart.
During an interview on 4/7/25 at 9:46 A.M., Nurse #3 said she did not lock the medication cart when she should have.
225505
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 225505 B.
Wing 04/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Royal Wood Mill Center 800 Essex Street Lawrence, MA 01841