ROYAL MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Royal Manor. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ROYAL MANOR
600 BUSINESS PARKWAY
ROYAL PALM BEACH, FL 33411
(561) 798-3700

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 110
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Royal Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.8%
Total Percent:0.8%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1629.0%
ADL Index Range: 6-1032.9%
ADL Index Range: 0-516.5%
Total Percent:78.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.5%
ADL Index Range: 6-101.2%
ADL Index Range: 0-55.1%
Total Percent:7.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.4%
ADL Index Range: 6-100.8%
ADL Index Range: 0-51.8%
Total Percent:8.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.5%
ADL Index Range: 6-100.6%
ADL Index Range: 0-50.1%
Total Percent:2.2%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-100.05%
Total Percent:0.05%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.05%
ADL Index Range: 11-14
- No Signs of depression
0.1%
Total Percent:0.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.09%
Total Percent:0.09%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
0.09%
Total Percent:0.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Less restorative nursing
0.6%
ADL Index Range: 11-14
- Less restorative nursing
0.4%
ADL Index Range: 6-10
- Two or more restorative nursing on 6+ days/wk
0.5%
ADL Index Range: 2-5
- Less restorative nursing
0.7%
Total Percent:2.1%
 

Rating Details For Royal Manor

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours41 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 29 Minutes46 Minutes
Certified Nursing Assistant (CNA) Hours4 Hours2 Hours and 38 Minutes
Total Licensed Nurse Hours2 Hours and 10 Minutes2 Hours and 2 Minutes
Total Nurse Hours6 Hours and 11 Minutes4 Hours and 40 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection15%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%54%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%12%
Percent of Long-Stay Residents Who Lose Too Much Weight6%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain20%17%
Percent of Short-Stay Residents Who Have Pressure Sores48%14%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/27/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/26/2009
  • Correction Date: 08/04/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 06/26/2009
  • Correction Date: 08/04/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/27/2010
  • Correction Date: 09/27/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/27/2010
  • Correction Date: 09/27/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/27/2010
  • Correction Date: 09/27/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/26/2009
  • Correction Date: 08/04/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/27/2010
  • Correction Date: 09/27/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/27/2010
  • Correction Date: 09/27/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 08/27/2010
  • Correction Date: 09/27/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/15/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/27/2010
  • Correction Date: 09/27/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Royal Manor, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 01/10/2011
  • Correction Date: 02/23/2011
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011