Real-time location systems have transformed patient safety in memory care units. We explain how RTLS wander management works, what it costs, and what outcomes your facility can realistically expect.
Elopement — when a patient or resident with cognitive impairment wanders away from a supervised care environment — is one of the most serious safety risks in memory care, assisted living, and behavioral health settings. RTLS (Real-Time Location System) wander management technology has become the standard of care for preventing elopement and improving resident safety outcomes.
How RTLS Wander Management Works
In a typical RTLS wander management deployment:
1. Tags: Each at-risk resident wears a lightweight RFID or RF tag, typically on a wristband or pendant 2. Readers: Antennas are installed at exit doors, stairwells, elevators, and perimeter chokepoints 3. Server/Controller: A central controller processes tag signals and maintains real-time resident location data 4. Alert System: When a tagged resident approaches a monitored exit, the system triggers visual and audible alerts at the door and notifies staff via the nurse call system or mobile devices 5. Door Control Integration: Many systems integrate with magnetic door locks to automatically delay exits until staff can respond
What Outcomes to Expect
Studies on RTLS wander management implementation report: - Meaningful reductions in elopement incidents when systems are properly deployed and maintained - Exit-attempt alerts reaching staff in seconds rather than minutes - Improvement in family confidence scores and CMS survey documentation - Potential reduction in liability exposure for documented elopement events
The RCare Platform
Nexus deploys the RCare wander management system in senior living, assisted living, and memory care environments. RCare uses 433MHz RF technology that is highly penetrant through concrete and steel construction, minimizing dead zones. Key features include:
- Battery-powered wristband tags with 6–12 month battery life and low-battery alerts
- Zone-based location reporting
- Integration with RCare nurse call and mobile alert systems
- Detailed audit logs for compliance documentation
- Cloud-based reporting and analytics dashboard
Cost Considerations
For a 60-bed memory care unit, a complete RTLS wander management deployment typically runs $35,000–$65,000 installed, depending on facility construction, number of monitored exits, and integration requirements. Under the Nexus360 Healthcare managed service program, the system can be deployed with no capital cost under a monthly service agreement.
Contact Nexus for a free wander management assessment of your facility.
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