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Deficiency Records for Royale Gardens Health and Rehabilitation Center
A list of the most recent deficiencies for Royale Gardens Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Royale Gardens Health and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-25 | 2024-03-15 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-01-25 | 2024-03-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-25 | 2024-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-03-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-25 | 2024-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-03-15 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-25 | 2024-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-25 | 2024-03-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-25 | 2024-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-03-15 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-25 | 2024-03-15 | Y |
| Keep all essential equipment working safely. | Health | 2024-01-25 | 2024-03-15 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-18 | 2023-09-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-18 | 2023-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-09-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-18 | 2023-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-09-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-18 | 2023-09-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-14 | 2023-08-29 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-14 | 2023-08-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-14 | 2023-08-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-14 | 2023-08-29 | 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 | 2023-07-14 | 2023-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-29 | 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 | 2023-07-14 | 2023-08-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-14 | 2023-08-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-14 | 2023-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-14 | 2023-08-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-14 | 2023-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-14 | 2023-08-29 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-14 | 2023-08-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-14 | 2023-08-29 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-07-14 | 2023-08-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-07 | 2023-07-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-12 | 2023-05-25 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-12 | 2023-05-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-12 | 2023-05-25 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-12 | 2023-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-12 | 2023-05-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-12 | 2023-05-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-12 | 2022-07-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-04-09 | 2022-05-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-09 | 2022-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-09 | 2022-05-29 | 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 | 2022-04-09 | 2022-05-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-09 | 2022-05-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-09 | 2022-05-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-09 | 2022-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-09 | 2022-05-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-06 | 2022-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-22 | 2018-10-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-22 | 2018-10-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-22 | 2018-10-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-22 | 2018-10-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-22 | 2018-08-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-22 | 2018-08-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-06-22 | 2018-08-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-22 | 2018-08-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-22 | 2018-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-22 | 2018-08-07 | 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 | 2018-06-22 | 2018-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-22 | 2018-08-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-22 | 2018-08-07 | N |
| Post nurse staffing information every day. | Health | 2018-06-22 | 2018-08-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-06-22 | 2018-08-07 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-06-22 | 2018-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-22 | 2018-08-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-22 | 2018-08-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-22 | 2018-08-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-06-20 | 2018-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-20 | 2018-08-07 | N |
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