A list of the most recent deficiencies for Royal Care Skilled Nursing Ctr. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-22 | 2024-01-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-22 | 2024-01-21 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-12-22 | 2024-01-21 | 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 | 2023-12-22 | 2024-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-22 | 2024-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-22 | 2024-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-22 | 2024-01-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-22 | 2024-01-21 | 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 | 2023-12-22 | 2024-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-22 | 2024-01-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-12-22 | 2024-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2024-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-10 | 2023-12-22 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-12 | 2023-11-03 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-07-06 | 2023-07-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-27 | 2023-03-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-27 | 2023-03-01 | 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 | 2023-01-27 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-27 | 2023-03-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-27 | 2023-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-27 | 2023-03-01 | 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 | 2023-01-27 | 2023-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-27 | 2023-03-01 | 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 | 2023-01-27 | 2023-03-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-27 | 2023-03-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-27 | 2023-03-01 | 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 | 2023-01-27 | 2023-03-01 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-01-27 | 2023-03-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-27 | 2023-03-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-27 | 2022-11-27 | Y |
| Keep all essential equipment working safely. | Health | 2022-10-27 | 2022-11-27 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-08-04 | 2022-08-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-23 | 2022-07-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-03 | 2022-06-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-07 | 2022-02-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-07 | 2022-02-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-11 | 2019-11-12 | 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 | 2019-10-11 | 2019-11-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-11 | 2019-11-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-11 | 2019-11-12 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-11 | 2019-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-11 | 2019-11-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-11 | 2019-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-11 | 2019-11-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-11 | 2019-11-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-10-11 | 2019-11-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-11 | 2019-11-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-11 | 2019-11-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-11 | 2019-11-12 | 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 | 2019-10-11 | 2019-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-11 | 2019-11-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-11 | 2019-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-11 | 2019-11-12 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-10-17 | 2019-11-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-17 | 2019-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-17 | 2019-11-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-17 | 2019-11-05 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-10-17 | 2019-11-05 | N |
