Deficiency Records for Royal Gardens Healthcare
Updated as of February 01, 2019
This is not the most recent data for Royal Gardens Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Royal Gardens Healthcare. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-10-16 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2018-07-24 | 2018-09-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-24 | 2018-09-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-24 | 2018-09-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-24 | 2018-09-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-24 | 2018-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-24 | 2018-09-10 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2018-07-24 | 2018-09-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-20 | 2018-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-20 | 2018-08-31 | N |
| 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 | 2018-07-20 | 2018-08-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-20 | 2018-08-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-07-20 | 2018-08-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-07-20 | 2018-08-31 | 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 ne | Health | 2018-07-20 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-20 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-20 | 2018-08-31 | N |
| Keep all essential equipment working safely. | Health | 2018-07-20 | 2018-08-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-07-20 | 2018-08-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-04 | 2018-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-04 | 2018-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-04 | 2018-06-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-27 | 2018-05-21 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-22 | 2017-09-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-07-22 | 2017-09-06 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-22 | 2017-09-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-22 | 2017-09-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-22 | 2017-09-06 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-22 | 2017-09-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-22 | 2017-09-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-22 | 2017-09-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-22 | 2017-09-06 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-07-22 | 2017-09-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-22 | 2017-09-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-07-22 | 2017-09-06 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-07-22 | 2017-09-06 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-07-22 | 2017-09-06 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2017-07-22 | 2017-09-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-22 | 2017-08-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-07-22 | 2017-08-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-07-22 | 2017-08-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-07-22 | 2017-08-14 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2017-07-22 | 2017-08-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-30 | 2017-06-15 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2017-04-26 | 2017-05-17 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-13 | 2016-09-13 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-08-13 | 2016-09-13 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-13 | 2016-09-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-13 | 2016-09-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-13 | 2016-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-13 | 2016-09-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-13 | 2016-09-12 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-13 | 2016-09-12 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-08-13 | 2016-09-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-13 | 2016-09-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-13 | 2016-09-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-08-13 | 2016-09-12 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-08-13 | 2016-09-12 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-08-13 | 2016-09-12 | N |
