Deficiency Records for Royal Gardens Healthcare
Updated as of June 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 |