Deficiency Records for Royal Gardens Healthcare
Updated as of August 01, 2020
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? |
---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-07-29 | 2019-09-10 | 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 | 2019-07-29 | 2019-09-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-29 | 2019-09-10 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-07-19 | 2019-08-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-19 | 2019-08-16 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-07-19 | 2019-08-16 | 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 | 2019-07-19 | 2019-08-16 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-07-19 | 2019-08-16 | 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 | 2019-07-19 | 2019-08-16 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-07-19 | 2019-08-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-19 | 2019-08-16 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-19 | 2019-08-16 | N |
Implement a program that monitors antibiotic use. | Health | 2019-07-19 | 2019-08-16 | N |
Keep all essential equipment working safely. | Health | 2019-07-19 | 2019-08-16 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-07-19 | 2019-08-16 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-17 | 2019-06-28 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-03 | 2019-06-17 | Y |
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 | 2019-06-03 | 2019-06-17 | Y |
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 and maintain the bed rail. | 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 necessary and PRN use is limited. | 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 |