Deficiency Records for Royal Gardens Healthcare
Updated as of November 01, 2023
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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-17 | 2023-08-11 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-19 | 2023-06-14 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-04 | 2023-04-06 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-02 | 2023-01-05 | N |
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 | 2022-12-02 | 2023-01-05 | 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 | 2022-12-02 | 2023-01-05 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-12-02 | 2023-01-05 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-02 | 2023-01-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-02 | 2023-01-05 | 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 | 2022-12-02 | 2023-01-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-02 | 2023-01-05 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-02 | 2023-01-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-02 | 2023-01-05 | 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 | 2022-12-02 | 2023-01-05 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-12-02 | 2023-01-05 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-12-02 | 2023-01-05 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-02 | 2023-01-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2023-01-05 | N |
Implement a program that monitors antibiotic use. | Health | 2022-12-02 | 2023-01-05 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-12-02 | 2023-01-05 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-11-30 | 2022-12-20 | 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 | 2022-11-30 | 2022-12-20 | 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 | 2022-11-30 | 2022-12-20 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-11-30 | 2022-12-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-30 | 2022-12-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-30 | 2022-12-20 | N |
Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-11-30 | 2022-12-20 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-23 | 2022-09-22 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-12 | 2022-08-12 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-17 | 2022-08-03 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-31 | 2022-08-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-06-22 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-06-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-16 | 2022-05-06 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-11 | 2021-05-20 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-11 | 2021-05-20 | Y |
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 an enclosure around a vertical opening shaft. | 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 requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | 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 |
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 |