A list of the most recent deficiencies for Royal Oak Nursing Center. 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 | 2022-09-15 | 2022-10-14 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-13 | 2022-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-14 | 2022-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-14 | 2022-02-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-01-14 | 2022-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-13 | 2021-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-13 | 2020-11-15 | 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 | 2020-10-15 | 2020-11-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-17 | 2019-02-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-17 | 2019-02-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-17 | 2019-02-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-01-17 | 2019-02-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-16 | 2019-02-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-16 | 2019-02-15 | N |
