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Deficiency Records for Royal Oaks Nursing and Rehabilitation Center

View the most recent health deficiencies and inspection results for Royal Oaks Nursing and Rehabilitation Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Royal Oaks Nursing and Rehabilitation Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2026-02-11 2026-02-23 Y
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 2026-02-11 2026-02-23 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2026-02-11 2026-02-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-02-11 2026-02-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-10-22 2025-11-07 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-10-22 2025-11-07 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-10-22 2025-10-09 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-05-20 2025-06-13 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-05-20 2025-06-13 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-05-20 2025-06-13 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-05-20 2025-06-13 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-05-20 2025-06-13 N
Provide and implement an infection prevention and control program. Health 2025-05-20 2025-06-13 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-05-20 2025-06-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-20 2025-06-13 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2025-05-20 2025-06-13 Y
Ensure that residents are free from significant medication errors. Health 2025-05-20 2025-06-13 Y
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 2025-05-20 2025-06-13 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-05-20 2025-06-13 Y
List the names and contact information of those in the facility. Fire Safety 2025-05-20 2025-05-29 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-05-20 2025-05-29 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-05-20 2025-05-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-05-20 2025-05-19 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 2025-05-20 2025-05-16 N
Install proper backup exit lighting. Fire Safety 2025-05-20 2025-05-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-05-20 2025-05-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-05-20 2025-05-15 N
Meet requirements for the use and maintenance of medical gas equipment. Fire Safety 2025-05-20 2025-05-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-05-20 2025-05-15 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-05-20 2025-05-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-05-20 2025-05-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-12-13 2025-01-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-12-13 2025-01-17 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-12-13 2025-01-17 Y
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 2024-12-13 2025-01-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-12-13 2025-01-17 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-12-13 2025-01-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-12-13 2025-01-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-13 2025-01-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-13 2025-01-17 Y
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 2024-12-13 2025-01-17 Y
Provide and implement an infection prevention and control program. Health 2024-12-13 2025-01-17 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-12-13 2025-01-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-15 2024-11-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-10-15 2024-11-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-15 2024-11-07 Y
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 2024-09-07 2024-09-25 Y
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-07-01 2024-08-22 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 2024-07-01 2024-08-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-07-01 2024-08-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-01 2024-08-03 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-07-01 2024-08-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-01 2024-08-01 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-07-01 2024-08-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-01 2024-08-01 N
Respond appropriately to all alleged violations. Health 2024-07-01 2024-08-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-07-01 2024-08-01 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-07-01 2024-08-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-01 2024-08-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-01 2024-08-01 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-07-01 2024-08-01 N
Have policies on smoking. Health 2024-07-01 2024-08-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-01 2024-08-01 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-07-01 2024-08-01 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-30 2024-02-13 Y
Provide and implement an infection prevention and control program. Health 2024-01-30 2024-02-13 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-01-30 2024-02-13 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-06 2023-12-27 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-06 2023-12-27 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-06 2023-12-27 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-06 2023-12-19 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-06 2023-12-19 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-09-07 2023-09-29 Y
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 2023-09-07 2023-09-29 Y
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-04-04 2023-05-05 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-04-04 2023-05-04 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-04-04 2023-05-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-04 2023-05-04 N
Provide enough food/fluids to maintain a resident's health. Health 2023-04-04 2023-05-04 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 2023-04-04 2023-05-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-04 2023-05-04 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 2023-04-04 2023-04-21 N
Conduct testing and exercise requirements. Fire Safety 2023-04-04 2023-04-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-04 2023-04-14 N
Provide and implement an infection prevention and control program. Health 2026-02-11 Not Fixed Y
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 2026-02-11 Not Fixed Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-02-11 Not Fixed Y
Provide and implement an infection prevention and control program. Health 2026-04-09 Not Fixed Y
Ensure that residents are free from significant medication errors. Health 2026-04-09 Not Fixed Y
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 2026-04-09 Not Fixed Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-04-09 Not Fixed Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-04-09 Not Fixed Y

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