A list of the most recent deficiencies for Royal Nursing Center, LLC. 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-21 | 2023-07-14 | 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 | 2023-06-21 | 2023-07-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-08 | 2023-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-21 | 2023-07-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-08 | 2023-06-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-08 | 2023-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-06-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-08 | 2023-06-20 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-06-08 | 2023-06-20 | 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 | 2023-06-08 | 2023-06-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-06-08 | 2023-06-20 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-06-08 | 2023-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-02-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-06 | 2022-01-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-11-02 | 2020-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-11-02 | 2020-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-02 | 2020-12-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-11-02 | 2020-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-11-02 | 2020-12-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-02 | 2020-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-11-02 | 2020-11-13 | 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 | 2020-11-02 | 2020-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-11-02 | 2020-11-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-11-02 | 2020-11-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-10-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-03-05 | 2020-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-10-02 | 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 | 2020-03-05 | 2020-10-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-03-05 | 2020-10-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-05 | 2020-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-05 | 2020-10-02 | 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 | 2020-03-05 | 2020-10-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-10-02 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-03-05 | 2020-10-02 | N |
| Provide or obtain dental services for each resident. | Health | 2020-03-05 | 2020-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-05 | 2020-10-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-01-16 | 2019-02-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-18 | 2019-01-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-18 | 2019-01-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-18 | 2019-01-11 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-18 | 2019-01-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-18 | 2019-01-11 | N |
| 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 | 2018-12-18 | 2019-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-18 | 2019-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-18 | 2019-01-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-12-18 | 2019-01-11 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-12-18 | 2019-01-11 | 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 | 2018-12-18 | 2019-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-18 | 2018-12-31 | N |
