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Deficiency Records for Royal Norwell Nursing and Rehabilitation Center LLC
View the most recent health deficiencies and inspection results for Royal Norwell Nursing and Rehabilitation Center LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Royal Norwell Nursing and Rehabilitation Center LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2025-11-25 | 2026-01-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-11-25 | 2026-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-11-25 | 2026-01-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-11-25 | 2026-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-25 | 2026-01-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-11-25 | 2026-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-25 | 2025-12-10 | 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 | 2025-11-25 | 2025-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-25 | 2025-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-06 | 2024-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-06 | 2024-12-19 | Y |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-10-18 | 2024-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-18 | 2024-12-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-18 | 2024-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-18 | 2024-10-30 | 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 | 2024-10-18 | 2024-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-18 | 2024-10-30 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-18 | 2024-10-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-18 | 2024-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-18 | 2024-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-18 | 2024-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-23 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-14 | 2023-10-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-14 | 2023-10-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-14 | 2023-10-23 | 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 | 2023-09-14 | 2023-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-14 | 2023-10-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-14 | 2023-09-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-14 | 2023-09-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-14 | 2023-09-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-14 | 2023-09-26 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-09-14 | 2023-09-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-14 | 2023-09-26 | 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 | 2023-09-14 | 2023-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-09-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-14 | 2023-09-22 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-09-14 | 2023-09-19 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-09-14 | 2023-09-19 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-09-14 | 2023-09-19 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-09-14 | 2023-09-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-14 | 2023-09-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-09-14 | 2023-09-19 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-09-14 | 2023-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-09-19 | 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 | 2023-09-14 | 2023-09-19 | 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 | 2023-09-14 | 2023-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-14 | 2023-09-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-14 | 2023-09-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-14 | 2023-09-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-13 | 2023-08-05 | Y |