Deficiency Records for Royal Norwell Nursing and Rehabilitation Center LLC
Updated as of October 01, 2020
This is not the most recent data for Royal Norwell Nursing and Rehabilitation Center LLC. For the most recent information, click here.
A list of the most recent deficiencies for Royal Norwell Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-08 | 2019-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-08 | 2019-12-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-08 | 2019-11-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-10-08 | 2019-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-08 | 2019-10-18 | 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 | 2019-10-08 | 2019-10-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-08 | 2019-10-16 | 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 | 2019-10-08 | 2019-10-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-10-08 | 2019-10-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-08 | 2019-10-10 | 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 | 2019-10-08 | 2019-10-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-08 | 2019-10-08 | 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 | 2019-10-08 | 2019-10-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-19 | 2019-05-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-19 | 2019-05-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-19 | 2019-05-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-19 | 2019-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-19 | 2019-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-19 | 2019-05-03 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-20 | 2018-11-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-20 | 2018-11-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-20 | 2018-11-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-20 | 2018-11-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-09-21 | 2018-10-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-09-21 | 2018-10-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-09-21 | 2018-10-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-21 | 2018-10-30 | 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 | 2018-09-21 | 2018-10-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-21 | 2018-10-30 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-21 | 2018-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-21 | 2018-10-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-21 | 2018-10-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-21 | 2018-10-30 | 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 | 2018-09-21 | 2018-10-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-05 | 2018-01-18 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-01-05 | 2018-01-18 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-01-05 | 2018-01-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-13 | 2017-09-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-13 | 2017-09-14 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-05-24 | 2017-06-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-05-24 | 2017-06-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-24 | 2017-06-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-24 | 2017-06-09 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-24 | 2017-05-30 | N |
