Deficiency Records for Royal Norwell Nursing and Rehabilitation Center LLC
Updated as of March 01, 2023
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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-07-12 | 2022-08-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-04 | 2021-06-11 | N |
| 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 | 2021-04-28 | 2021-06-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-28 | 2021-06-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-28 | 2021-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-28 | 2021-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-28 | 2021-06-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-28 | 2021-06-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-28 | 2021-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-28 | 2021-06-01 | N |
| Post nurse staffing information every day. | Health | 2021-04-28 | 2021-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-28 | 2021-06-01 | 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 and emergencies. | Health | 2021-04-28 | 2021-06-01 | 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 | 2021-04-28 | 2021-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-06-01 | N |
| Report COVID19 data to residents and families. | Health | 2021-04-28 | 2021-06-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-28 | 2021-06-01 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2021-04-28 | 2021-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-04 | 2021-05-28 | 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 | 2021-05-04 | 2021-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-04 | 2021-05-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-04 | 2021-05-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-04 | 2021-05-12 | N |
| 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 |
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-20 | 2018-10-26 | N |
| Meet other general requirements. | Fire Safety | 2018-09-20 | 2018-10-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-20 | 2018-10-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-20 | 2018-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-20 | 2018-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-20 | 2018-10-01 | 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 | 2018-09-20 | 2018-09-27 | N |
