A list of the most recent deficiencies for Royal Wood Mill Center. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-12 | 2024-01-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-03 | 2023-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-03 | 2023-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-07 | 2023-04-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-03 | 2023-03-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-03 | 2023-03-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-03 | 2023-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-03 | 2023-03-27 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-03 | 2023-03-27 | 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 | 2023-03-03 | 2023-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-03 | 2023-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-03 | 2023-03-27 | 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 | 2023-03-03 | 2023-03-27 | 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 | 2023-03-03 | 2023-03-27 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-03 | 2023-03-27 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-03-03 | 2023-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-03 | 2023-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-03-27 | 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 | 2023-03-07 | 2023-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-07 | 2022-01-14 | 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 | 2021-12-07 | 2022-01-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-03 | 2022-01-07 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-03 | 2022-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-03 | 2022-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2022-01-07 | 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 | 2021-12-03 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-08 | 2021-10-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-24 | 2019-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-24 | 2019-08-27 | 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 | 2019-05-24 | 2019-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-08-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-24 | 2019-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-08-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-02 | 2019-07-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-07-02 | 2019-07-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-24 | 2019-07-09 | 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 | 2019-05-24 | 2019-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-24 | 2019-06-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-24 | 2019-06-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-05-24 | 2019-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-24 | 2019-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-24 | 2019-06-30 | N |
