A list of the most recent deficiencies for The Grand Royale. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-15 | 2023-10-13 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-15 | 2023-10-13 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-11 | 2023-09-15 | Y |
Have an externally vented heating system. | Fire Safety | 2022-08-26 | 2022-12-31 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-08-26 | 2022-12-28 | 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 | 2022-08-26 | 2022-12-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-26 | 2022-12-28 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-26 | 2022-12-28 | N |
Have proper power supply for life support equipment. | Fire Safety | 2022-08-26 | 2022-12-28 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-08-26 | 2022-11-07 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-26 | 2022-10-05 | 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 | 2022-08-26 | 2022-10-05 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-26 | 2022-10-05 | N |
Respond appropriately to all alleged violations. | Health | 2022-08-26 | 2022-10-05 | N |
Assess the resident when there is a significant change in condition | Health | 2022-08-26 | 2022-10-05 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-26 | 2022-10-05 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-26 | 2022-10-05 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-26 | 2022-10-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-26 | 2022-10-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-26 | 2022-10-05 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-26 | 2022-10-05 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-26 | 2022-10-05 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-26 | 2022-10-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-26 | 2022-10-05 | 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 | 2022-08-26 | 2022-10-05 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Install proper backup exit lighting. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-02-18 | 2022-03-18 | Y |
Establish staff and initial training requirements. | Fire Safety | 2022-01-04 | 2022-02-18 | Y |
Use approved construction type or materials. | Fire Safety | 2022-08-26 | Not Fixed | N |
Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-08-26 | Not Fixed | N |