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Deficiency Records for Royal Springs Healthcare and Rehab

View the most recent health deficiencies and inspection results for Royal Springs Healthcare and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Royal Springs Healthcare and Rehab. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2026-03-13 2026-04-14 N
Provide properly protected cooking facilities. Fire Safety 2026-03-13 2026-04-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-03-13 2026-04-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2026-03-13 2026-04-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2026-03-13 2026-04-14 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2026-03-13 2026-04-14 N
Provide a written emergency evacuation plan. Fire Safety 2026-03-13 2026-04-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-03-13 2026-04-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-03-13 2026-04-13 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2026-03-13 2026-04-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-03-13 2026-04-13 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 2026-03-13 2026-04-13 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 2026-03-13 2026-04-13 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-03-13 2026-04-13 N
Ensure that residents are free from significant medication errors. Health 2026-03-13 2026-04-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-03-13 2026-04-13 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2026-03-13 2026-04-13 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2026-03-13 2026-04-13 Y
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 2026-03-13 2026-04-13 Y
Address subsistence needs for staff and patients. Fire Safety 2026-03-13 2026-04-12 N
Create arrangements with other facilities to receive patients. Fire Safety 2026-03-13 2026-04-12 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2026-03-13 2026-04-12 N
Provide enough food/fluids to maintain a resident's health. Health 2025-02-14 2025-03-11 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-02-14 2025-03-11 N
Conduct testing and exercise requirements. Fire Safety 2025-02-14 2025-03-11 N
Address subsistence needs for staff and patients. Fire Safety 2025-02-14 2025-03-11 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-02-14 2025-03-11 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2025-02-14 2025-03-11 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 2025-02-14 2025-03-11 N
Have proper medical gas storage and administration areas. Fire Safety 2025-02-14 2025-03-11 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 2025-02-14 2025-03-11 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-02-14 2025-03-11 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-02-14 2025-03-11 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-02-14 2025-03-11 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 2025-02-14 2025-03-11 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 2025-02-14 2025-03-11 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-02-14 2025-03-11 N
Provide and implement an infection prevention and control program. Health 2025-02-14 2025-03-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-02-14 2025-03-11 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2025-02-14 2025-03-11 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-02-14 2025-03-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-02-14 2025-03-11 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-02-14 2025-03-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-02-14 2025-03-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-02-14 2025-03-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-10-29 2024-12-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-29 2024-12-12 Y
Establish policies and procedures including evacuation. Fire Safety 2024-03-15 2024-04-23 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-03-15 2024-04-23 N
Provide properly protected cooking facilities. Fire Safety 2024-03-15 2024-04-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-15 2024-04-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-03-15 2024-04-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-15 2024-04-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-03-15 2024-04-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-03-15 2024-04-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-15 2024-04-23 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-03-15 2024-04-23 N
Provide a written emergency evacuation plan. Fire Safety 2024-03-15 2024-04-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-15 2024-04-10 Y
Keep all essential equipment working safely. Health 2024-03-15 2024-04-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-15 2024-04-10 N
Ensure that residents are free from significant medication errors. Health 2024-03-15 2024-04-10 N
Ensure medication error rates are not 5 percent or greater. Health 2024-03-15 2024-04-10 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 2024-03-15 2024-04-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-03-15 2024-04-10 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 2024-03-15 2024-04-10 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 2024-03-15 2024-04-10 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 2024-03-15 2024-04-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-15 2024-04-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-15 2024-04-10 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-03-15 2024-04-10 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 2024-03-15 2024-04-10 N

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