Deficiency Records for Royal Park Rehab and Health Ctr of Matthews
Updated as of April 01, 2024
A list of the most recent deficiencies for Royal Park Rehab and Health Ctr of Matthews. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-04 | 2023-10-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-04 | 2023-10-11 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-11 | 2023-06-15 | 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 | 2023-04-11 | 2023-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-11 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-06-15 | 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 | 2023-03-10 | 2023-04-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-10 | 2023-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-10 | 2023-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-02 | 2022-06-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-02 | 2022-06-21 | Y |
| 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 | 2021-11-19 | 2022-02-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2022-02-03 | Y |
| 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 | 2021-11-19 | 2022-02-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-19 | 2022-02-03 | Y |
| 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 | 2022-01-24 | 2022-02-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-24 | 2022-02-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-24 | 2022-02-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-24 | 2022-02-03 | Y |
| 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 | 2022-01-24 | 2022-02-03 | Y |
| 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 | 2022-01-24 | 2022-02-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-24 | 2022-02-03 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-01-24 | 2022-02-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-24 | 2022-02-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-01-24 | 2022-02-03 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-19 | 2022-01-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-11-19 | 2022-01-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-19 | 2022-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2022-01-24 | 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 | 2021-11-19 | 2022-01-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-19 | 2022-01-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-19 | 2022-01-24 | Y |
| 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 | 2021-11-19 | 2022-01-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-19 | 2022-01-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-19 | 2022-01-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2022-01-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-19 | 2022-01-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2022-01-24 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-19 | 2022-01-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-19 | 2022-01-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-14 | 2021-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-14 | 2021-12-31 | 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 | 2019-08-27 | 2019-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-27 | 2019-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-27 | 2019-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-27 | 2019-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-27 | 2019-10-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-02 | 2019-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-02 | 2019-08-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-02 | 2019-08-26 | N |
