A list of the most recent deficiencies for Royal Oak Nursing and Rehab Ctr. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-10 | 2022-03-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-02-10 | 2022-03-04 | N |
| Dispose of garbage and refuse properly. | Health | 2022-02-10 | 2022-03-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-10 | 2022-03-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-10 | 2022-03-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-10 | 2022-03-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-10 | 2022-03-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-19 | 2022-03-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| 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 | 2022-02-07 | 2022-03-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-07 | 2022-03-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-07-11 | 2019-08-19 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-07-11 | 2019-08-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-11 | 2019-08-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-11 | 2019-08-19 | 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 | 2019-07-11 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-09 | 2019-08-19 | N |
| 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 | 2019-07-09 | 2019-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-09 | 2019-08-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-09 | 2019-08-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-09 | 2019-08-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-07-09 | 2019-08-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-09 | 2019-08-19 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-06-21 | 2018-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-21 | 2018-07-10 | 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 | 2018-06-21 | 2018-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-21 | 2018-07-10 | N |
