Deficiency Records for Royal Park Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Royal Park Health and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-04 | 2023-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-04 | 2023-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-10-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-04 | 2023-10-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-04 | 2023-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-10-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-04 | 2023-10-30 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-04 | 2023-10-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-27 | 2023-10-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-27 | 2023-10-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-27 | 2023-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-27 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-13 | 2022-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-06 | 2022-05-31 | 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 | 2022-05-06 | 2022-05-31 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-06 | 2022-05-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-06 | 2022-05-31 | 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 | 2022-05-06 | 2022-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-05-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Meet other general requirements. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Meet other general requirements. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-03 | 2022-05-16 | 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 | 2022-05-03 | 2022-05-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-05-03 | 2022-05-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-27 | 2022-05-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-27 | 2022-05-13 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-10 | 2021-12-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-10 | 2021-12-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-18 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-03-24 | 2021-04-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-31 | 2019-03-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-31 | 2019-03-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-31 | 2019-03-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-31 | 2019-03-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-31 | 2019-03-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-31 | 2019-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-31 | 2019-03-13 | 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 | 2019-01-31 | 2019-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-03-13 | 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 | 2019-01-31 | 2019-03-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-31 | 2019-03-13 | 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 | 2019-01-31 | 2019-03-13 | 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 | 2019-01-31 | 2019-03-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-31 | 2019-03-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-31 | 2019-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-13 | 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 | 2019-01-29 | 2019-02-13 | 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 | 2019-01-29 | 2019-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-29 | 2019-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-29 | 2019-02-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-29 | 2019-02-13 | N |
