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Deficiency Records for Royal Oaks Manor-Bradbury Oaks
View the most recent health deficiencies and inspection results for Royal Oaks Manor-Bradbury Oaks. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Royal Oaks Manor-Bradbury Oaks. Stay informed about quality of care issues.
| 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 | 2026-01-02 | 2026-02-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-02 | 2026-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-02 | 2026-01-22 | 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 | 2026-01-02 | 2026-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-02 | 2026-01-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-01-02 | 2026-01-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-01-02 | 2026-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-02 | 2026-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-02 | 2026-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-01 | 2025-12-05 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-12-01 | 2025-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-15 | 2024-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-15 | 2024-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-15 | 2024-12-15 | N |
| Provide activities to meet all resident's needs. | Health | 2024-11-15 | 2024-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-15 | 2024-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-15 | 2024-12-15 | 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 | 2024-11-15 | 2024-12-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-11-15 | 2024-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-15 | 2024-12-15 | 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 | 2024-11-15 | 2024-12-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-15 | 2024-12-15 | 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 | 2024-11-15 | 2024-12-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-15 | 2024-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-05 | 2024-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-10 | 2024-05-29 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-04-15 | 2024-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-28 | 2023-12-11 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-02 | 2023-12-02 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-11-02 | 2023-12-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-02 | 2023-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-22 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-11-02 | 2023-11-20 | 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 | 2023-11-02 | 2023-11-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-02 | 2023-11-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-02 | 2023-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2023-11-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-02 | 2023-11-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-02 | 2023-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-11-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-02 | 2023-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-02 | 2023-11-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-02 | 2023-11-10 | 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 | 2023-11-02 | 2023-11-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-02 | 2023-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-02 | N |