Inspection Results » Royal Oak Nursing & Rehab

Health Inspection on July 31, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-27)
   • Implement a program that monitors antibiotic use. (Corrected 2018-08-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-27)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-08-28)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-08-27)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-08-27)
   • 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. (Corrected 2018-08-27)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-08-27)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-08-27)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-27)
   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2018-08-27)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-27)
   • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (Corrected 2018-08-27)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure that residents are free from significant medication errors. (Corrected 2018-08-27)
   • Respond appropriately to all alleged violations. (Corrected 2018-08-27)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-27)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-27)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-27)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-08-27)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-08-27)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-27)

4. Widespread: No actual harm with potential for minimal harm

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-08-27)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-08-27)