All citations for Avenues at Royal Oak

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avenues at Royal Oak

Last standard health inspection on record

September 16, 2025

Showing 1 to 25 of 27 citations

  1. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of May 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  3. Harm to a resident

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  4. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of December 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  6. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  7. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  8. No harm, with potential for more than minimal harm

    Honor the resident's right to manage his or her financial affairs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0567, Resident Rights Deficiencies. Inspection of December 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 3, 2025).

  11. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 3, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 3, 2025).

  13. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  14. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 9, 2025).

  15. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 9, 2025).

  16. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 9, 2025).

  17. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  18. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 21, 2024).

  19. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  20. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  21. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

  22. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  23. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  24. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

  25. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of September 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.