All citations for Royal Nursing Center, LLC

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 Royal Nursing Center, LLC

Last standard health inspection on record

December 18, 2025

Showing 1 to 25 of 41 citations

  1. 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 April 8, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (April 1, 2025).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2026).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 26, 2026).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 12, 2026).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 12, 2026).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2026).

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2026).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2026).

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

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

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2026).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

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

    Ensure the activities program is directed by a qualified professional.

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

    Health citation F-0680, Quality of Life and Care Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

  17. 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.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2026).

  25. 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 December 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2026).

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.