All citations for Royal Oak Nursing & Rehab Ctr

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 Oak Nursing & Rehab Ctr

Last standard health inspection on record

March 28, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 23 of 23 citations

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 16, 2024. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (July 30, 2024).
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 February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Dispose of garbage and refuse properly.
Widespread (many residents). CMS level F.
Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
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 February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
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 February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
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 February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 7, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 8, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of August 7, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 8, 2025).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0580, Resident Rights Deficiencies. Inspection of October 23, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 24, 2024).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Isolated (one or a few residents). CMS level D.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Isolated (one or a few residents). CMS level D.
Health citation F-0919, Environmental Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Isolated (one or a few residents). CMS level D.
Health citation F-0921, Environmental Deficiencies. Inspection of February 10, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 4, 2022).

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.