All citations for Royal Oak Nursing Center

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 Center

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 14 of 14 citations

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

  5. 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 February 2, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2024).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 27, 2024).

  10. 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 January 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of January 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 15, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2020).

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.