All citations for Royale Gardens Health & Rehabilitation 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 Royale Gardens Health & Rehabilitation Center

Last standard health inspection on record

March 13, 2026

Showing 26 to 50 of 77 citations

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of January 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 15, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2023).

  4. 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.

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

    Health citation F-0882, Infection Control Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2023).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of July 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2026).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of July 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2026).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, Resident Rights Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  8. 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 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  11. 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 March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

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

    Health citation F-0776, Administration Deficiencies. Inspection of March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  13. 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 March 13, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  15. 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 July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  16. 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 February 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  17. 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 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of October 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 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 October 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  21. 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 October 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 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 October 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  24. 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 October 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  25. 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 October 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.