All citations for The Royal Home

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 The Royal Home

Last standard health inspection on record

December 3, 2025

Showing 1 to 25 of 57 citations

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2025).

  2. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2025).

  3. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2025).

  4. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2025).

  5. 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 3, 2025. Found during a standard inspection.

    No plan of correction on record.

  6. 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 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  7. 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 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  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 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  10. 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 December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  12. 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 December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  13. 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 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  14. 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 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  15. 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 February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 24, 2022).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  17. 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 February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  18. 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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2025).

  19. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 11, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2022).

  22. 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 December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2025).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2025).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

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.