ROYAL HEALTH GATE NURSING REHAB

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New Jersey are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/28/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Choose a Doctor to Be the Medical Director. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 10/23/2009 Correction Date: 12/22/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/28/2010 Correction Date: 12/27/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 10/23/2009 Correction Date: 10/28/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/28/2010 Correction Date: 12/27/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 10/28/2010 Correction Date: 12/27/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 10/28/2010 Correction Date: 12/27/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 10/28/2010 Correction Date: 12/27/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/28/2010 Correction Date: 12/27/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/28/2010 Correction Date: 12/27/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/28/2010 Correction Date: 12/27/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/28/2010 Correction Date: 12/27/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/28/2010 Correction Date: 12/27/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/23/2009 Correction Date: 12/22/2009

Resident Rights

Let Residents Complain Without Being Treated Differently or Badly. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/25/2008 Correction Date: 12/03/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 10/23/2009 Correction Date: 10/28/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 10/23/2009 Correction Date: 12/22/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/28/2010 Correction Date: 12/27/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Royal Health Gate Nursing Rehab, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/07/2009 Correction Date: 04/08/2009

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 12/03/2009 Correction Date: 11/26/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Complaint Filed: 05/24/2011 Correction Date: 07/11/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 12/19/2008 Correction Date: 01/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/22/2009 Correction Date: 08/21/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 12/03/2009 Correction Date: 12/15/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/14/2010 Correction Date: 08/31/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 05/24/2011 Correction Date: 07/11/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 12/19/2008 Correction Date: 01/18/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Royal Health Gate Nursing Rehab had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/27/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/23/2009 Correction Date: 11/18/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 10/23/2009 Correction Date: 10/28/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 10/27/2010 Correction Date: 12/27/2010