THE ROYAL HOME

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 California 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

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 10/22/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 11/05/2008 Correction Date: 01/05/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 11/05/2008 Correction Date: 12/16/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/08/2009 Correction Date: 10/29/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/08/2009 Correction Date: 10/29/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/22/2010 Correction Date: 11/08/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/08/2009 Correction Date: 10/29/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 10/22/2010 Correction Date: 11/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident. Inspection Date: 10/08/2009 Correction Date: 10/29/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/08/2009 Correction Date: 10/29/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
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: 10/08/2009 Correction Date: 10/29/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 10/08/2009 Correction Date: 10/29/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/08/2009 Correction Date: 10/29/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/05/2008 Correction Date: 01/05/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/08/2009 Correction Date: 10/29/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/05/2008 Correction Date: 01/05/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/22/2010 Correction Date: 11/08/2010

Resident Rights

Have a Private Telephone Available for Use. Inspection Date: 11/05/2008 Correction Date: 12/16/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 10/08/2009 Correction Date: 10/29/2009

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 The Royal Home 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 10/28/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 12/04/2008 Correction Date: 01/05/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/28/2010 Correction Date: 12/02/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/29/2009 Correction Date: 11/17/2009

Electrical

A Separate and Independent Backup Electrical Power Source. Inspection Date: 12/04/2008 Correction Date: 01/05/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/29/2009 Correction Date: 11/17/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/28/2010 Correction Date: 12/02/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/29/2009 Correction Date: 11/17/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/28/2010 Correction Date: 12/02/2010

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key. Inspection Date: 12/04/2008 Correction Date: 01/05/2009

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 12/04/2008 Correction Date: 01/05/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/29/2009 Correction Date: 11/17/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 12/04/2008 Correction Date: 01/05/2009