Royse City Medical Lodge

In the surveyor’s words

From the most serious findings on record at Royse City Medical Lodge, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 15, 2021

  Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one of four residents (Resident #1) reviewed for quality of care. The facility's Nurse E failed to provide Resident #1, who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . On 03/16/21, Nurse E and CNA G found Resident #1 lying on a fall mat and failed to report the incident or complete a fall evaluation and monitoring. Resident #1 received an x-ray on 03/19/21 that revealed a right [CONDITION(S)] . It was determined a past non-compliance Immediate Jeopardy existed from 03/16/21 to 04/09/21. […]

• Actual harm, isolatedF600Apr 15, 2021

  Based on interview and record review, the facility failed to ensure residents were free from neglect, for one (Resident #1) of three residents reviewed for neglect. LVN E failed to provide the necessary care including monitoring and follow-up action to prevent and address falls for Resident #1 after she was found lying on a fall mat on 03/16/21 by LVN E. On 03/19/21, Resident #1 received an x-ray that revealed a right [CONDITION(S)]. This failure could place residents at risk for neglect, resulting in unnecessary pain and a delay in treatment. Findings included: Review of Resident #1's undated face sheet reflected an [AGE] year-old female admitted to the facility on [DATE]. Resident #1's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Apr 15, 2021

  Based on observation, interview and record review the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure sanitary practices to include dented cans in dry-storage, undated refrigerated items, leftovers past discard date, improper cold-holding, and cross-contamination during meal service. These failures could place residents at risk for cross-contamination and food-borne illness. Findings include: 1. Observation on 03/23/21 at 9:15 AM revealed two dented cans identified in dry food storage, one of which was completely crushed at the top of the can. […]

• No harm, potential for more than minimal, patternF812Feb 12, 2026

  Based on observations, interviews and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for the facility's only kitchen in that:The facility failed to ensure food items in the facility walk-in refrigerator were dated and labeled on 2/10/2026.These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness if consumed and food contamination.Finding included:Observation on 2/10/2026 at 9:13 AM of the walk-in refrigerator revealed one block of cheese wrapped in plastic and one pack of lunch meat not dated or labeled.In an interview on 2/11/2026 at 10:30 AM with the Consultant Dietitian revealed her expectation was that… […]

• No harm, potential for more than minimal, patternF677Oct 17, 2024

  49837 Based on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 5 (Resident#34, Resident #36, Resident #39, Resident#55, and Resident #76) of 8 residents reviewed for ADLs. The facility failed to ensure Resident#34, Resident #36's, Resident #39's, Resident#55, and Resident #76's nails were cleaned and trimmed. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life. Findings include: 1. […]