The Royal Home

In the surveyor’s words

From the most serious findings on record at The Royal Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Dec 3, 2025

  Based on interview and record review the facility failed to schedule a Registered Nurse for at least 8 consecutive hours a day for April, May, and June of 2025.This failure had the potential to affect all residents in the facility by limiting access to professional nursing assessments, care and supervision of staff which could place the residents at risk for unmet medical needs, delayed response to emergencies and treatment, and poor quality of care. During a review of the facility's Payroll-Based Journal (PBJ) Staffing Data Report from [name of oversight agency], the FY Quarter 3 2025 (April 1 - June 30) report indicated that the facility had no Registered Nurse (RN) onsite on the following dates: A. APRIL 2025 - 04/06, 04/11, 04/13 - 3 Days B. […]

• No harm, potential for more than minimal, widespreadF801Dec 3, 2025

  Based on interview and record review the facility failed to designate a qualified Director of Food Services to provide the daily oversight of the dietary department which includes implementing menus, purchasing food, training staff, and ensuring compliance with all state and federal regulations.This failure had the potential to result in a lack of oversight into the operations of the dietary department and supervision of staff, which could lead to poor quality of services in the department which could affect residents' health and wellbeing.During an interview with the Dietary Kitchen Supervisor (DKS) on 09/24/2025, at 10:35 AM, the DKS stated she is the Director of Food Services and runs the day-to-day operations of the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage practices in the kitchen when there were six opened and unlabeled food packages and bottles found inside the kitchen's refrigerator, freezer, and tray condiments area.This failure had the potential to cause foodborne illnesses (any illness resulting from eating contaminated/spoiled foods) to 19 of 19 medically compromised residents who receive food served by the kitchen.During an initial observation tour of the kitchen and interview with Dietary Kitchen Supervisor (DKS), on 09/23/2025, at 8:25 AM, the DKS inspected the kitchen condiments area, refrigerators, and freezer, and found the following food items: I. […]

• No harm, potential for more than minimal, widespreadF880Dec 3, 2025

  Based on observation, interview, and record review, the facility failed to implement infection control and prevention measures when: 1. Certified Nursing Assistant (CNA) 2 did not perform hand hygiene in between assisting Residents 7 and 18 with the feeding.2. Uncovered soiled linen was placed in the clean area of the laundry room. These failures had the potential for cross contamination and spread of infection which can adversely affect the health and wellbeing of 19 residents, staff, and visitors.1. During dining observation, on 9/23/25, at 11:56 AM, Certified Nursing Assistant (CNA) 2 was noted assisting Residents 7 and 18 simultaneously, who were seated across from each other at the same table. CNA 2 did not perform hand hygiene in between assisting Residents 7 and 18 with the feeding. […]

• No harm, potential for more than minimal, widespreadF802Dec 15, 2023

  Based on observation, interview, and document review, the facility did not ensure food and nutrition service staff were able to competently carry out their job duties when: 1. DA 11 did not contain all her hair within a hairnet; 2. DA 11 did not wash her hands upon entering the kitchen; 3. DA 11 did not know how to prepare a red bucket for sanitation purposes. As a result, this could have led to foodborne illness to all 19 residents at the facility. (Cross Reference F-812) Findings: 1. On 12/12/23 at 12:02 P.M., an observation outside the kitchen area of the kitchen staff was conducted, during the initial resident dining room observation. DA 11 was inside the kitchen, wearing a hairnet, which partially covered the back of her head. […]