Facility profile · CCN 555503
Royal Oaks Manor-bradbury Oaks
42 federal citations on record , and 1 federal enforcement actions totaling $0.
Record summary
Federal record · Q1 202642
Total citations
42
Last 3 years
2
Actual harm+
1
Federal penalties
$0
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
42 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 2, 2026 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 2, 2026 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jan 2, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jan 2, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 2, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Jan 2, 2026 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Jan 2, 2026 | F578 | 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. | E | Standard |
| Jan 2, 2026 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 1, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Dec 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Nov 15, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Nov 15, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Nov 15, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 15, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Nov 15, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Nov 15, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Nov 15, 2024 | F758 | 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. | D | Standard |
| Nov 15, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard |
| Nov 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Nov 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Nov 15, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Nov 15, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Nov 15, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Oct 5, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| May 10, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Apr 15, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint |
| Nov 28, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 2, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 2, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 2, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Nov 2, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Nov 2, 2023 | F758 | 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. | D | Standard |
| Nov 2, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Nov 2, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 2, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Nov 2, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Nov 2, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Nov 2, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Nov 2, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Nov 2, 2023 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Standard |
| Nov 2, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Nov 2, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 0 civil money penalties totaling $0 and 1 payment-denial actions spanning 15 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 15, 2024 | Payment Denial | — | May 14, 2024 · 15 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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