Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 165580

Royal Oaks Nursing And Rehabilitation Center

59 federal citations on record , including 2 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $122,691.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
59
Total citations
53
Last 3 years
6
Actual harm+
5
Federal penalties
$122,691
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care15 Care Planning13 Resident Rights11 Medication & Pharmacy6 Nutrition & Dietary4

Most common F-tags at this facility

F6585 F5504 F6894 F6564 F6843

Citation history

59 on record
SurveyF-TagViolationSeveritySource
Oct 22, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 22, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.KComplaint
Oct 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
May 20, 2025F761Ensure 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.DComplaint
May 20, 2025F760Ensure that residents are free from significant medication errors.GComplaint
May 20, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
May 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 20, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 20, 2025F880Provide and implement an infection prevention and control program.EStandard
May 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 20, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
May 20, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 20, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 20, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Dec 13, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Dec 13, 2024F880Provide and implement an infection prevention and control program.DComplaint
Dec 13, 2024F761Ensure 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.DComplaint
Dec 13, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.JComplaint
Dec 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Dec 13, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Dec 13, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Dec 13, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 13, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Dec 13, 2024F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Dec 13, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Oct 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 7, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jul 1, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 1, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 1, 2024F926Have policies on smoking.DStandard
Jul 1, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Jul 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 1, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jul 1, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jul 1, 2024F610Respond appropriately to all alleged violations.DStandard
Jul 1, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jul 1, 2024F578Honor 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.DStandard
Jul 1, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jan 30, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jan 30, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jan 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 6, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Dec 6, 2023F695Provide safe and appropriate respiratory care for a resident when needed.GComplaint
Dec 6, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Dec 6, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Dec 6, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 7, 2023F761Ensure 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.DComplaint
Sep 7, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 4, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 4, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Apr 4, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 4, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 4, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Apr 4, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $122,691 and 2 payment-denial actions spanning 96 days.

DateTypeFinePayment denial
Oct 22, 2025Fine$16,653—
Dec 12, 2024Fine$71,136—
Dec 6, 2023Fine$34,902—
Dec 6, 2023Payment Denial—Jan 3, 2024 · 41 days
May 17, 2023Payment Denial—Aug 24, 2023 · 55 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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