Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 385148

Royale Gardens Health & Rehabilitation Center

73 federal citations on record , and 3 federal enforcement actions totaling $200,505.

Record summary

Federal record · Q1 2026
73
Total citations
58
Last 3 years
7
Actual harm+
3
Federal penalties
$200,505
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care21 Care Planning14 Resident Rights11 Abuse & Neglect8 Nursing & Physician Services7

Most common F-tags at this facility

F6865 F6844 F6564 F6573 F6893

Citation history

73 on record
SurveyF-TagViolationSeveritySource
Jan 28, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jul 23, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
May 1, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Feb 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 29, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 29, 2024F732Post nurse staffing information every day.CComplaint
Oct 29, 2024F730Observe each nurse aide's job performance and give regular training.DComplaint
Oct 29, 2024F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Oct 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Oct 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 29, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Oct 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 29, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Oct 29, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Oct 29, 2024F791Provide or obtain dental services for each resident.DStandard
Oct 29, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Oct 29, 2024F758Implement 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.DStandard
Oct 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 29, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard
Oct 29, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EStandard
Oct 29, 2024F679Provide activities to meet all resident's needs.EStandard
Oct 29, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 29, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Oct 29, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Oct 29, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Jan 25, 2024F908Keep all essential equipment working safely.EComplaint
Jan 25, 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
Jan 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 25, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jan 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jan 25, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Jan 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 25, 2024F610Respond appropriately to all alleged violations.DComplaint
Jan 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 25, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.GComplaint
Jan 25, 2024F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).GComplaint
Jan 25, 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
Jul 14, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint
Jul 14, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jul 14, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jul 14, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EStandard
Jul 14, 2023F880Provide and implement an infection prevention and control program.DStandard
Jul 14, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jul 14, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 14, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jul 14, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.GStandard
Jul 14, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jul 14, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 14, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Jul 14, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jul 14, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Jul 14, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Jul 14, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 7, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Apr 12, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 12, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Apr 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Apr 12, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Apr 12, 2023F610Respond appropriately to all alleged violations.DComplaint
Apr 12, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 9, 2022F880Provide and implement an infection prevention and control program.FStandard
Apr 9, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 9, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 9, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 9, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 9, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 9, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Apr 9, 2022F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $200,505 .

DateTypeFinePayment denial
Jan 25, 2024Fine$81,613—
Jul 14, 2023Fine$71,065—
Apr 12, 2023Fine$47,827—
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.

Concerned about care at Royale Gardens Health & Rehabilitation Center?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.