Royal Oak Nursing & Rehab CTR

Inspection history (21)

Records from July 2019 to August 2025.

• August 7, 2025 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2025-08-07 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-07.GOV

• August 7, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-08-07 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-07.GOV

• October 23, 2024 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2024-10-23 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-10-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-23.GOV

• September 16, 2024 · G

  Citation F0760

  Federal surveyors cited this nursing home on 2024-09-16 under CMS tag F0760 (CMS scope/severity G: isolated, actual harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-07-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-16.GOV

• March 28, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-28.GOV

• March 28, 2024 · D

  Citation F0561

  Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2024-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-28.GOV

• February 10, 2022 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• February 10, 2022 · F

  Citation F0801

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0801 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• February 10, 2022 · D

  Citation F0921

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• February 10, 2022 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• February 10, 2022 · F

  Citation F0814

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0814 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• February 10, 2022 · D

  Citation F0919

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0919 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• February 10, 2022 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• February 10, 2022 · F

  Citation F0803

  Federal surveyors cited this nursing home on 2022-02-10 under CMS tag F0803 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2022-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-10.GOV

• July 11, 2019 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2019-07-11 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2019-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-07-11.GOV

• July 11, 2019 · E

  Citation F0569

  Federal surveyors cited this nursing home on 2019-07-11 under CMS tag F0569 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. The deficiency was recorded as corrected on 2019-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-07-11.GOV

• July 11, 2019 · D

  Citation F0637

  Federal surveyors cited this nursing home on 2019-07-11 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2019-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-07-11.GOV

• July 11, 2019 · D

  Citation F0641

  Federal surveyors cited this nursing home on 2019-07-11 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2019-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-07-11.GOV

• July 11, 2019 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2019-07-11 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2019-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-07-11.GOV

• July 11, 2019 · E

  Citation F0570

  Federal surveyors cited this nursing home on 2019-07-11 under CMS tag F0570 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assure the security of all personal funds of residents deposited with the facility. The deficiency was recorded as corrected on 2019-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-07-11.GOV

Penalties (1)

Total fines on file: $8,970

• September 16, 2024 · Fine

  Citation FINE-78298

  CMS recorded a civil money penalty of $8,970 against this nursing home on 2024-09-16 (Fine ID: 78298). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-16.GOV

Staffing

Latest: 3.31 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: Embassy Healthcare Management INC

   parent · PAC 9537542121

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)