Commonwealth Royale Guest Home

Personnel - Operations. In each facility: Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice.This requirement was not met evidenced by: Based on interviews, the findings indicate that S1 yells at residents and resident (R1), and can also be confrontational with staff. This poses a potential health, safety, and personal rights risk to persons in care.

Heat occupied rooms to minimum temperature

(b) A comfortable temperature for residents shall be maintained at all times.(1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C). This requirement was not met as evidenced by: One of the facility’s thermostats read 67 degree F at 10am and 5 out of 9 residents interviewed corroborated that the facility does not maintain a comfortable temperature. This poses a potential risk to the health, safety, or personal rights of persons in care.

Arrange appropriate medical and dental care

87465(a)(1)-(a) A plan for incidental medical and dental care shall be developed by each facility...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement was not met as evidenced by: Based on record review and interviews R1 was given the prescription medication on September 25, 2025 by MedTech.R1 was given medication that was prescribed for R2 by MedTech.Medication error was not discovered until a week later. Upon distribution R2's scheduled prescription medication was discovered missing.Medication is listed on residents Face Sheet and Emergency Information Sheet (Info) and EMAR system. The medication for both (R1) and (R2) are alike but have different milogram dosages.

Maintain facilities for fire and panic safety

Based on observation, the licensee did not comply with the section cited above. serval rooms had smoke detectors that were inoperable which poses an potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above tub strips were coming loose in 2 rooms which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in one bathroom door is missing in room 221 and bathroom shelf are unclean which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain separate complete record for each resident

Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This standard is not met as evidence by: R-1’s records were incomplete. LPA discovered multiple staff initials missing on R-1’s Medication Administration Record (MAR) for the January 2025 log.

87507 Admission Agreements(g) Admission agreements shall specify the following:(4) Modification conditions, including the requirement for the provision of at least 60 days prior written notice to the resident of any rate or rate structure change, or as soon as the licensee is notified of SSI/SSP rate changes.This requirement was not met as evidenced by:Licensee issued notice of rate increase to R1 that was to take effect 11/01/2024. Notice was issued to R1 0n 10/01/24.

Maintain physician order documentation in resident record

Based on record review, the licensee did not comply with the section cited above in observation of half bed rails in room #227 in R1's bed, no written request on file for R1 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 5 residents medication review, R2 does not have daily prescribed medication for allowable health condition which poses an immediate health, safety or personal rights risk to persons in care.

Record dose details and resident medication response

Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 5 residents with PRN medications do not have records of PRN medication taken and the medication has been distributed which poses/posed a potential health, safety or personal rights risk to persons in care.

a) The department may deny an application for a license or may suspend or revoke a license issued under this chapter upon any of the following grounds and in the manner provided in this chapter:(3) Conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California.This requirement is not met as evidenced by: On 03/10/22, Administraor did not screen the LTCO for covid prior to entering the facility and conducting visits.This poses an immediate health and safety risk to the residents in care.