Royal Gardens Healthcare
ROYAL GARDENS HEALTHCARE in ALHAMBRA, CA — inspection on August 11, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 8/7/2025 at 3:20 PM with the DON, the DON stated the GI order for follow up appointment ordered on 6/28/2025 for Resident 3 was not done.
The DON stated that the order was missed, and she was not aware of it.
The DON stated that it was important to set up the appointments ordered by the physician.
The DON stated that if appointments were not set up, this would cause delays in care and services for the residents.
The DON stated that resident conditions might get worse and lead to a change in condition and subsequently result in hospitalization.
The DON stated if appointments were made timely, this could potentially prevent exacerbation and worsening of symptoms.
The DON stated CM, SSD, DON and Nursing staff could and were expected to set up appointments and the DON had the oversight to make sure appointments were being set up by the facility.
The DON stated there was a process, which was to carry out doctor's orders, set up or schedule the appointments including transportation, record appointments and transportation in the respective binders or logbook.
The DON stated the staff follow this process but could not provide a policy.
The DON stated there should be a policy for setting up appointments, its follow up and endorsement between the departments so no appointments are missed.
During a review of the Job Description titled, Central Case Manager, updated 12/21/2022, the job description indicated the duties and responsibilities of the central CM included: Manage all existing authorizations through concurrent review submissions and process new authorization requests for significantly involved provider (SIP-refers to a provider who actively participated in a patient's care during a specific episode, regardless of standard of care determination) and/or Managed Care Part B services.
Arrange transportation and appointment schedules for skilled managed care residents.
During a review of the facility's Policy and Procedure (P&P) titled Physician Orders, dated 4/1/2023, the P&P indicated that whenever possible, the licensed nurse receiving the order will be responsible for documenting and implementing the order.
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