Royal Gardens Healthcare
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
3's appointment, did not work on it. 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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ROYAL GARDENS HEALTHCARE in ALHAMBRA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ALHAMBRA, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROYAL GARDENS HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.