Deficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
31% occupied
Based on a May 2025 inspection.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 3
Date: May 29, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review medication administration practices and compliance with regulations at The Grand Royale facility.
Complaint Details
The complaint investigation was substantiated based on interviews, record reviews, and observations showing failures in medication administration and documentation.
Findings
The facility failed to implement an effective system of medication administration, including improper documentation and reconciliation of controlled substances. Deficiencies were noted in administering PRN doses and recording medication administration accurately.
Deficiencies (3)
19 CSR 30-86.047(46) Safe & Effective Medication System: The facility failed to implement an effective system of medication administration, resulting in improper administration of Lorazepam to a resident. The facility census was 24.
19 CSR 30-86.047(47)(G) Medication Administration, Documented: The facility failed to document administered medications on the medication administration record for one resident. The facility census was 24.
19 CSR 30-86.047(51)(A)(1) Schedule II Meds-Reconcile Each Shift, Record: The facility failed to reconcile inventory of controlled substances by two personnel at every shift change for one resident. The facility census was 24.
Report Facts
Facility census: 24
Deficiencies cited: 3
Inspection Report
Plan of Correction
Census: 25
Deficiencies: 3
Date: Apr 11, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction for The Grand Royale facility, addressing regulatory noncompliance found during a survey conducted on 04/11/2025.
Findings
The facility failed to comply with regulations regarding operator/administrator responsibilities, resident condition/medication review, and resident rights admission/annual review. Specific issues included improper room occupancy exceeding licensed beds, failure to complete monthly summaries for residents, and failure to inform residents or their representatives of rights annually.
Deficiencies (3)
19 CSR 30-86.047(6) Operator/Administrator Responsibilities: The operator failed to assure compliance with laws when placing residents in rooms licensed for one resident but occupied by two. The facility lacked a policy on resident placement per approved beds.
19 CSR 30-86.047(58)(B) Resident Condition/Medication Review: The facility failed to ensure monthly summaries were completed for two of six sampled residents. The facility lacked a policy on completing monthly summaries.
19 CSR 30-88.010(4) Resident Rights-Admission/Annual Review: The facility failed to ensure residents or their representatives were informed of rights annually for two of six sampled residents. The facility lacked a policy on reviewing annual resident rights.
Report Facts
Facility census: 25
Deficiency count: 3
Inspection Report
Plan of Correction
Census: 23
Deficiencies: 4
Date: Jul 22, 2024
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for The Grand Royale, a single-story assisted living facility, documenting regulatory deficiencies identified during a survey on 07/22/2024.
Findings
The facility failed to maintain an approved sprinkler system, use only metal or fire-resistant wastebaskets, ensure proper oxygen storage, and prohibit the use of portable heaters. These deficiencies affected all 23 residents present during the inspection.
Deficiencies (4)
19 CSR 30-86.022(11)(D) Sprinkler System. The facility fails to maintain an approved sprinkler system in accordance with NFPA 13R, 1999 edition, as evidenced by multiple sprinkler heads with gaps or loose metal trim rings.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility fails to ensure only metal or fire-resistant wastebaskets are used for trash, with multiple non-compliant waste baskets observed in resident rooms.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility fails to ensure oxygen storage is in accordance with NFPA 99, 1999 edition, with unsupported oxygen cylinders and lack of signage observed.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable. The facility fails to prohibit the use of portable heaters, with multiple portable heaters observed in resident rooms.
Report Facts
Facility census: 23
Non-compliant waste baskets observed: 17
Oxygen cylinders unsupported: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kim Neal | Administrator | Signed the report as provider/supplier representative |
| Director of Social Services | Interviewed regarding corrective actions for deficiencies |
Inspection Report
Plan of Correction
Census: 24
Deficiencies: 2
Date: Aug 26, 2022
Visit Reason
The inspection was conducted to identify deficiencies related to resident care and medication administration at The Grand Royale facility.
Findings
The facility failed to provide reading lights for residents who desired them, and staff did not properly administer eye drop medications according to policy and professional standards.
Deficiencies (2)
19 CSR 30-86.032(17) Reading Light, Light as Needed. The facility failed to provide a reading light for each resident who desired to read or additional lighting to meet individual needs. The facility census was 24.
19 CSR 30-86.047(46) Safe & Effective Medication System. The facility staff failed to administer eye drops properly for three residents, including failure to apply pressure to the inner eye to promote absorption. The facility census was 24.
Report Facts
Facility census: 24
Date of survey: Aug 26, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Interviewed regarding lighting provision for residents | |
| Administrator | Facility Administrator | Interviewed regarding reading lights and medication system |
| Certified Medication Technician A | Certified Medication Technician | Observed administering eye drop medications |
| Director of Nursing | Director of Nursing | Interviewed regarding medication administration expectations |
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