Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Royal Oak Nursing Center during CMS and state inspections, most recent first.
The facility failed to follow its infection prevention and control policy for contact isolation in two rooms on one hall. A contact isolation sign requiring gown and gloves was posted on each door but did not specify which bed the precautions applied to. Two CNAs entered and exited both rooms multiple times without donning gowns or gloves, touched a resident in a wheelchair, room surfaces, and hallway items, and did not perform hand hygiene between rooms. A family member of a resident reported not being informed about the isolation status or the need for PPE and had not been educated on appropriate PPE use. In interviews, one CNA demonstrated misunderstanding of when PPE must be used, which conflicted with explanations from an RN, the DON, and the facility’s written infection control policy that requires PPE to be donned before entering contact isolation rooms and that visitors be informed of risks and necessary precautions.
Failure to Follow Contact Isolation PPE Protocols and Educate Visitors
Penalty
Summary
The deficiency involves the facility’s failure to implement its infection prevention and control program, specifically related to contact isolation protocols, PPE use, hand hygiene, and visitor notification and education. On 02/02/2026 at 3:33 PM, a room on the 200 hall was observed with a contact isolation sign requiring gloves and a gown prior to entry, but the sign did not indicate whether the precautions applied to the resident in Bed A or Bed B. Two CNAs (Staff A and Staff B) were observed leaving the side of the room housing the resident in Bed B without wearing gloves or gowns after assisting the resident, who was in a wheelchair, and they did not perform hand hygiene upon exiting. At 3:37 PM, the same CNAs were observed re-entering the same room without donning gloves or gowns before entry. While in the room, they made contact with the curtain divider, the resident’s wheelchair, and the resident’s shoulder, right hand, and wrist, and then left the room and touched a table in the hallway that contained multiple items, again without performing hand hygiene. At 3:40 PM, another room on contact isolation was observed with a sign on the door that also did not specify which resident the precautions applied to. Staff A and Staff B entered this second room without donning gloves or gowns and exited without performing hand hygiene between rooms. At 3:36 PM, a family member of the resident in the first room’s Bed B reported not having been told anything about the contact isolation sign, not knowing that gloves and a gown were required before entering, and not having been notified or educated on appropriate PPE use. In a subsequent interview at 3:42 PM, Staff A stated that the contact sign on the first room’s door was for Bed B and acknowledged assisting that resident. Staff A asserted that gown and gloves were not needed because only the resident’s hands were touched without gloves and indicated that PPE would be needed only if the resident was being picked up during a transfer, and that PPE should be put on only if contact was made with a resident, not before entering the room. This understanding conflicted with statements from the RN, DON, and Infection Preventionist, as well as the facility’s written Infection Prevention and Control Program policy, which requires staff to follow transmission-based precautions, including donning PPE before entering contact isolation rooms and informing and educating visitors about required precautions.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Dade City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dade City Health And Rehabilitation Center | 0.4 mi | ★★★★★ | 4 | 4 |
| Adventhealth Dade City | 0.4 mi | — | 0 | 0 |
| Solaris Healthcare Zephyrhills | 6.1 mi | ★★★★★ | 0 | 0 |
| Hillside Health And Rehabilitation Center | 7.2 mi | ★★★★★ | 11 | 0 |
| Solaris Healthcare Lake Zephyr | 8.6 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.