ROYAL SPRINGS HEALTHCARE AND REHAB has a 1-star overall rating, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing. It reports 3.50 nurse hours per resident day versus the 4.1 federal benchmark and has had $40,359 in fines in the last 24 months, with a recent federal penalty.
Last inspection: March 13, 2026Penalties, last 24 months: $40,359recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4962.
Staffing detail
Registered nurses
0.87
Licensed practical nurses
0.78
Nurse aides
1.85
Weekend nursing
3.03
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
41.2%Worsening
Residents with a fall causing major injury
1.7%Worsening
Residents with pressure ulcers (bedsores)
5.7%Worsening
Residents with a urinary tract infection
0.6%Worsening
Residents who lost too much weight
6.3%Improving
Residents who were physically restrained
0.1%Steady
Residents needing more help with daily activities
13.5%Worsening
Residents whose ability to walk got worse
13.1%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
19.8%Worsening
Short-stay residents newly given an antipsychotic
5%Improving
Residents with a long-term catheter
3.2%Steady
Residents with new or worsening incontinence
16.5%Worsening
Residents with depressive symptoms
1%Improving
Long-stay residents given the seasonal flu vaccine
83.3%Steady
Long-stay residents given the pneumonia vaccine
71.6%Worsening
Short-stay residents given the seasonal flu vaccine
69%Steady
Short-stay residents given the pneumonia vaccine
57.9%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2023 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited February 2023 — widespread issue, potential for harm.
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F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 12 health deficiencies.
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PENALTY
A federal fine of $40,359 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $40,359 in total fines.
Federal fine
Oct 29, 2024
$40,359
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of IL & JOAN LEE · 4 homes · 2.5 stars avg
Occupancy
212.9 residents on an average day (95% of 225 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.