Concerns have been raised at a Co. Roscommon Nursing Home following a HIQA inspection earlier this year.
The Health Watchdog carried out the unannounced inspection at the Abbey Haven Care Centre and Nursing Home in February.
Abbey Haven Care Centre and Nursing Home is based in Boyle and can accommodate a maximum of 63 residents.
According to the HIQA report, although residents did provide positive feedback about the care and support they received, inspectors were not assured that all residents were afforded the same level or quality of care.
Inspectors say they arrived early at the centre and observed that the breakfast experience for the residents in the centre was not fully supportive of their rights.
All residents were served breakfast in bed, and residents were not encouraged or offered a choice to use their dining room.
During a walk around of the centre, inspectors also observed that several residents did not have access to emergency call bell facilities in their bedrooms, if they required help or support.
Inspectors found that there was an insufficient number of staff available to provide adequate supervision and support for residents on the day of inspection.
Furthermore, inspectors observed that two care staff were deployed from their roles of providing personal care and support to residents, to provide tea and drinks.
The report also states that the centre was visibly unclean in several areas, and inspectors observed several items of equipment, that were visibly unclean.
Throughout the inspection, several residents were seen sleeping in their chairs or walking without purpose, around the centre.
The local nursing home received 11 non-compliances in total following the HIQA inspection.