A list of the most recent deficiencies for Rosecrans Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate foot care. | Health | 2024-01-30 | 2024-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-30 | 2024-02-19 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-20 | 2023-10-06 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-20 | 2023-10-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-30 | 2023-09-20 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-09-13 | 2022-09-27 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-04-20 | 2022-06-29 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-03-16 | 2022-03-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-20 | 2022-01-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-12-20 | 2022-01-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-20 | 2022-01-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-20 | 2022-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-01-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-20 | 2022-01-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-20 | 2022-01-19 | N |
| Post nurse staffing information every day. | Health | 2021-12-20 | 2022-01-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-20 | 2022-01-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-20 | 2022-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-20 | 2022-01-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-20 | 2022-01-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-20 | 2022-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-20 | 2022-01-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-20 | 2022-01-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-15 | 2021-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-15 | 2021-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-15 | 2021-12-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-19 | 2021-12-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2021-12-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-19 | 2021-08-31 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-27 | 2019-06-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-04-27 | 2019-06-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-04-27 | 2019-06-05 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-04-29 | 2019-05-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-29 | 2019-05-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-05-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-29 | 2019-05-28 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-29 | 2019-05-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-29 | 2019-05-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-29 | 2019-05-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-29 | 2019-05-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-29 | 2019-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-29 | 2019-05-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-29 | 2019-05-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-19 | 2018-05-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-04-17 | 2018-05-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-04-17 | 2018-05-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-04-17 | 2018-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-17 | 2018-05-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-17 | 2018-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-17 | 2018-05-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-17 | 2018-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-17 | 2018-05-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-04-17 | 2018-05-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-17 | 2018-05-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-17 | 2018-05-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-04-17 | 2018-05-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-04-17 | 2018-05-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-04-17 | 2018-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-17 | 2018-05-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-17 | 2018-05-07 | N |
