Deficiency Records for Roseville Point Health and Wellness Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Roseville Point Health and Wellness 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? |
|---|---|---|---|---|
| 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 | 2024-02-13 | 2024-03-11 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-02-01 | 2024-02-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-19 | 2024-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-16 | 2023-12-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-28 | 2023-12-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-15 | 2023-12-04 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-26 | 2023-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-25 | 2023-10-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-07 | 2023-08-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-06 | 2023-06-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-21 | 2023-06-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-01 | 2023-05-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Develop a communication plan. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-12 | 2023-04-20 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-10 | 2023-04-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-06 | 2023-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-04-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-17 | 2023-04-16 | 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 | 2023-03-17 | 2023-04-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-17 | 2023-04-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-17 | 2023-04-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-17 | 2023-04-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-17 | 2023-04-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-17 | 2023-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-17 | 2023-04-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-17 | 2023-04-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-17 | 2023-04-16 | 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 | 2023-03-17 | 2023-04-16 | 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 | 2023-03-17 | 2023-04-16 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-03-17 | 2023-04-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-17 | 2023-04-16 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-03-17 | 2023-04-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-17 | 2023-04-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-22 | 2023-03-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-31 | 2023-02-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-31 | 2023-02-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-31 | 2023-02-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-31 | 2023-02-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-06 | 2023-02-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-06 | 2023-02-22 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-11 | 2023-02-15 | Y |
| 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 | 2022-12-08 | 2023-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-29 | 2023-02-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-12-12 | 2023-01-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-12 | 2023-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-12 | 2023-01-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-12 | 2023-01-03 | Y |
| 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 | 2022-12-12 | 2023-01-03 | Y |
| Post nurse staffing information every day. | Health | 2022-12-14 | 2022-12-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-06 | 2022-10-26 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-10-20 | 2022-10-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-26 | 2022-08-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-20 | 2022-07-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-20 | 2022-07-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-14 | 2022-07-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-23 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-18 | 2022-03-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-09 | 2022-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-09 | 2022-03-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-09 | 2022-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-09 | 2022-01-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-09 | 2022-01-19 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-11-22 | 2021-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-22 | 2021-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2021-12-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-16 | 2021-11-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-29 | 2021-10-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-29 | 2021-10-22 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-29 | 2021-10-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-29 | 2021-10-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-29 | 2021-10-22 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-09-29 | 2021-10-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-29 | 2021-10-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-29 | 2021-10-22 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-09-29 | 2021-10-22 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-09-29 | 2021-10-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-29 | 2021-10-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-10-06 | 2021-10-19 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-09-01 | 2021-10-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-15 | 2021-09-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-15 | 2021-09-29 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-22 | 2021-05-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-22 | 2021-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-05-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-22 | 2021-05-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-22 | 2021-05-19 | 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 | 2021-04-22 | 2021-05-19 | 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 | 2021-04-22 | 2021-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-22 | 2021-05-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-22 | 2021-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-22 | 2021-05-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-14 | 2021-05-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-01 | 2021-04-21 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-06-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-06-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-05-23 | 2019-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-06-14 | N |
