Deficiency Records for Rossville Healthcare and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Rossville Healthcare and Rehab 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Have an externally vented heating system. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-23 | 2023-09-19 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-08-23 | 2023-09-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-23 | 2023-09-19 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-23 | 2023-09-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-23 | 2023-09-19 | Y |
| 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 | 2023-08-23 | 2023-09-19 | 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 | 2023-08-23 | 2023-09-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-23 | 2023-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-09-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-23 | 2023-09-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-23 | 2023-09-19 | 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 | 2023-08-23 | 2023-09-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-23 | 2023-09-19 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-23 | 2023-09-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-08-23 | 2023-09-19 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-23 | 2023-09-19 | Y |
| 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 | 2023-08-23 | 2023-09-19 | Y |
| 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 | 2023-08-23 | 2023-09-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-23 | 2023-09-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-23 | 2023-09-19 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-23 | 2023-09-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-10 | 2023-07-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-15 | 2023-03-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-03-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-30 | 2023-02-14 | 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 | 2023-01-30 | 2023-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-19 | 2022-11-25 | 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 | 2022-09-19 | 2022-11-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-19 | 2022-11-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-19 | 2022-11-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-19 | 2022-11-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| Use approved construction type or materials. | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-10 | 2022-01-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-13 | 2021-12-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-13 | 2021-12-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-13 | 2021-12-31 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-13 | 2021-12-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-13 | 2021-12-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-13 | 2021-12-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-25 | 2021-11-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-10 | 2020-02-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-10 | 2020-02-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-10 | 2020-02-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-10 | 2020-02-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-02-10 | 2020-02-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-10 | 2020-02-29 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-10 | 2020-02-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-10 | 2020-02-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-10 | 2020-02-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-10 | 2020-02-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-10 | 2020-02-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-01-10 | 2020-01-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-10 | 2020-01-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-10 | 2020-01-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-10 | 2020-01-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-01-10 | 2020-01-22 | N |
