Deficiency Records for Brookdale Rosehill

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Updated as of May 01, 2024

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Deficiency Records for Brookdale Rosehill

A list of the most recent deficiencies for Brookdale Rosehill. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Brookdale Rosehill. 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?
Include a process for Emergency Preparedness collaboration. Fire Safety 2024-01-17 2024-03-12 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2024-01-17 2024-03-12 N
Use approved construction type or materials. Fire Safety 2024-01-17 2024-03-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-17 2024-03-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-17 2024-03-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-17 2024-03-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-17 2024-03-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-30 2024-03-08 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 2024-01-30 2024-03-08 Y
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-17 2024-02-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-17 2024-02-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-17 2024-02-06 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-17 2024-01-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-17 2024-01-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-19 2024-01-26 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-12-19 2024-01-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-12-19 2024-01-26 N
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 2023-12-19 2024-01-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-12-19 2024-01-26 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 2023-12-19 2024-01-26 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-19 2024-01-26 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-12-19 2024-01-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-19 2024-01-26 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-12-19 2024-01-26 N
Provide activities to meet all resident's needs. Health 2023-12-19 2024-01-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-19 2024-01-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-19 2024-01-26 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 2023-12-19 2024-01-26 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-12-19 2024-01-26 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 2023-12-19 2024-01-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-12-19 2024-01-26 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 2023-12-19 2024-01-26 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 2023-12-19 2024-01-26 N
Keep complete, dated laboratory records in the resident's record. Health 2023-12-19 2024-01-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-19 2024-01-26 N
Provide and implement an infection prevention and control program. Health 2023-12-19 2024-01-26 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-19 2024-01-26 N
Use approved construction type or materials. Fire Safety 2022-03-03 2022-03-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-03 2022-03-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-03 2022-03-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-03 2022-03-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-03 2022-03-24 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-03-03 2022-03-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-03-03 2022-03-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-17 2022-03-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-17 2022-03-17 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2022-02-17 2022-03-17 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-17 2022-03-17 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-02-17 2022-03-17 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-17 2022-03-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-08-06 2020-09-16 N
Provide enough food/fluids to maintain a resident's health. Health 2020-08-06 2020-09-16 N
Ensure that residents are free from significant medication errors. Health 2020-08-06 2020-09-16 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 2020-08-06 2020-09-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2020-02-13 2020-03-13 N
Install an approved automatic sprinkler system. Fire Safety 2020-02-13 2020-03-13 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2020-02-13 2020-03-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-13 2020-03-13 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2020-02-13 2020-03-13 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-02-13 2020-03-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-13 2020-03-13 N
Have proper medical gas storage and administration areas. Fire Safety 2020-02-13 2020-03-13 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2020-02-13 2020-03-13 N

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