Deficiency Records for Rosewood Rehab and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Rosewood Rehab and Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-08-23 | 2023-10-04 | 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 | 2023-08-23 | 2023-10-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-23 | 2023-10-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-23 | 2023-10-04 | 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 | 2023-08-23 | 2023-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-23 | 2023-10-04 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-23 | 2023-10-04 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-08-23 | 2023-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-23 | 2023-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-23 | 2023-10-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-23 | 2023-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-23 | 2023-10-04 | N |
| Provide or obtain dental services for each resident. | Health | 2023-08-23 | 2023-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-23 | 2023-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-23 | 2023-10-04 | 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 | 2023-08-23 | 2023-10-04 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-23 | 2023-10-04 | 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 | 2023-08-23 | 2023-10-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-01 | 2023-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-21 | 2023-03-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-18 | 2022-12-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-18 | 2022-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-26 | 2022-02-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-14 | 2022-01-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-14 | 2022-01-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-14 | 2022-01-28 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-14 | 2022-01-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-12-14 | 2022-01-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-14 | 2022-01-28 | 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 | 2021-12-14 | 2022-01-28 | 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 | 2021-12-14 | 2022-01-28 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-14 | 2022-01-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-14 | 2022-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-14 | 2022-01-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-14 | 2022-01-28 | N |
| Post nurse staffing information every day. | Health | 2021-12-14 | 2022-01-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-14 | 2022-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-14 | 2022-01-28 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-12-14 | 2022-01-28 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2021-12-14 | 2022-01-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-12-14 | 2022-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-14 | 2022-01-28 | N |
| Keep all essential equipment working safely. | Health | 2021-12-14 | 2022-01-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-14 | 2022-01-28 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-14 | 2022-01-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-23 | 2021-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-22 | 2019-09-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-07-22 | 2019-09-04 | 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 | 2019-07-22 | 2019-09-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-22 | 2019-09-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-22 | 2019-09-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-22 | 2019-09-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-22 | 2019-09-04 | 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 | 2019-07-22 | 2019-09-04 | 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 | 2019-07-22 | 2019-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-22 | 2019-09-04 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-07-22 | 2019-09-04 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-22 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-22 | 2019-09-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-22 | 2019-09-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-22 | 2019-09-04 | N |
