Deficiency Records for Rosewood Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Rosewood Rehabilitation and Nursing 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-30 | 2023-09-11 | 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 | 2023-06-30 | 2023-09-11 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-06-30 | 2023-09-08 | 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 | 2023-06-30 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-30 | 2023-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-09-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-30 | 2023-09-08 | 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 | 2023-06-30 | 2023-09-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-30 | 2023-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-30 | 2023-08-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-30 | 2023-08-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-06-30 | 2023-08-14 | 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 | 2021-12-03 | 2022-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-03 | 2022-01-31 | 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 | 2021-12-03 | 2022-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-03 | 2022-01-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-03 | 2022-01-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-03 | 2022-01-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-03 | 2022-01-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-03 | 2022-01-31 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-12-03 | 2022-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-01-21 | 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 | 2021-12-09 | 2022-01-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-24 | 2022-01-18 | 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 | 2021-11-24 | 2022-01-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-24 | 2022-01-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-24 | 2022-01-18 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-19 | 2021-10-21 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-12 | 2020-04-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-12 | 2020-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-12 | 2020-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-12 | 2020-04-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-12 | 2020-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-12 | 2020-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-12 | 2020-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-12 | 2020-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-12 | 2020-04-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-12 | 2020-04-12 | 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 | 2020-02-12 | 2020-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-12 | 2020-04-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-02-12 | 2020-04-12 | 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 | 2020-02-12 | 2020-04-12 | N |
