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Deficiency Records for Accordius Health at Rose Manor LLC
View the most recent health deficiencies and inspection results for Accordius Health at Rose Manor LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Accordius Health at Rose Manor LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-08 | 2025-07-11 | 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 | 2025-05-08 | 2025-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-08 | 2025-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-08 | 2025-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-08 | 2025-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-08 | 2025-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-08 | 2025-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-08 | 2025-07-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-08 | 2025-07-11 | N |
| Use approved construction type or materials. | Fire Safety | 2025-05-08 | 2025-07-11 | 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 | 2025-05-08 | 2025-05-30 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-08 | 2025-05-30 | 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 | 2025-05-08 | 2025-05-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-08 | 2025-05-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-08 | 2025-05-30 | 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 | 2025-05-08 | 2025-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-08 | 2025-05-30 | N |
| 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 | 2025-05-08 | 2025-05-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-08 | 2025-05-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-08 | 2025-05-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-08 | 2025-05-30 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-29 | 2024-03-21 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-01-29 | 2024-03-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-29 | 2024-03-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-29 | 2024-03-21 | 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 | 2024-01-29 | 2024-03-21 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-01-29 | 2024-02-22 | 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 | 2024-01-29 | 2024-02-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-29 | 2024-02-22 | 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 | 2024-01-29 | 2024-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-29 | 2024-02-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-29 | 2024-02-22 | 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 | 2024-01-29 | 2024-02-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-29 | 2024-02-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-29 | 2024-02-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-29 | 2024-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-29 | 2024-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-02-22 | 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 | 2024-01-29 | 2024-02-22 | 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 | 2024-01-29 | 2024-02-22 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-16 | 2023-01-20 | 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 | 2022-09-16 | 2023-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-16 | 2023-01-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-16 | 2023-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-16 | 2023-01-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-16 | 2022-10-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-16 | 2022-10-14 | N |
| Keep all essential equipment working safely. | Health | 2022-09-16 | 2022-10-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-16 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-16 | 2022-10-14 | 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 | 2022-09-16 | 2022-10-14 | 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 | 2022-09-16 | 2022-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-16 | 2022-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-10-14 | 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 | 2022-09-16 | 2022-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-16 | 2022-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-16 | 2022-10-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-16 | 2022-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-15 | Not Fixed | Y |