Deficiency Records for Ayden Healthcare of Rosemount Pavilion
Updated as of April 01, 2024
A list of the most recent deficiencies for Ayden Healthcare of Rosemount Pavilion. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-10 | 2023-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-10 | 2023-09-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-09-22 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-10 | 2023-09-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-10 | 2023-09-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-10 | 2023-09-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-10 | 2023-09-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-10 | 2023-09-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-10 | 2023-09-22 | 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 | 2023-08-10 | 2023-09-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-08 | 2023-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-08 | 2023-09-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-08 | 2023-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-09-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-08 | 2023-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-09-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-08 | 2023-09-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-10 | 2023-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-15 | 2022-08-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-15 | 2022-08-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-15 | 2022-08-31 | Y |
| 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 | 2021-08-18 | 2021-09-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-18 | 2021-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-18 | 2021-09-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-18 | 2021-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-18 | 2021-09-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-18 | 2021-09-15 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-18 | 2021-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-09-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-18 | 2021-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-18 | 2021-09-15 | 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 | 2021-08-18 | 2021-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-18 | 2021-09-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-18 | 2021-09-15 | 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 | 2021-08-18 | 2021-09-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-18 | 2021-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-12 | 2021-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-12 | 2021-09-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-12 | 2021-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-12 | 2021-09-15 | 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 | 2019-04-05 | 2019-06-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-05 | 2019-06-20 | 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 | 2019-04-05 | 2019-06-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-05 | 2019-06-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-05 | 2019-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-06-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-05 | 2019-06-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-05 | 2019-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-05 | 2019-06-19 | 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 | 2019-04-05 | 2019-06-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-05 | 2019-06-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-06-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-04-05 | 2019-06-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-05 | 2019-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-06-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-05 | 2019-06-19 | N |
| Develop a communication plan. | Fire Safety | 2019-04-02 | 2019-06-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-02 | 2019-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-02 | 2019-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-02 | 2019-06-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-02 | 2019-06-19 | N |
