Deficiency Records for Roselawn Gardens Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Roselawn Gardens Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-02 | 2022-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-02 | 2022-06-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-06-02 | 2022-06-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-02 | 2022-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-02 | 2022-06-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-02 | 2022-06-23 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-02 | 2022-06-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-02 | 2022-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-02 | 2022-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-02 | 2022-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-10-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-26 | 2019-08-05 | 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 | 2019-06-26 | 2019-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-26 | 2019-08-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-26 | 2019-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-26 | 2019-08-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-06-26 | 2019-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-08-05 | N |
| Develop a communication plan. | Fire Safety | 2019-06-26 | 2019-08-05 | 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 | 2019-06-26 | 2019-08-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-26 | 2019-08-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-06-27 | 2018-09-07 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-27 | 2018-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-27 | 2018-08-28 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-06-27 | 2018-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-27 | 2018-08-28 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-06-28 | 2018-08-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-28 | 2018-08-27 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-28 | 2018-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-28 | 2018-08-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-28 | 2018-08-27 | N |
| 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 | 2018-06-28 | 2018-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-28 | 2018-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-28 | 2018-08-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-06-28 | 2018-08-27 | N |
