A list of the most recent deficiencies for Rose Haven 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? |
|---|---|---|---|---|
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-10-17 | 2023-12-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-17 | 2023-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-17 | 2023-12-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-20 | 2023-12-05 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-10-20 | 2023-12-05 | 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 | 2023-10-20 | 2023-12-05 | 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 | 2023-10-20 | 2023-12-05 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-20 | 2023-12-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-20 | 2023-12-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-20 | 2023-12-05 | 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 | 2023-10-20 | 2023-12-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-20 | 2023-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-20 | 2023-12-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-12-05 | Y |
| 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 | 2023-10-20 | 2023-12-05 | Y |
| 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 | 2023-10-20 | 2023-12-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-20 | 2023-12-05 | 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 | 2023-10-20 | 2023-12-05 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-17 | 2023-12-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-17 | 2023-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2023-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-17 | 2023-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-17 | 2023-12-05 | 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 | 2022-09-23 | 2022-11-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-23 | 2022-11-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-11-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-23 | 2022-11-02 | Y |
| Post nurse staffing information every day. | Health | 2022-09-23 | 2022-11-02 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-23 | 2022-11-02 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-09-23 | 2022-11-02 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-23 | 2022-11-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-11-02 | Y |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-09-29 | 2022-11-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-29 | 2022-11-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-28 | 2022-05-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-28 | 2022-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-28 | 2022-05-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-28 | 2022-05-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-28 | 2022-05-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-28 | 2022-05-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-28 | 2022-05-10 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-03-28 | 2022-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-28 | 2022-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-28 | 2022-05-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-28 | 2022-05-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-31 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2020-01-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-05 | 2020-01-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-05 | 2020-01-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-05 | 2019-12-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-05 | 2019-12-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-11-05 | 2019-12-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-05 | 2019-12-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-05 | 2019-12-23 | 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 | 2019-11-05 | 2019-12-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-05 | 2019-12-23 | N |
| Post nurse staffing information every day. | Health | 2019-11-05 | 2019-12-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-05 | 2019-12-23 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-05 | 2019-12-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-05 | 2019-12-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-05 | 2019-12-23 | N |
