A list of the most recent deficiencies for The Rosewood Retirement Community. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-02 | 2023-10-30 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-03-22 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-05-05 | 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 | 2023-03-22 | 2023-03-30 | 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 | 2022-03-30 | 2022-05-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-30 | 2022-05-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-30 | 2022-05-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-30 | 2022-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-30 | 2022-05-03 | Y |
| 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 | 2022-03-30 | 2022-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-10 | 2021-09-03 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-05 | 2020-03-05 | 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 | 2020-02-05 | 2020-03-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-05 | 2020-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-05 | 2020-03-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-05 | 2020-03-05 | 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 | 2020-02-05 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-03-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-02-06 | 2020-03-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-06 | 2020-03-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-06 | 2020-03-05 | 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 | 2020-02-06 | 2020-03-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-02-06 | 2020-03-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-06 | 2020-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-06 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-13 | 2019-03-29 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-06-10 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-10 | Not Fixed | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | Not Fixed | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-06-10 | Not Fixed | Y |
