Deficiency Records for Rosemont Health and Rehab Center, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Rosemont Health and Rehab Center, LLC. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-06-07 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-09-22 | 2022-12-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-09-22 | 2022-12-08 | N |
| Provide or obtain dental services for each resident. | Health | 2022-09-22 | 2022-12-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-22 | 2022-12-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-26 | 2022-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-26 | 2022-10-25 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-26 | 2022-10-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-22 | 2022-10-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-09-22 | 2022-10-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-22 | 2022-10-20 | 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 | 2022-09-22 | 2022-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-22 | 2022-10-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-22 | 2022-10-20 | 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 | 2022-09-22 | 2022-10-20 | 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 | 2022-09-22 | 2022-10-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-22 | 2022-10-20 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-09-22 | 2022-10-20 | Y |
| 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 | 2022-09-22 | 2022-10-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-22 | 2022-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-22 | 2022-10-20 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-08-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-01 | 2021-07-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-16 | 2021-07-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-16 | 2021-07-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-16 | 2021-07-01 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-18 | 2019-11-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-18 | 2019-11-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-18 | 2019-11-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-18 | 2019-11-11 | 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 | 2019-10-18 | 2019-11-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-18 | 2019-11-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-18 | 2019-11-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-03-27 | 2019-05-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-27 | 2019-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-27 | 2019-05-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-25 | 2018-07-05 | 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 | 2018-05-25 | 2018-07-05 | 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 | 2018-05-25 | 2018-07-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-25 | 2018-07-05 | 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 | 2018-05-25 | 2018-07-05 | 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 | 2018-05-25 | 2018-07-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-05-25 | 2018-07-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-05-25 | 2018-07-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-25 | 2018-07-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-05-25 | 2018-07-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-25 | 2018-07-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-25 | 2018-07-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-25 | 2018-07-05 | N |
