Deficiency Records for Rosedale Health and Rehabilitation
Updated as of May 01, 2022
This is not the most recent data for Rosedale Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Rosedale Health 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-25 | 2022-04-04 | 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 | 2022-02-25 | 2022-04-04 | Y |
| 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 | 2022-02-25 | 2022-04-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-25 | 2022-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-04-04 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-02-25 | 2022-04-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-25 | 2022-04-04 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-23 | 2021-06-02 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-23 | 2021-06-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide appropriate foot care. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-23 | 2021-06-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-04-23 | 2021-06-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-23 | 2021-04-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-23 | 2021-04-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-18 | 2021-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-12 | 2020-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-05 | 2020-07-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-05 | 2020-07-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-05 | 2020-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2020-07-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-05 | 2020-07-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-05 | 2020-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-07-23 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-12-05 | 2020-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2020-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-05 | 2020-01-15 | Y |
| 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 | 2019-12-05 | 2020-01-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-11 | 2019-10-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-09-11 | 2019-10-10 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-11 | 2019-10-10 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-18 | 2019-08-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-18 | 2019-08-29 | N |
| 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 | 2019-07-18 | 2019-08-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-18 | 2019-08-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-18 | 2019-08-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-18 | 2019-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-18 | 2019-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-08-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-18 | 2019-08-29 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-18 | 2019-08-29 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-23 | 2019-08-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-23 | 2019-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-23 | 2019-08-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-23 | 2019-08-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-22 | 2018-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-22 | 2018-07-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-22 | 2018-07-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-22 | 2018-07-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-05 | 2018-07-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-05 | 2018-07-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-05 | 2018-07-10 | 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 | 2018-06-05 | 2018-07-10 | 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 | 2018-06-05 | 2018-07-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-05 | 2018-07-10 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-06-05 | 2018-07-10 | 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 | 2018-06-05 | 2018-07-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-05 | 2018-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-05 | 2018-07-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-05 | 2018-07-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-06-05 | 2018-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-05 | 2018-07-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-05 | 2018-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-05 | 2018-07-10 | 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 | 2018-06-05 | 2018-07-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-06-05 | 2018-07-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-05 | 2018-07-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-05 | 2018-07-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-05 | 2018-07-10 | 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 | 2018-06-05 | 2018-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-05 | 2018-07-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-05 | 2018-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-05 | 2018-07-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-05 | 2018-07-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-05 | 2018-07-10 | N |
