A list of the most recent deficiencies for Rose Haven Retreat. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-17 | 2023-12-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-31 | 2023-09-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-18 | 2023-07-28 | Y |
| 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 | 2023-05-09 | 2023-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-17 | 2023-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-17 | 2023-04-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-15 | 2023-04-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-15 | 2023-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-15 | 2023-04-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-15 | 2023-04-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-15 | 2023-04-07 | N |
| Keep all essential equipment working safely. | Health | 2023-03-15 | 2023-04-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-15 | 2023-04-07 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-15 | 2023-04-07 | Y |
| 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 | 2022-02-02 | 2022-02-24 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-02 | 2022-02-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-11-05 | 2020-11-06 | 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 | 2020-11-05 | 2020-11-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-11-05 | 2020-11-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-11-05 | 2020-11-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-05 | 2020-11-06 | N |
| Respond appropriately to all alleged violations. | Health | 2020-11-05 | 2020-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-05 | 2020-11-06 | N |
| Provide activities to meet all resident's needs. | Health | 2020-11-05 | 2020-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-05 | 2020-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-11-05 | 2020-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-05 | 2020-11-06 | 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 | 2020-11-05 | 2020-11-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-11-05 | 2020-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-05 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-05 | 2020-11-06 | 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 | 2020-11-04 | 2020-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-11-04 | 2020-11-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-11-04 | 2020-11-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-11-04 | 2020-11-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-09 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-02 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-11-04 | Not Fixed | N |
