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 |