Deficiency Records for Rose Haven Retreat
Updated as of March 01, 2021
This is not the most recent data for Rose Haven Retreat. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Provide and implement an infection prevention and control program. | Health | 2020-11-05 | 2020-11-06 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-19 | 2020-10-10 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-30 | 2020-10-01 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-30 | 2020-10-01 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-30 | 2020-10-01 | 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 | 2019-05-15 | 2019-05-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-05-15 | 2019-05-20 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-15 | 2019-05-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-15 | 2019-05-20 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-16 | 2019-05-20 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-16 | 2019-05-20 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-16 | 2019-05-20 | Y |
Respond appropriately to all alleged violations. | Health | 2019-05-16 | 2019-05-20 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-05-16 | 2019-05-20 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-05-20 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-16 | 2019-05-20 | Y |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-04-23 | 2019-05-15 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-19 | 2018-07-08 | 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 | 2018-06-19 | 2018-07-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-06-19 | 2018-07-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-19 | 2018-07-08 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-07-27 | 2017-08-02 | 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 | 2017-07-27 | 2017-08-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-27 | 2017-08-02 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-27 | 2017-08-02 | N |
Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-07-28 | 2017-08-02 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-28 | 2017-08-02 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-08-02 | N |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-07-28 | 2017-08-02 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-07-28 | 2017-08-02 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-28 | 2017-08-02 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-07-28 | 2017-08-02 | N |
Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-07-28 | 2017-08-02 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-15 | Not Fixed | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-06-19 | Not Fixed | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-27 | Not Fixed | N |
Provide and implement an infection prevention and control program. | Health | 2020-11-15 | Not Fixed | N |