Deficiency Records for Rose Haven Retreat
Updated as of April 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-11-15 | 2020-11-16 | 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 |
| 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 |
| 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 |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-11-04 | Not Fixed | 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 |
