Deficiency Records for Rose Haven Retreat
Updated as of March 01, 2022
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 | Y |
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 |
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 |
Provide activities to meet all resident's needs. | 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 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 |
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 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-11-05 | 2020-11-06 | Y |
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 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-05 | 2020-11-06 | Y |
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 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-11-05 | 2020-11-06 | 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 | 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 |
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 |
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 |
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 |
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 |