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Deficiency Records for Roswell Nursing and Rehab Center
A list of the most recent deficiencies for Roswell Nursing and Rehab Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Roswell Nursing and Rehab Center. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-09 | 2023-04-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-04-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-04-20 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-09 | 2023-04-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-09 | 2023-04-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-04-20 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-09 | 2023-04-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-09 | 2023-04-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-07 | 2023-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-07 | 2023-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-07 | 2023-04-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-27 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-27 | 2020-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-04-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-27 | 2020-04-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-27 | 2020-04-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-27 | 2020-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-24 | 2020-04-10 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-09-28 | 2018-11-12 | 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 | 2018-09-28 | 2018-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-28 | 2018-11-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-28 | 2018-11-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-28 | 2018-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-28 | 2018-11-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-09-28 | 2018-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-28 | 2018-11-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-28 | 2018-11-12 | N |
| Post nurse staffing information every day. | Health | 2018-09-28 | 2018-11-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-28 | 2018-11-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-28 | 2018-11-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-09-28 | 2018-11-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-28 | 2018-11-12 | 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 | 2018-09-28 | 2018-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-28 | 2018-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-28 | 2018-11-12 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2018-09-28 | 2018-11-12 | N |
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