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Deficiency Records for Brookdale Rosehill
A list of the most recent deficiencies for Brookdale Rosehill. 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 Brookdale Rosehill. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-01-17 | 2024-03-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-01-17 | 2024-03-12 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-17 | 2024-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-03-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-17 | 2024-03-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-17 | 2024-03-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-17 | 2024-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-30 | 2024-03-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-30 | 2024-03-08 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-17 | 2024-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-02-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-17 | 2024-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-17 | 2024-01-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-19 | 2024-01-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-19 | 2024-01-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-19 | 2024-01-26 | 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 | 2023-12-19 | 2024-01-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-19 | 2024-01-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-19 | 2024-01-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-19 | 2024-01-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-19 | 2024-01-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-12-19 | 2024-01-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-19 | 2024-01-26 | 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 | 2023-12-19 | 2024-01-26 | 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 | 2023-12-19 | 2024-01-26 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-12-19 | 2024-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-19 | 2024-01-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-19 | 2024-01-26 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-03 | 2022-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-03-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-03 | 2022-03-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-03 | 2022-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-03 | 2022-03-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-03 | 2022-03-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-03 | 2022-03-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-17 | 2022-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-03-17 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-02-17 | 2022-03-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-17 | 2022-03-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-17 | 2022-03-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-17 | 2022-03-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-08-06 | 2020-09-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-08-06 | 2020-09-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-08-06 | 2020-09-16 | 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 | 2020-08-06 | 2020-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
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