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Deficiency Records for Rose Lane Nursing and Rehabilitation
A list of the most recent deficiencies for Rose Lane Nursing and Rehabilitation. 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 Rose Lane Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-20 | 2024-01-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-19 | 2024-01-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-11-19 | 2024-01-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-19 | 2024-01-08 | 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 | 2023-11-19 | 2024-01-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-19 | 2024-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-19 | 2024-01-08 | 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 | 2023-11-19 | 2024-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-19 | 2024-01-08 | 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 | 2023-11-19 | 2024-01-08 | 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 | 2023-11-19 | 2024-01-08 | 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 | 2023-11-19 | 2024-01-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-19 | 2024-01-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-19 | 2024-01-08 | 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 | 2023-11-14 | 2024-01-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-14 | 2024-01-08 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-15 | 2023-09-05 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-15 | 2023-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-12 | 2023-06-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-13 | 2021-10-21 | 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 | 2021-08-30 | 2021-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-30 | 2021-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-30 | 2021-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-30 | 2021-10-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-30 | 2021-10-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-30 | 2021-10-18 | 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 | 2021-09-13 | 2021-10-14 | 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 | 2021-09-13 | 2021-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-13 | 2021-10-14 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-09-13 | 2021-10-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-09-13 | 2021-10-14 | 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 | 2019-11-07 | 2019-12-23 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-11-07 | 2019-12-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2019-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-07 | 2019-12-23 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-11-07 | 2019-12-23 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-11-07 | 2019-12-23 | 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 | 2019-11-07 | 2019-12-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-07 | 2019-12-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-07 | 2019-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-05 | 2019-12-23 | 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 | 2019-11-05 | 2019-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
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