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Deficiency Records for Rose Trail Nursing and Rehabilitation Center
A list of the most recent deficiencies for Rose Trail Nursing and Rehabilitation 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 Rose Trail Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-09-25 | 2024-09-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-25 | 2024-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-25 | 2024-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-25 | 2024-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-09-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-24 | 2024-09-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-24 | 2024-09-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-08-25 | 2024-08-25 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-07-10 | 2024-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-17 | 2024-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-17 | 2024-05-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-03 | 2024-04-22 | Y |
| 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 | 2024-04-03 | 2024-04-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-18 | 2024-04-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-18 | 2024-04-02 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-03-18 | 2024-04-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-09 | 2024-01-10 | Y |
| 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 | 2023-12-18 | 2023-12-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-18 | 2023-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2023-12-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-02 | 2023-11-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-02 | 2023-11-07 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-11-02 | 2023-11-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-09-23 | Y |
| 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 | 2023-09-22 | 2023-09-23 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-22 | 2023-09-23 | Y |
| 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 | 2023-08-18 | 2023-08-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-18 | 2023-08-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-18 | 2023-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-18 | 2023-08-21 | N |
| Post nurse staffing information every day. | Health | 2023-08-18 | 2023-08-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-18 | 2023-08-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-18 | 2023-08-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-18 | 2023-08-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-18 | 2023-08-21 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-08-04 | 2023-08-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-04 | 2023-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-06-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-03 | 2023-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-03 | 2023-04-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-03 | 2023-04-05 | Y |
| Have policies on smoking. | Health | 2023-04-03 | 2023-04-05 | Y |
| 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 | 2022-12-05 | 2022-12-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-05 | 2022-12-30 | Y |
| 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 | 2022-12-05 | 2022-12-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-05 | 2022-12-30 | Y |
| Keep all essential equipment working safely. | Health | 2022-12-05 | 2022-12-30 | Y |
| 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 | 2022-06-29 | 2022-07-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-29 | 2022-07-22 | N |
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