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Deficiency Records for Rosedale Health and Rehabilitation
A list of the most recent deficiencies for Rosedale Health 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 Rosedale Health 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-12-16 | 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 | 2023-09-21 | 2023-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-12-04 | 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 | 2023-09-21 | 2023-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-21 | 2023-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-21 | 2023-12-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-21 | 2023-12-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-21 | 2023-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-10 | 2023-11-03 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-21 | 2023-11-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-21 | 2023-11-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-21 | 2023-11-03 | 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 | 2023-09-21 | 2023-11-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-21 | 2023-11-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-21 | 2023-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-11-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-21 | 2023-11-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-21 | 2023-11-03 | N |
| Post nurse staffing information every day. | Health | 2023-09-21 | 2023-11-03 | 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 | 2023-09-21 | 2023-11-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-21 | 2023-11-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-21 | 2023-11-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-21 | 2023-11-03 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-09-21 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-11-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-21 | 2023-11-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-21 | 2023-11-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-09-21 | 2023-11-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-21 | 2023-11-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-09-21 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-08-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-22 | 2023-07-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-22 | 2023-07-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-22 | 2023-07-14 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-22 | 2023-07-14 | Y |
| Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | Health | 2023-06-22 | 2023-07-14 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-06-22 | 2023-07-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-22 | 2023-07-14 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-06-22 | 2023-07-14 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-03-30 | 2022-04-28 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-30 | 2022-04-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-30 | 2022-04-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-30 | 2022-04-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-30 | 2022-04-28 | 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 | 2022-03-30 | 2022-04-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-30 | 2022-04-28 | N |
| 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 | 2022-03-30 | 2022-04-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-30 | 2022-04-28 | 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 | 2022-03-30 | 2022-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-30 | 2022-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-04-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-30 | 2022-04-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-30 | 2022-04-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-03-30 | 2022-04-28 | N |
| Post nurse staffing information every day. | Health | 2022-03-30 | 2022-04-28 | 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 | 2022-03-30 | 2022-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-04-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-30 | 2022-04-28 | 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 | 2022-03-30 | 2022-04-28 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-30 | 2022-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-25 | 2022-04-04 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-25 | 2022-04-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-25 | 2022-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-25 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-04-04 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-02-25 | 2022-04-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-25 | 2022-04-04 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| 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 | 2021-04-23 | 2021-06-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-23 | 2021-06-02 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-23 | 2021-06-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide appropriate foot care. | Health | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | 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 | 2021-04-23 | 2021-06-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-23 | 2021-06-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-04-23 | 2021-06-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-23 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-23 | 2021-04-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-23 | 2021-04-23 | N |
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