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Deficiency Records for Rosewood Health Facility
A list of the most recent deficiencies for Rosewood Health Facility. 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 Rosewood Health Facility. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-04 | 2024-01-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-30 | 2023-11-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-20 | 2023-10-05 | 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 | 2023-09-20 | 2023-10-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-18 | 2023-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-08-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-18 | 2023-08-31 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-18 | 2023-08-31 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-09 | 2023-03-09 | N |
| 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 | 2023-02-09 | 2023-03-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-09 | 2023-03-09 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2023-02-09 | 2023-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-03-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-09 | 2023-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-09 | 2023-03-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-03-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-09 | 2023-03-09 | 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 | 2023-02-09 | 2023-03-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-09 | 2023-03-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-02-09 | 2023-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-19 | 2023-03-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-14 | 2023-03-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-14 | 2023-03-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-14 | 2023-03-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-03 | 2023-02-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-27 | 2023-02-17 | Y |
| 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 | 2023-01-13 | 2023-01-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-01-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-07 | 2022-02-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-06 | 2022-01-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-06 | 2022-01-06 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| 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 | 2019-10-31 | 2019-12-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-31 | 2019-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-12-05 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-31 | 2019-12-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-31 | 2019-12-05 | 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 | 2019-10-31 | 2019-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-05 | N |
| Keep all essential equipment working safely. | Health | 2019-10-31 | 2019-12-05 | 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 | 2018-12-26 | 2019-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-26 | 2019-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-26 | 2019-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-26 | 2019-01-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-16 | 2018-12-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-16 | 2018-12-10 | 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 | 2018-11-16 | 2018-12-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-16 | 2018-12-10 | 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 | 2018-11-16 | 2018-12-10 | 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 | 2018-11-16 | 2018-12-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-11-16 | 2018-12-10 | N |
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