ROSEWOOD HEALTH FACILITY CA DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
01/11/2011	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
01/11/2011	record of quarterly fire drills for each shift under varying conditions.	Widespread	Potential for minimal harm
01/11/2011	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
01/11/2011	weekly inspections and monthly testing of generators.	Pattern	Minimal harm or potential for actual harm
01/06/2011	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
01/06/2011	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
01/06/2011	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
01/06/2011	Develop/implement required procedures for the administration of immunizations.	Isolated	Minimal harm or potential for actual harm
01/06/2011	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Pattern	Minimal harm or potential for actual harm
01/14/2010	approved construction type or materials.	Pattern	Potential for minimal harm
01/14/2010	properly maintained smoke detectors.	Isolated	Minimal harm or potential for actual harm
01/14/2010	exits that are free from obstructions and can be used at all times.	Isolated	Minimal harm or potential for actual harm
01/14/2010	back-up procedures in place for a faulty automatic sprinkler system.	Widespread	Potential for minimal harm
01/14/2010	an approved back-up procedure for a faulty fire alarm system.	Widespread	Potential for minimal harm
01/08/2010	Tell the resident completely about his or her health status.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Try to resolve each resident's complaints quickly.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Pattern	Minimal harm or potential for actual harm
01/08/2010	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
01/08/2010	Properly mark drugs and other similar products.	Widespread	Minimal harm or potential for actual harm
01/08/2010	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
12/30/2008	automatic sprinkler systems that have been maintained in working order.	Widespread	Potential for minimal harm
12/30/2008	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
12/30/2008	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Isolated	Minimal harm or potential for actual harm
12/30/2008	smoke barrier doors that can resist smoke for at least 20 minutes.	Isolated	Minimal harm or potential for actual harm
12/30/2008	record of quarterly fire drills for each shift under varying conditions.	Widespread	Potential for minimal harm
12/30/2008	properly maintained smoke detectors.	Pattern	Potential for minimal harm
12/30/2008	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
12/30/2008	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
12/04/2008	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
12/04/2008	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Isolated	Minimal harm or potential for actual harm
12/04/2008	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
12/04/2008	Have a detailed, written plan for disasters and emergencies.	Pattern	Minimal harm or potential for actual harm

Have you or someone you know become a victim of nursing home abuse or neglect? If so, contact one of our experienced nursing home lawyers today. Help End Nursing Home Abuse

Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death