Ayden Healthcare of Rosemount Pavilion

In the surveyor’s words

From the most serious findings on record at Ayden Healthcare of Rosemount Pavilion, in the surveyor’s own words.

• Actual harm, isolatedF760Aug 18, 2021

  Based on medical record review, staff interview, and review of facility policy for administering medication, the facility failed to ensure residents were free from significant medication errors when physician orders for a blood pressure medication were not followed and the medication was not administered to a resident. This affected one (Resident #281) of three residents reviewed for hospitalization . The facility census was 84. Actual harm occurred when Resident #281 was admitted to the facility from the hospital on 07/30/21 with orders for a blood pressure medication that was not administered resulting in elevated blood pressure and requiring the resident's treatment at the hospital. […]

• No harm, potential for more than minimal, widespreadF921May 10, 2023

  Based on observation, staff interview, and review of the Residents Rights, the facility failed to maintain a clean living environment for the residents. This had the potential to affect all 74 residents in the facility. The facility census was 74. Findings include: Observations on 05/09/23 from 9:15 A.M. through 10:00 A.M. of the 300 hall revealed rooms 313, 314, 316 to have black grime on the floors, chipped paint on the door frames and the bathrooms with strong urine odors. The shower room on 300 hall had black substance in the corners and along the wall of the residents shower stall. Observations on the 400 hall revealed rooms 409, 411 and 413 had black grime on the floor and along the base board of the room, and the walls were dirty. […]

• No harm, potential for more than minimal, patternF656May 16, 2025

  Based on observations, interviews, and record reviews, the facility failed to ensure comprehensive, resident centered care plans were developed and implemented. This affected seven residents (#39, #48, #69, #74, #76, #78, and #233) out of the 20 residents whose comprehensive care plans were reviewed during the annual survey. The facility census was 78. Findings include: 1. Record review for Resident #39 revealed the resident was admitted to the facility on [DATE] and had diagnoses include pressure ulcer of the right heel, morbid obesity, and diabetes mellitus. Review of the quarterly Minimum Data Set (MDS) assessment, dated 04/20/25, revealed the resident was assessed to have intact cognition. […]

• No harm, potential for more than minimal, patternF699May 16, 2025

  Based on record reviews and interviews, the facility failed to ensure a resident with Post Traumatic Stress Disorder (PTSD) was appropriately assessed to identify the cause of the residents PTSD and minimize triggers and/or re-traumatization. This affected five residents (#36, #48, #69, #74, and #78) out of five residents identified by the facility as having PTSD/trauma. The facility census was 78. Findings include: 1. Record review for Resident #36 revealed the resident was admitted to the facility on [DATE] and had diagnoses including diabetes mellitis type II, cataracts, benign neoplasm of the chorioid, hypertensive retinopathy, dementia, chronic obstructive pulmonary disease, hypertension, neuropathy, contractures, hemiplegia and hemiparesis, congestive heart failure, cerebral… […]

• No harm, potential for more than minimal, patternF684Aug 18, 2021

  Based on medical record review, staff interview, resident interview, and observation the facility failed to ensure residents received necessary care and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . This affected two of 22 sampled residents (Residents #56 and #66). Findings include: 1. Review of Resident #66's medical record revealed she was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident # 66's admission Minimum Data Set (MDS) dated [DATE] revealed the following. Resident #66's speech was clear, she makes herself understood, she understands others, her cognition was intact, and she had minimal depression. […]