Brookdale Rosehill

In the surveyor’s words

From the most serious findings on record at Brookdale Rosehill, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Dec 10, 2025

  The facility identified a census of 75 residents. The facility identified nine residents on Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to ensure linens were stored in a sanitary manner, the facility further failed to ensure Bilevel Positive Airway Pressure (BIPAP- a device that helps with breathing), nebulizer (a device that changes liquid medication into a mist easily inhaled into the lungs), and an oxygen cannula were stored in a sanitary container when not in use. […]

• No harm, potential for more than minimal, widespreadF725Dec 19, 2023

  The facility identified a census of 78 residents. The sample included 18 residents. Based on record review, interviews, and observations, the facility failed to ensure sufficient staffing was provided to maintain the residents' physical and psychosocial wellbeing. This placed the residents at risk for impaired quality of life. Findings Included: - The Payroll Based Journaling (PBJ) report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (YR) 2023 Quarter 1 and 3 indicated the facility had excessively low weekend staffing. Review of the facility's Resident Council Minutes from 12/2022 through 11/2023 indicated the council had recurring concerns with call light response times. […]

• No harm, potential for more than minimal, widespreadF812Dec 19, 2023

  The facility identified a census of 76 residents. The facility identified one main kitchen and five satellite kitchenette areas. Based on observation, record review and interview, the facility failed to ensure kitchen staff appropriately sanitized a probe-type thermometer used to check food temperatures prior to meal service. The facility failed to ensure staff cleaned and maintained a satellite kitchen ice machine. This deficient practice left residents at risk for food borne illnesses and cross-contamination. Findings included: - During the initial tour of the facility on 12/14/23 shortly after 07:00 AM, the ice machine on the 400 hall had a brown gooey substance on the inside drain. […]

• No harm, potential for more than minimal, widespreadF880Dec 19, 2023

  The facility identified a census of 76 residents. The sample included 18 residents. The facility identified two COVID-19 (highly contagious, potentially life-threatening respiratory virus) positive residents. Based on record review, observations, and interviews, the facility failed to ensure infection control standards were followed related to COVID-19 isolation precautions, clean supply/equipment storage, and hand hygiene during cares. This deficient practice placed the residents at risk for infectious diseases. Findings included: - On 12/14/23 at 07:05AM an unidentified staff member at the front desk wore her face mask around her chin while seated at the desk. The facility identified Residents (R)52 and R116 as positive for Covid-19. […]

• No harm, potential for more than minimal, patternF565Dec 19, 2023

  The facility reported a census of 76. Based on observations, record review, and interviews, the facility failed to adequately address and resolve recurring issues reported by the Resident Council. This deficient practice placed the residents at risk for decreased psychosocial wellbeing and impaired quality of life. Findings included: - A review of the facility's Resident Council Minutes from 12/2022 through 11/2023 indicated the council had recurring concerns with call light response times. The Resident Council Minutes for 01/2023 noted under new business concerns over call light response time. The form did not list actions taken or resolutions provided. […]