Cherokee Rose Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Cherokee Rose Nursing & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 30, 2022

  Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The Facility failed to ensure foods were sealed and/or labeled properly in dry food storage area, the kitchen refrigerators, and the freezers. These failures could place residents that eat out of the kitchen at risk for food borne illnesses. Findings included: During an observation on 08/28/2022 from 10:15AM to 10:40AM of the kitchen revealed: Dry Storage Area: 1. One large bag of elbow macaroni in bag not sealed and no date on bag. 2. Four jars of pickled Okra with no date 3. […]

• No harm, potential for more than minimal, patternF565Mar 26, 2026

  Based on observation, interviews and record review, the facility failed to provide a private meeting space to conduct group meetings without continued interruptions by facility staff for 13 of 48 confidential residents who were reviewed for resident council. The facility failed to provide a private area for confidential resident group meetings.This failure placed all residents who participated in a resident council of not having the right to voice their concerns without staff being present or overhearing their concerns. Findings included: During an observation and interview of a confidential group meeting on 03/25/2026 between 1:30 p.m. […]

• No harm, potential for more than minimal, patternF755Mar 26, 2026

  Based on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #13) of 12 residents reviewed for medications.The facility failed to hold Lisinopril (medication to lower blood pressure) per parameters stated in physicians' orders for a total of 6 doses in March 2026 for Resident #13.The facility failed to hold Diltiazem (medication to lower blood pressure) per parameters stated in physicians' orders for a total of 22 doses in March 2026 for Resident #13.The failures placed the residents at risk of harm or not receiving desired outcomes from medications not administered according to… […]

• No harm, potential for more than minimal, patternF812Mar 26, 2026

  Based on observations, interviews, and record reviews, the facility failed to properly prepare and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure foods were heated to a temperature of 165 degrees F after mechanically altering the pureed food and held at least 15 seconds when food temperature was below 140 degrees F during the lunch meal observed on 03/24/2026. The facility failed to ensure foods were heated to a temperature of 165 degrees F after mechanically altering the mechanical soft BBQ chicken during the lunch meal observed on 03/24/2026.These failures could place residents that eat out of the kitchen at risk for food borne illnesses.Findings included:During an observation on 03/24/2026 at 11:48… […]

• No harm, potential for more than minimal, patternF558Dec 13, 2024

  Based on observation, interview and record review, the facility failed to accommodate residents' needs and preferences for 3 of 19 (Resident #8, Resident # 21, and Resident #37) residents reviewed for accommodation of needs. The facility failed to ensure Resident #8, Resident #21, and Resident #37 call lights were within reach. This failure could place residents at risk of a diminished quality of life and lead to a loss of self-esteem and isolation. Findings included: Resident #8 Review of Resident #8's electronic face sheet dated 12/13/2024 revealed a [AGE] year-old female admitted on [DATE] and most recently admitted on [DATE] with following diagnosis: dementia, senile degeneration of brain (mental deterioration that is associated with old age), difficulty walking, unsteadiness on feet,… […]