Rose Lane Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Sep 13, 2021

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated [DATE], review of Nursing Home Guidance from the Centers for Disease Control (CDC), review of the Centers for Medicare and Medicaid Services (CMS) Quality Safety and Oversight (QSO) Memo, review of the facility COVID-19 policy, observations and interviews, the facility failed to implement effective and recommended infection control practices to prevent the spread of COVID-19. […]

• Actual harm, isolatedF689Jan 20, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, observation, interview, and facility policy review, the facility failed to provide Resident #49 adequate assistance when transferring resulting in a fall with major injury. Actual harm occurred on 01/13/24 when Resident #49, who required assistance of two people for transfers, was transferred from the toilet to a shower chair by one person, resulting in a fall and non displaced fracture on left metacarpal and closed fracture of radius and ulna in left forearm, requiring orthopedic surgery. This affected one (Resident #49) of three residents reviewed for falls. […]

• No harm, potential for more than minimal, widespreadF812Jan 29, 2026

  Based on observation, interview, and policy review, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 160 residents who ate meals prepared by the facility's kitchen, as two residents (Resident #3 and #23) were ordered nothing by mouth and did not receive meals from the kitchen. The facility census was 162. Findings include:Observation of the kitchen on 01/28/26 from 2:18 P.M. to 3:16 P.M. revealed the following: at 2:32 P.M. […]

• No harm, potential for more than minimal, widespreadF835Sep 13, 2021

  Based on observation, interview, and record review, the facility failed to ensure the administration used its resources effectively and efficiently to ensure comprehensive and effective infection control policies and practices were developed and implemented to prevent the spread of COVID-19. This affected all 150 facility residents. Findings include: The facility failed to implement effective and recommended infection control practices and failed to use Personal Protective Equipment (PPE) appropriately to decrease the risk of the spread of Covid-19 within the facility. […]

• No harm, potential for more than minimal, widespreadF867Sep 13, 2021

  Based on observation, record review, and interview, the facility failed to ensure identified concerns were timely and appropriately addressed through the Quality Assurance and Performance Improvement committee. This had the potential to affect all 150 residents residing at the facility. Findings include: During the annual survey, concerns related to infection control practices were identified, specifically the facility failed to implement effective and recommended use of Personal Protective Equipment (disposable gowns, N95 respirator masks, and goggles/face shields) while caring for residents to decrease the risk of the spread of Covid-19 within the facility. […]