Rose Mountain Care Center

In the surveyor’s words

From the most serious findings on record at Rose Mountain Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF679Dec 12, 2024

  Based on observation, interview, record review, and review of pertinent documentation, it was determined that the facility failed to a.) carry out activities per a resident's care plan for 1 of 5 residents reviewed (Resident #25), and b.) conduct on-going activity assessments to determine resident's interests, hobbies, and cultural preferences to acquire a meaningful life for 5 of 5 residents (Resident #3, #21, #25, #83, #84) reviewed for activities. This deficient practice was evidenced by the following: 1. On 12/3/2024 at 9:58 AM, the surveyor observed Resident #25 lying in bed. Resident #25's family member was present and stated that the resident was supposed to be getting a daily newspaper in their preferred language. […]

• No harm, potential for more than minimal, widespreadF680Dec 12, 2024

  38079 Based on observation, interview and review of pertinent facility documents, it was determined that the facility failed to ensure that the facility activities program was directed by a qualified therapeutic recreation specialist or activity professional. The deficient practice had the potential to affect all residents who resided in the facility and was evidenced by the following: On 12/03/2024 at 9:58 AM, Surveyor #1 observed a family member in resident #25's room. The family member stated they were upset because Resident #25 was supposed to be getting a daily newspaper in their language, but no newspapers were being delivered. On 12/04/24 at 9:19 AM, Surveyor #2 observed a staff assisting residents at mealtime in the main dining room. […]

• No harm, potential for more than minimal, widespreadF712Dec 12, 2024

  Based on observations, interviews, and record review, it was determined that the facility failed to ensure that the physician responsible for supervising the care of residents a.) conducted face-to-face visits and wrote progress notes at least every thirty days for the first ninety days of admission, b.) were seen by the physician or nurse practitioner every thirty days with a physician visit at least every sixty days, and c.) documented an admission History and Physical (H&P) within 72 hours of a resident's admission to the facility. This deficient practice was observed for 4 of 18 residents and 1 closed record (Resident #13, #33, #81, #83 and #85) reviewed for physician visits. This deficient practice was evidenced by the following: 1. […]

• No harm, potential for more than minimal, widespreadF847Dec 12, 2024

  Based on interview and document review it was determined that the facility failed to ensure that residents were explicitly informed of and understanding was assessed prior to having the residents enter into a arbitration agreement which was identified as a mandatory part of the Admission Agreement for 9 of 9 Residents who attended a resident council meeting (Resident #6, #11, #20, #21, #24, #27, #40, #71, #78) and was evidenced by the following: On 12/03/24 at 10:07 AM, during the facility entrance conference held with the Liscensed Nursing Home Administrator (LNHA) and the [NAME] President of Clinical Services Registered Nurse (VPRN). The surveyor asked if the facility utilized arbitration agreements. The LNHA stated absolutely, we offer arbitration and it is in their admission agreement. […]

• No harm, potential for more than minimal, widespreadF880Dec 12, 2024

  Based on observation, interview, and review of pertinent documentation, it was determined that the facility failed to a.) ensure a process was in place to identify residents who were on Enhanced Barrier Precautions (EBP) (an infection control intervention used to reduce the transmission of resistant organisms in accordance with the Centers for Disease Control and Prevention), by posting clear signage outside of resident rooms indicating the type of Protective Personal Equipment (PPE) to be worn and defining the high risk resident care activities associated with EBP for 8 of 8 EBP rooms, b.) provide residents with hand hygiene (hh) and ensure staff performed hh in between serving and setting up residents with meals, c.) remove contaminated gloves prior to walking around in a non-clinical… […]