Rose View Rehab and Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 10, 2023

  Based on observation and staff interview it was determined the facility failed to store food and maintain the equipment in a sanitary manner in the facility's main kitchen. Findings include: An observation of the facility's main kitchen on [DATE], at 8:30 AM, revealed the following: A metal sink located in the coffee station area was covered in brown stains. A garbage can located under the sink had dried brown spills covering the lid. The garbage cans have a foot pedal mechanism for opening that was non-functional. Two light green colored wash racks were observed sitting on a shelf below the coffee station. The racks contained debris, dried brown spills, and a buildup of a white flaky substance on several areas of the racks. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2022

  Based on observation and staff interview, it was determined that the facility failed to store and prepare food in safe and sanitary condition in the facility's main kitchen. Findings include: An observation of the facility's main kitchen on January 9, 2022, at 12:00 PM revealed the following: A bulk box of thickened water on a shelf of the beverage dispensing station was soiled with brown and black stains on the exterior of the box. The connector attached to the box and dispenser tubing was covered in dust/debris and was sticky. A garbage can located by the beverage dispenser had visible dried soilage on the exterior of the receptacle, the flip style lid had a metal bracket, which extended across the lid to allow it to flip open in half. […]

• No harm, potential for more than minimal, patternF758Dec 1, 2023

  Based on clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to ensure a resident's medication regime was free from potentially unnecessary medications for two of six residents reviewed (Residents 3 and 102). Findings include: The policy entitled Psychotropic Medication Use, last reviewed January 18, 2023, indicates that residents will not receive medications that are not clinically indicated to treat a specific condition. Non-pharmacological approaches are used to minimize the need for medications, permit the lowest possible dose, and allow for discontinuation of medications when possible. […]

• No harm, potential for more than minimal, patternF812Dec 1, 2023

  Based on observation and staff interview, it was determined that the facility failed to store and prepare food in a safe and sanitary manner to prevent the potential for food borne illness in the main kitchen. Findings include: A tour of the facility's main kitchen on November 28, 2023, at 8:25 AM revealed the following: Two three-tiered red plastic carts in the dish room had a build-up of a black removable substance on the storage surface. The attached trash receptacles had a build-up of splatter on the inside and outside surfaces. […]

• No harm, potential for more than minimal, patternF842Dec 1, 2023

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure accurate clinical documentation for three of 25 residents reviewed (Residents 6, 40, and 83). Findings include: Clinical documentation review for Resident 40 revealed a Fall Risk Evaluation dated November 27, 2023, at 2:52 AM that indicated the resident was documented as having one to two falls in the past three months under the history of falls section. A review of clinical documentation for Resident 40 revealed no evidence of any falls within the past three months as the above Fall Risk Evaluation noted. […]