Rosecrest Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Rosecrest Rehabilitation and Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 27, 2025

  Based on review of the facility policy, observations, and interview, the facility failed to ensure foods were properly labeled, stored, and discarded in 1 of 1 main kitchens. Findings include: Review of the undated facility policy titled Food Storage, documented, Policy: . Food will be stored at appropriate temperatures and by methods designed to prevent contamination or cross contamination. Procedure: 7. All stock must be rotated . Rotating stock is essential to assure the freshness and highest quality of all foods. B. Food should be dated as it is placed on the shelves . c. Date marking should be visible of all high risk food to indicate the date by which a ready-to-eat TCS food should be consumed, sold or discarded. d. […]

• No harm, potential for more than minimal, isolatedF761Feb 27, 2025

  Amended [DATE] Based on review of the facility policy, observations, and interviews, the facility failed to: 1. properly lock and secure two medication carts on the Overlook Point Unit for one of the two units. This failure created a situation where residents, staff, or visitors could have accessed medications without the nurse's awareness. 2. ensure the emergency kit contents were replaced, and medications were not expired in one of the two medication rooms and one of the three medication carts. Findings include: Review of the facility policy titled, Medication Labeling and Storage dated February 2023, states under the policy: Compartments, including but not limited to drawers, carts . […]

• No harm, potential for more than minimal, isolatedF689May 25, 2023

  Based on observation, record review, interviews, and facility policy review, the facility failed to provide adequate supervision and assistive devices to prevent accidents for 1 (Resident (R)25) of 2 residents reviewed for accidents. Specifically, R25 sustained a fall when two staff failed to utilize a mechanical lift to transfer the resident. Findings include: A review of the facility's policy/procedure titled, Lifting Machine, Using a Mechanical with a revision date of July 2021, revealed, The purpose of this procedure is to establish the general principles of safe lifting using a mechanical lifting device. The policy indicated, 1. Mechanical lifts may be used for tasks that require: b. Transferring a resident from bed to chair; c. Lateral transfers. The policy further revealed, 2. […]

• No harm, potential for more than minimal, isolatedF758May 25, 2023

  Based on record review, interviews, and facility policy review, the facility failed to ensure a psychotropic medication ordered to be administered pro re nata (PRN; as needed) had a stop date after fourteen days or physician justification for extension of the PRN order beyond fourteen days for 1 (Resident (R)20) of 5 residents reviewed for unnecessary medications. Findings included: Review of a facility policy titled, Medication Monitoring Medication Management dated 2007, specified, Additional specific guidelines are applied to Psychotropic drugs which are defined as any drug that affects brain activities associated with mental processes and behavior. This includes, but are not limited to Antipsychotics; Antidepressants; Anti-anxiety; and Hypnotics. […]