Rosemont Health & Rehab Center, LLC

In the surveyor’s words

From the most serious findings on record at Rosemont Health & Rehab Center, LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 8, 2023

  Based on family interviews, staff interviews and a clinical record review, the facility staff failed to provide the required supervision for 1 resident (Resident #1) which resulted in an unwitnessed fall that caused facial contusion and a closed displaced phalanx (fracture) of the left ring finger, which constituted harm at past non-compliance. The findings included: Resident #1 was originally admitted to the facility 5/22/2015 and was current resident in the facility. Resident #1's diagnoses included a stroke with left hemiparesis and dementia. The quarterly Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of 3/24/23 coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 2 out of a possible 15. […]

• Actual harm, isolatedF600Sep 22, 2022

  Based on closed record review, complaint investigation, and family and staff interviews, the facility staff failed to ensure one resident (Resident #297), in the survey sample of 46 residents, was free from sexual assault which resulted in harm. The findings included: Resident #297 was admitted to the facility on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . In the most recent Minimum Data Set (MDS) dated [DATE], it was coded that this resident had a BIMS score of 3 out of a possible score of 15 which indicated severe impairment in the cognitive skills necessary for daily decision-making. […]

• Actual harm, isolatedF610Sep 22, 2022

  Based on a closed record review, complaint investigation, family and staff interviews, the facility staff failed to preserve evidence following an incident of sexual abuse for one resident (Resident #297) in the survey sample of 46 residents. The findings included: Resident #297 was admitted to the facility on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . In the most recent Minimum Data Set (MDS) dated [DATE], it was noted this resident had a BIMS score of 3 which indicated the resident was severely impaired in the skills needed for daily decision-making. […]

• Actual harm, isolatedF689Aug 11, 2022

  Based on a clinical record review, resident interview, staff interviews, facility document review and during the course of a complaint investigation the facility failed to ensure 1 of 3 residents (Resident #1) in the survey sample was free from an avoidable fall from the bed during the provision of incontinent care that required an emergency room evaluation and hospital admission of a subsequent impacted left femur fracture, resulting in harm, Resident #1. The facility staff failed to ensure extensive two person staff assist was provided during incontinent care to Resident #1 on 12/16/21. As a result, Resident #1 fell out of the bed and onto the floor. The resident sustained an impacted left femur fracture requiring hospitalization . […]

• Actual harm, isolatedF697Apr 16, 2021

  Based on observation, resident interview, staff interview, clinical record review, and a review of facility documents, the facility's staff failed to provide effective pain management for one resident diagnosed with post surgical foot repair for one of eight residents (Resident #8), in a closed record survey sample. The findings included: Resident #8 was admitted to the facility on [DATE] and discharged on [DATE]. Diagnosis for Resident #8 included but not limited Post Traumatic Stress Disorder, Depression, Diabetes Mellitus and Other Orthopedic Conditions. […]