Roseville Point Health & Wellness Center

In the surveyor’s words

From the most serious findings on record at Roseville Point Health & Wellness Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF695Sep 16, 2021

  An Immediate Jeopardy (IJ) situation was declared at 3:15 p.m. on 9/17/2021 regarding quality of care of residents requiring mechanical ventilation [a machine that breathes for a patient that cannot breathe on their own] which could potentially cause harm up to and including death to any or all current residents receiving the service or future residents admitted to the facility for that service. Facility leadership representatives including the Administrator (ADMIN), and Director of Nursing (DON), Vice President Operations & Business Development, Respiratory Therapy Consultant, Director of Staff Development (DSD), Regional Quality Assurance Executive, were notified of the IJ situation at 3:30 p.m. on 9/17/2021. […]

• Actual harm, isolatedF602Sep 12, 2025

  Based on observation, interview, and record review, the facility failed to protect one of five sampled residents (Resident 1) from misappropriation of property and exploitation by a staff member that took money from Resident 1's personal bank accounts without consent. This failure resulted in financial loss totaling to $12,773 and emotional distress to Resident 1.Findings:During a review of Resident 1's admission records, the records indicated Resident 1 was admitted to the facility in February 2024 with diagnoses that included major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), adult failure to thrive (a decline caused by chronic diseases and functional impairments which can cause weight loss, decreased appetite, poor nutrition,… […]

• Actual harm, isolatedF610Jun 3, 2024

  Based on interview and record review the facility failed to ensure the safety for two residents (Resident 1 and Resident 2) after Licensed Nurse 1 witnessed Resident 1 slap Resident 2 on the face and did not separate Resident 1 and Resident 2 into different rooms. This failure resulted in Resident 1 obtaining a 4.5 centimeter (cm, a unit of measure) by 3.5 cm bruise along the right cheek and jaw due to continued exposure to the perpetrator. Findings: A review of Resident 1's admission record indicated admission to the facility on [DATE], with diagnoses which included neurocognitive disorder with Lewy Bodies (a type of progressive dementia that leads to a decline in thinking, reasoning, and independent function) and dementia with psychotic disturbance (the mental state where someone is not… […]

• Actual harm, isolatedF600Feb 23, 2023

  Based on interview and record review, the facility failed to ensure necessary services were provided to avoid physical harm for one resident (Resident 1), for a census of 84, when: 1. Resident 1 had no care plan and monitoring for an identified behavior of biting his fingers and treatments for the bite wounds were not consistently provided as ordered by the physician; 2. Resident 1 did not receive treatments or interventions to prevent skin breakdown and to decrease the likelihood of developing pressure wounds (damage to the skin and underlying tissue caused by reduced blood flow to the area due to constant pressure on the area; also known as pressure ulcers); and 3. […]

• Actual harm, isolatedF726Dec 8, 2022

  Based on interview and record review, the facility failed to provide safe, competent nurse staffing to one of two sampled residents (Resident 1) experiencing distress in a sub-acute unit (a unit supporting medically fragile residents who require special services, such as inhalation therapy, tracheotomy care, intravenous tube feeding, and complex wound management care), when: 1. A ventilator (a machine that mechanically moves air in and out of the lungs) and oxygen were applied without a physician's order; 2. A respiratory care plan was not developed or implemented; 3. Licensed Nurses (LNs) 1 and 2 did not deliver oxygen via the necessary route when the resident was in respiratory distress; 4. […]