Rossville Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 15, 2026

  Based on a review of a complaint, medical records, interviews, and facility investigative documents, it was determined that the facility failed to have an effective system to prevent 2 residents with cognitive impairment, exit-seeking behavior, and an assessed risk for elopement from leaving the facility without appropriate supervision. This failure placed both residents at risk for harm due to hazards, including no sidewalk, which forced them into a road, which led them to a heavily traveled road and one resident not being properly dressed. These actions resulted in an Immediate Jeopardy (cited as past non-compliance). […]

• Immediate jeopardy, isolatedF678Feb 2, 2024

  Based on review of medical records and other pertinent documentation and interviews, it was determined that the facility failed to have an effective system in place to ensure that a resident's wishes regarding cardiopulmonary resuscitation (CPR) were clearly and accurately communicated to facility staff. This was found to be evident for 3 out of 7 residents reviewed for advance directives or death. (#184, #53, and #91) This failure resulted in an Immediate Jeopardy for Resident #184. The findings include: Review of Resident #184's medical record revealed the resident was admitted to the facility secondary to the initiation of hemodialysis. The resident's diagnosis included but was not limited to, chronic kidney disease, heart disease, high blood pressure and diabetes. […]

• Immediate jeopardy, isolatedF726Feb 2, 2024

  Based on a review of facility self report MD00181520 investigation documentation, medical records, observations, and interviews, it was determined that the facility failed to ensure nursing staff had the appropriate competencies and skills to access a permacath for the IV administration of antibiotics. This was found to be evident for 1 (#184) of 2 residents reviewed for death during the survey. This deficient practice led to an immediate jeopardy for Resident #184. The facility implemented effective and thorough corrective measures following this incident. The facility's plan and action were verified during this survey, therefore this deficiency will be cited as past noncompliance. […]

• Actual harm, isolatedF600Feb 2, 2024

  Based on interviews and record review it was determined that the facility failed to provide residents with an environment that was free from abuse. Due to this deficient practice Resident #505 suffered physical and psychosocial harm. This was evident for 1 (MD00204162) of 2 facility reported incidents of abuse. The findings include: The MDS (Minimum Data Set) is a complete assessment of the resident which provides the facility information necessary to develop a plan of care, provide the appropriate care and services to the resident, and to modify the care plan based on the resident's status. Brief Interview of Mental Status (BIMS) is a standardized test used to get a quick snapshot of cognitive function and is a required screening tool used in nursing homes to assess cognition. […]

• Actual harm, isolatedF600Feb 2, 2024

  Based on interviews and record review it was determined that the facility failed to provide residents with an environment that was free from abuse. Due to this deficient practice Resident #505 suffered physical and psychosocial harm. This was evident for 1 (MD00204162) of 2 facility reported incidents of abuse. The findings include: The MDS (Minimum Data Set) is a complete assessment of the resident which provides the facility information necessary to develop a plan of care, provide the appropriate care and services to the resident, and to modify the care plan based on the resident's status. Brief Interview of Mental Status (BIMS) is a standardized test used to get a quick snapshot of cognitive function and is a required screening tool used in nursing homes to assess cognition. […]