Signature Healthcare of Rockwood Rehab & Wellness

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Rockwood Rehab & Wellness, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF695Aug 5, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to obtain a physician's order for the administration of supplemental oxygen (O2) for 2 residents (Resident #80 and Resident #10) of 8 residents reviewed for oxygen administration and the facility failed to ensure supplemental oxygen was available on 1 of 2 crash carts (a wheeled cart which carries medical equipment and supplies to provide emergency resuscitation) observed. The findings include: Review of the facility's policy titled, Oxygen Administration Policy, dated 1/30/2026, revealed .Oxygen therapy is administered as ordered by a physician .Check the resident's medical record to confirm the presence of a complete and appropriate physician's order .Determine appropriate oxygen… […]

• No harm, potential for more than minimal, isolatedF744Aug 5, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to develop a person-centered care plan related to dementia care for 1 resident (Resident #11) of 9 residents reviewed for Dementia care.The findings include: Review of the facility's policy titled, Comprehensive Care Plans, dated 1/31/2026, revealed .The facility will develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and time frames to meet a resident's medical, nursing, mental, and psychosocial needs .The Comprehensive Care Plan is based on a thorough assessment that includes .the Resident Assessment Instrument and Minimum Data Set Assessments (MDS) .The Comprehensive Care Plan will be person-centered for each resident… […]

• No harm, potential for more than minimal, isolatedF761Aug 5, 2026

  Based on observation and interview the facility failed to properly store medical supplies on 2 of 2 crash carts (a wheeled cart which carries medical equipment and supplies to provide emergency resuscitation) and 1 of 2 medication rooms observed for proper storage. The findings include: During an observation on [DATE] at 11:57 AM, [DATE] at 7:56 AM, and [DATE] at 7:40 AM, revealed a crash cart on the [NAME] unit with an Ambu-Bag (artificial manual breathing unit which forces air or oxygen into a patient's lungs to provide manual breathing support during emergencies or respiratory arrest) which had an expiration date of [DATE]. […]

• No harm, potential for more than minimal, isolatedF880Aug 5, 2026

  Based on the Association for Professionals in Infection Control (APIC) and Epidemiology's Guide to Hand Hygiene Programs for Infection Prevention review, facility policy review, medical record review, observation, and interviews, the facility failed to use appropriate hand hygiene practices when providing wound care to 1 resident (Resident #3) of 1 resident reviewed with an in-house pressure wound. The findings include: Review of the Association for Professionals in Infection Control [APIC] and Epidemiology's Guide to Hand Hygiene Programs for Infection Prevention, dated 6/2015, revealed .Hand hygiene is widely recognized as the most important measure to prevent the spread of infection .Hand hygiene is one of the cornerstones of reducing healthcare-associated infections and preventing… […]

• No harm, potential for more than minimal, isolatedF600May 17, 2023

  Based on facility policy review, medical record review, facility investigation, and interview the facility failed to prevent abuse for 1 Resident (#50) of 24 residents reviewed for abuse. The findings include: Review of facility abuse policy titled Abuse Prevention Policy & Procedure revised 9/5/2018, showed .Abuse Is the willful infliction of injury .Willful means non- accidental, Physical abuse .'abuse' means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm .Includes, but is not limited to, hitting, slapping, pinching, kicking, controlling behavior through corporal punishment, or any similar touching of a resident that does not have an appropriate therapeutic purpose . […]