Rosario Assisted Living

The licensee failed to ensure food served to residents was maintained at a safe temperature.

The licensee failed to ensure five staff members met the long-term care workers training requirements.

The licensee failed to ensure that an alternate plan was written and signed when two residents received family assistance with medications.

The licensee failed to ensure Negotiated Service Agreements (NSA's) were signed by the resident or their representative and an authorized facility representative for three residents.

Facility failed to maintain safe food temperatures for served food; an uncorrected deficiency from 09/25/2025.

Facility failed to maintain food at safe temperatures. Multiple lunch items were recorded at unsafe temperatures (e.g., 101F to 128.8F).

5 of 5 staff members did not meet required long-term care worker training or CPR/first aid hands-on skills training; uncorrected deficiency from 09/25/2025.

Facility failed to ensure written plans were signed for 2 of 2 sampled residents receiving family assistance with medications.

5 of 5 staff members failed to meet required long-term care worker training standards, including basic training, specialty training, and hands-on CPR/first-aid training.

Negotiated Service Agreements (NSAs) were not signed by residents or authorized representatives for 3 of 4 sampled residents; uncorrected deficiency from 09/25/2025.

Facility failed to ensure safe medication systems for 1 resident; medication was administered despite vital sign parameters indicating it should be held.

Facility failed to ensure Negotiated Service Agreements were signed by the resident/representative and facility for 9 of 9 residents.

Facility failed to obtain medications in a timely manner, resulting in missed doses for 1 resident.

Facility failed to ensure a written back-up plan was in place and signed when family provided medication assistance for 2 sampled residents.

The facility failed to provide activities for 2 memory care cottages for two months, resulting in a lack of social interaction or structured activities for residents.

The facility failed to complete a comprehensive and accurate skin assessment for a resident, resulting in the resident being hospitalized for sepsis and untreated wounds.

The facility failed to maintain a functional resident-to-staff communication system; 3 of 3 sampled residents' pendants failed to alert staff pagers, creating a risk of unmet care needs.

Facility failed to maintain a sanitary environment: hole in laundry room ceiling, dirty rags on floor, debris in mechanical room, and cigarette butts found on grounds.

Facility failed to follow fall management policy for Resident 2, who fell and hit their head without a documented assessment, notification of provider/family, or incident report.

Facility failed to ensure visitors could exit the memory care unit without needing assistance, due to a lack of posted door codes.

Facility failed to complete a fingerprint background check for 1 of 6 sampled staff members prior to allowing unsupervised access to residents.

Kitchen ovens were found turned on with plastic items and food placed inside, creating a fire hazard.

Multiple light fixtures in common areas, dining rooms, and hallways were non-functional or missing lightbulbs.

Facility failed to monitor and respond to resident call lights for 3 of 3 residents in a timely manner, with wait times exceeding 15 minutes, and in some cases over 11 hours.

Facility failed to ensure 3 of 6 sampled staff were screened for tuberculosis within 3 days of employment.

Facility failed to maintain cold food (egg salad sandwiches) at or below 41 degrees Fahrenheit; recorded temperature was 53.6 degrees.

Facility failed to ensure 6 of 6 sampled staff had required basic/specialty training, first aid/CPR, or annual continuing education hours.