Rose Assisted Living Harrison House

A licensure complaint, prompted by #CO41396, was completed on 1/15/26. Deficiencies were cited.A change of ownership occurred on 2/17/25. Based on interviews and record reviews, the residence failed to implement a fall management program, which included detailing in each resident' s care plan the individualized approach necessary to address fall risks, affecting one former resident (Former Resident #1). (Cross-reference U1324)Findings include:1. Residence policyThe residence' s Fall Management Program and Lift Assist, dated January 2025, read in part: "The care plan is updated after each fall and identifies the date of the fall and individualized approach necessary to address fall risk related to deficits in strength, balance, and eyesight, or effects of medication."2. Record reviewFormer Resident #1 was admitted to the residence .. Based on observation, record review, and interview, the residence failed to store hazardous substances labeled "Keep out of reach of children" in a location sufficiently secure to deny access to confused residents and maintain a readily available list and safety data sheet of potentially hazardous substances and maintain a readily available list of potentially hazardous substances used by housekeeping and other staff, affecting four current residents.Findings include:The residence policy, titled Hazardous Materials, dated January 2025, read in part: Material Safety Data Sheets (MSDS) or Safety Data Sheets (SDS) for all hazardous materials shall be readily available within the community.. Based on record review and interview, the residence failed to comply with all required state law occurrence reporting requirements, affecting one former resident (#1). (Cross-reference U1324) Findings include:1. Record reviewFormer Resident #1 was admitted to the residence on 6/1/24, with diagnoses that included Parkinson' s and dementia, back pain, muscle weakness, and balance issues limiting mobility.An incident report, dated 12/21/25, revealed that Former Resident #1 fell while walking. Injuries included open wounds and bruises on the left and right arms, and both legs had open wounds and bruising to the chest. 2. InterviewOn 1/8/26 at approximately 10:00 a.m., the administrator stated.. Based on record review and interview, the residence failed to ensure a resident had the right to be free from neglect, affecting one former resident (Former Resident #1). (Cross reference U0430, U1180 and U2230).Specifically, the residence failed to provide, in a timely manner, physical care and medical care for Former Resident #1. Former Resident #1 fell on 11/10, 12/21/25 and 1/4/26. The administrator revealed she was not notified by Former Staff #2 that Former Resident #1 had fallen on 12/21, and only found out while at the residence on 12/23/25. The injuries sustained on 12/21/25 consisted of open wounds and bruising on the arms and legs, and bruising to his chest. The ad.. Based on record review, and interview, the residence failed to ensure progress notes contained documentation regarding any out of the ordinary event or issue that affects a resident' s physical, behavioral, cognitive and/or functional condition, along with the action taken by staff to address that resident' s changing needs; and, require staff members to document, before the end of their shift, any out of the ordinary event(s) they personally witnessed, affecting one Former Resident (#1). (Cross-reference U1324)Findings include:1. Record ReviewFormer Resident #1 was admitted to the residence on 6/1/24, with diagnoses that included signs of Parkinson' s and dementia, back pain, mus..

A revisit survey was completed on 8/5/24 for all previous deficiencies cited on 7/9/24. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A relicensure survey was completed on 7/9/24. Deficiencies were cited. Based on interview and record review the residence failed to ensure there was at least one staff member onsite at all times who has current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques. The residence staff failed to complete the skills portion of the CPR certification, affecting six current residents. Findings include:Record reviewPersonnel files for Staff #1 had documentation of a completed online CPR course completed on 4/25/23. However, the personnel file failed to contain the skills portion that should have been completed in 90 days. Personnel files for Staff #2 had documentation of a completed online CPR course completed on 3/22/2023. The personnel file failed to contain the skills portion that should have been completed in 90 days.Interviews On 7/9/24 at 10:11 a.m., the administrator designee stated that she did not know their staff were required to complete the skill demonstration portion of the training. On 7/9/24 at 12:30 p.m., Staff #1 stated he was unaware that there was a skills portion that was required to be completed with the CPR certification course. On 7/9/24 at 12:40 p.m., the administrator designee acknowledged that the CPR training that staff completed only contained the online portion and staff failed to complete the skills portion.