Rose Pointe Assisted Living

The licensee failed to maintain three residents' quarters in a safe and sanitary condition, resulting in unhygienic living conditions and increased risk of harm and decreased quality of life.

The licensee failed to develop and implement safe medication services and ensure one resident received medications as prescribed and when indicated. The resident did not receive prescribed as-needed pain medication despite signs of pain, creating a risk of unmanaged pain and unnecessary suffering.

The facility failed to ensure safe medication services for a resident; staff allowed the resident to ingest medications that had been dropped on the floor, violating facility policy.

Failed to provide care with dignity for 7 residents; served food on disposable dinnerware in 2 areas; bathroom sanitation issues.

Hazardous supplies and materials in the Industrial Laundry Room and Covered Smoking Area were not locked or secured, placing residents at risk of harm.

Facility failed to secure confidential health information, including a medication cart and a laundry room list containing resident details.

Facility failed to provide a safe, sanitary, and well-maintained environment (interior and exterior). Issues include debris in vents, odors, broken/torn furniture, damaged flooring, water leaks, and outdoor clutter.

Facility failed to notify health care providers in a timely manner regarding medication refusals by Residents 9 and 10.

Washing machines did not maintain a continuous supply of 140 F hot water or use an automatically dispensed chemical sanitizer, risking exposure to communicable disease.

Facility failed to implement a safe medication delivery system for Resident 11, resulting in a potential narcotic overdose when a previous fentanyl patch was not removed before applying a new one.

Facility failed to implement nurse delegation requirements for Resident 1, whose blood sugar checks and insulin injections were performed by staff without proper assessment or documentation.

Industrial washing machine inoperable for six months; all laundry washed in resident laundry room without automatic sanitizing dispensers; water temperature was 117.1 degrees Fahrenheit.

Medication error: Narcotic patch left on resident when new patch was applied; staff untrained on proper removal process.

Facility failed to obtain a medical testing site waiver (CLIA) to perform on-site blood sugar checks and COVID tests, resulting in testing without oversight.

Facility failed to maintain safe water temperatures (some exceeding 120F, some below 105F) and failed to provide accessible cold water in certain areas.

Facility failed to provide laundry and linen services on-premises or by commercial laundry; residents' laundry was being taken to a local laundromat by staff due to broken equipment.

Failed to provide documentation for annual fire alarm inspection.

Unlisted/unlabeled cube current tap in use in salon/activities room.

Failed to conduct NOC shift fire drills for 12 months; missing logs for 5 dates.

Unsecured oxygen cylinders in rooms 45 and 37.

Fire doors failed to latch in TV rooms (assisted and memory care) and resident room 14.

Failed to provide documentation on annual forward flow test and quarterly inspections from Q3/Q4 2024.

Unsecured fire extinguishers in riser room and maintenance office.

Door self-close mechanism not working in resident room 14.

Unlocked electrical panels; missing outlet covers in room 23, maintenance office, and kitchen office; wall heat unit exposed wires; refrigerator on power strip.

Excess of combustible storage in resident room 34.

Unlabeled/unlisted extension cord in use as permanent wiring in resident room 2.

Extinguishers obstructed in main laundry room and maintenance office.

The facility was found to be out of compliance regarding cleanliness and pests.

The emergency call system was non-functional in 4 out of 12 inspected areas (Resident Room 1, Resident Room 2, Common Area 1, and Common Area 2).

The facility failed to maintain resident quarters in a safe and sanitary condition. An active cockroach infestation was observed in multiple resident rooms, with evidence of neglect in responding to professional extermination quotes.