Rosewood Assisted Living

The facility failed to ensure that all exit doors were easily operable by a single hand motion from the inside without keys. Specifically, the metal push bars on the double exit doors at the end of the hallway were chained and padlocked together, preventing the doors from opening. This created a major fire safety hazard for residents in rooms 5 through 15.

The facility failed to ensure that all exit doors were easily operable from the inside without keys. Specifically, the metal push bars on the double exit doors at the end of a hallway were chained and padlocked together, preventing the doors from opening. This restriction impacted the safety of 14 residents whose evacuation route relied on these doors.

The facility failed to maintain hot water temperatures at a minimum of 100 degrees Fahrenheit at several locations. Specifically, temperatures were found to be as low as 70 degrees Fahrenheit in resident showers and various bathroom sinks. This deficiency impacted multiple resident bathrooms and the kitchen area.

The facility failed to notify the local department of social services regarding accidents involving two of five sampled residents. Specifically, Resident #1 suffered a fall resulting in a head laceration requiring sutures and EMS transport, and Resident #2 suffered a fall resulting in a tibia/fibula fracture and hospital admission, but neither incident included documentation of notification to the county department of social services.

The facility failed to notify the local county department of social services regarding accidents involving two residents that required emergency medical evaluation. Specifically, for Resident #1, a fall resulting in a head laceration and hospital transfer was not reported to social services as required.

The facility failed to implement physician orders for two residents. Specifically, Resident #1 was not provided continuous oxygen as ordered for COPD and heart disease, and Resident #3 was not provided the order to elevate their leg to reduce swelling.

The facility failed to implement physician orders for 2 out of 3 sampled residents. Specifically, Resident #1 was not provided with continuous oxygen as ordered for respiratory issues, and Resident #3 did not have their leg elevated as ordered to reduce swelling.

The facility failed to maintain clean walls, ceilings, floors, and surfaces in various areas including resident rooms, bathrooms, and common areas. Specific issues included thick buildup of dirt and dust on ceiling fans, air vents, and floor corners, as well as uncleaned windowsills containing cigarette ash and butts. Additionally, walls and baseboards in several rooms and common areas exhibited scuff marks and brownish smears.