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ROSEMONT HEALTH & REHAB CENTER, LLC Inspection Report, Violations & Safety Grade (VIRGINIA BEACH, Virginia)

3750 SENTARA WAY, VIRGINIA BEACH, Virginia 23452

Phone: 7573062700

CMS Overall:2/5

Overview & Bed Count

Certified Beds
116
Avg Residents/Day
106.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Virginia Beach City
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall2/5
Health2/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day0.410.71-0.30
Total Nurse Hours per Resident per Day3.573.88-0.30
CMS Staffing Rating3/52.5/5-
Nursing Staff Turnover30.1%47.5%-

Health Citation History

32 health citations on record

DateCategoryDescriptionSeverity
2024-03-29Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2022-09-22Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2022-09-22Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.G – Actual Harm
2022-09-22Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E – Moderate Harm Potential
2022-09-22Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2022-09-22Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2022-09-22Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.D – Moderate Harm Potential
2022-09-22Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2022-09-22Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2022-09-22Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D – Moderate Harm Potential
2022-09-22Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2022-09-22Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2022-09-22Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-09-22Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2022-09-22Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2022-09-22Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2022-09-22Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D – Moderate Harm Potential
2022-09-22Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D – Moderate Harm Potential
2019-10-18Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2019-10-18Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2019-10-18Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2019-10-18Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2019-10-18Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2019-10-18Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2019-10-18Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B – Minimal Harm Potential
2018-05-25Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2018-05-25Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2018-05-25Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2018-05-25Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2018-05-25Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2018-05-25Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2018-05-25Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential

Fire Safety Citation History

19 fire safety citations on record

DateCategoryDescriptionSeverity
2022-09-22Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2022-09-22Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2022-09-22Gas, Vacuum, and Electrical Systems DeficienciesHave proper power supply for life support equipment.D – Moderate Harm Potential
2022-09-22Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.C – Minimal Harm Potential
2022-09-22Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.C – Minimal Harm Potential
2022-09-22Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.C – Minimal Harm Potential
2022-09-22Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.C – Minimal Harm Potential
2022-09-22Emergency Preparedness DeficienciesProvide family notifications of emergency plan.C – Minimal Harm Potential
2022-09-22Emergency Preparedness DeficienciesEstablish emergency prep training and testing.C – Minimal Harm Potential
2022-09-22Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2018-05-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2018-05-25Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.D – Moderate Harm Potential
2018-05-25Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2018-05-25Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.C – Minimal Harm Potential
2018-05-25Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.C – Minimal Harm Potential
2018-05-25Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.C – Minimal Harm Potential
2018-05-25Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.C – Minimal Harm Potential
2018-05-25Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.C – Minimal Harm Potential
2018-05-25Emergency Preparedness DeficienciesEstablish emergency prep training and testing.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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