Inspection Reports for
Rosetta Assisted Living – Pocatello

.310.04.e. Psychotropic or Behavior Modifying Medication: two residents taking psychotropic medications for longer than six months did not have six-month medication reviews completed, and one resident lacked a behavioral update in the review.

.450. Requirements for Food and Nutritional Care Services: the facility dog was observed in the kitchen and dining areas during meal times, and staff preparing meals did not have hair restrained during preparation and service.

.300.02 Licensed Nurse: the facility nurse did not review and implement all orders for residents, leading to incorrect transcription and misadministration of medications.

.310.02 Discontinued and Expired Prescriptions: the facility accumulated unused, discontinued, or expired medications for over 30 days without proper documentation of disposal, including missing signatures and incomplete logs.

.310.03 Controlled Substances: the facility did not maintain daily counts of controlled substances, with missing count sheets and unsecured narcotics stored in multiple locations without proper accounting.

.405.02.a. Prohibited applications: during the facility tour it was identified room #10 was utilizing a relocatable power tab (RPT) to supply power to an oxygen concentrator. Use of an RPT to supply power to medical devices is prohibited.

.405.02.c. Prohibited applications: during the facility tour it was identified room #10 was utilizing a relocatable power tab (RPT) to supply power to a miniature refrigerator. Use of an RPT to supply power appliances is prohibited (previously cited 6/8/2023).

.405.03. Medical gases: during the facility tour it was identified in room #5, three oxygen cylinders placed directly on the floor. Oxygen cylinder storage shall be in accordance with NFPA 99, Chapter 11, Section 11.3.7 and 11.6.2.3 (11). All oxygen cylinders shall be stored in appropriate racks, carts or stands.

.403. Fire and life safety standards for existing buildings licensed for three through sixteen residents: facility failed to maintain fire suppression visual inspection of pressure gauges on wet system. Facility could not provide documentation of fire suppression system wet gauge visual inspection monthly, in accordance with NFPA 101, Chapter 33, Section 33.2.3.5.8.2 and NFPA 25, Chapter 13, Section 13.2.7.1 to 13.2.7.3.

.403 Fire and life safety standards for existing buildings: fire alarm report does not provide all testing information for all devices, including door releases, and documentation did not meet reporting requirements per Section 7.8.2.

.405.02.b Prohibited applications: relocatable power taps were daisy-chained in Room 9 to supply power to personal devices, which is not allowed.

.405.02.c Prohibited applications: relocatable power taps were used to power appliances in Room 5 (microwave, toaster, refrigerator) and Room 10 (refrigerator), which is prohibited.

.403 Fire and life safety standards for existing buildings licensed for three through sixteen residents: facility laundry room door does not self-close as designed and sticks on the flooring when opened; hazardous areas such as laundry rooms must be protected with a self-closing door in accordance with NFPA 101, Chapter 33, Section 33.2.3.2.

.155.01 Relocation agreements: the facility had only one relocation agreement instead of the required two, and the agreement had not been updated annually since 1/12/2017.

.403 Fire and life safety standards for existing buildings: smoke detectors were not tested for sensitivity one year after installation, and staff training on oxygen use and handling was not documented.

.250.04 Walls and floor surfaces: the floor in the mechanical/electrical room was badly damaged by water, with vinyl removed, warped particle board subfloor, and apparent mold growth.

.250.09 Plumbing: the hot water temperature in the facility was 128 degrees.

.250.12.j Resident sleeping rooms: the door to resident room #2 would not latch.

.260.05.f Linen and laundry facilities and services: the laundry room was not well lit and one light fixture was not working.

.405.01 Medical gases: relocatable power taps were misused with a TV daisy-chained into multiple plugs and a full-size refrigerator plugged into a relocatable power tap in the garage.

.405.03 Medical gases: Room 9 had two unsecured oxygen cylinders inside a closet (corrected on site 7/18/19).

.405.05 Structure, maintenance, equipment to assure safety: no documentation was available for the 90-minute annual test on emergency lights in the past twelve months.

.415.04 Fire alarm smoke detection system service and testing: work order was on file but no results of five-year sensitivity testing were completed in the past five years.

.415.05 Automatic fire extinguishing system service and testing: corroded sprinkler pendant found in laundry room above folding counter; sprinklers painted with non-factory paint, corroded or loaded with dirt/debris must be replaced per NFPA 25.

.305.03 Resident health status: the facility nurse did not assess or document the condition of Resident #1's wounds to her coccyx, left forearm or left buttocks to determine if they were healing bi-weekly.

.305.04 Recommendations: the facility nurse did not make recommendations to the administrator regarding Resident #1's wound care including measures to prevent reoccurrence and promote healing or how to assist the resident with her arm sling.

.320.01 Use of negotiated service agreement: NSAs did not clearly describe care needs and services for 2 of 4 sampled residents, including Resident #1's eating, wound care, skin integrity measures, arm sling care, and transfer care needs, and Resident #3's lactose free diet and daily ensure care needs.

.330.02 Resident record retention: the facility used text messaging to notify the nurse of falls, wounds, illnesses and requests for PRN medications and the messages were discarded.