Deficiencies (last 4 years)
Deficiencies (over 4 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% worse than Kansas average
Kansas average: 6 deficiencies/yearDeficiencies per year
24
18
12
6
0
Occupancy
Latest occupancy rate
82% occupied
Based on a December 2025 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 75
Deficiencies: 5
Date: Dec 10, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory standards in a nursing facility.
Findings
The facility was found deficient in multiple areas including failure to provide reasonable accommodations for residents, failure to meet professional standards in medication administration, improper labeling of feeding tube bags, incomplete medication orders, and inadequate infection prevention and control practices.
Deficiencies (5)
F 0558: The facility failed to ensure Resident 2's plate guard was applied to his breakfast plate as required by his care plan and dietary orders.
F 0658: The facility failed to meet professional standards when staff failed to administer Resident 21's medication properly, leaving medication unattended and not monitored.
F 0693: The facility failed to ensure Resident 8's tube feeding bags were labeled with date, time, contents, and staff initials as required.
F 0757: The facility failed to ensure dosing instructions for Voltaren gel for Resident 10 included a required dosage amount.
F 0880: The facility failed to store linens and respiratory equipment in a sanitary manner and failed to sanitize monitoring equipment between resident uses.
Report Facts
Residents reviewed: 18
Residents reviewed for medication administration: 5
Residents reviewed for tube feeding complications: 1
Residents reviewed for unnecessary medications: 6
Residents on Enhanced Barrier Precautions: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Nurse (LN) I | Provided statements regarding plate guard, medication administration, feeding tube labeling, and medication dosing | |
| Administrative Nurse D | Provided statements regarding plate guard, medication administration, feeding tube labeling, medication dosing, and infection control policies | |
| Licensed Nurse (LN) H | Provided statement regarding medication monitoring | |
| Licensed Nurse (LN) K | Observed not sanitizing monitoring equipment between resident uses |
Inspection Report
Complaint Investigation
Census: 76
Deficiencies: 2
Date: Jan 30, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding medication order transcription and medication regimen review for Resident 1 (R1).
Complaint Details
The investigation was complaint-related, focusing on medication order transcription errors and medication regimen review irregularities for Resident 1. The complaint was substantiated with findings of missed prednisone orders and failure to act on pharmacist recommendations.
Findings
The facility failed to accurately transcribe hospital medication orders on admission and failed to follow physician's orders for R1, specifically missing the prednisone order. Additionally, the facility failed to address irregularities found by the Consultant Pharmacist in the admission medication regimen review, placing R1 at risk for physical complications and unnecessary medication use.
Deficiencies (2)
F 0684: The facility failed to ensure staff accurately transcribed hospital admission orders and follow physician's orders for R1, resulting in missed prednisone administration. This placed R1 at risk for physical complications and less-than-therapeutic medication effects.
F 0756: The facility failed to address admission medication regimen review irregularities identified by the Consultant Pharmacist for R1, risking unwarranted physical complications and unnecessary medication use.
Report Facts
Residents present: 76
BIMS score: 15
BIMS score: 14
Prednisone dosage: 10
Probability of relapse: 10
Probability of relapse: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse E | Administrative Nurse | Described admission order review and nurse manager involvement |
| Licensed Nurse G | Licensed Nurse | Described admission order process and double-checking procedures |
| Administrative Nurse D | Administrative Nurse | Described order verification process and pharmacy recommendation handling |
| Administrative Nurse F | Administrative Nurse | Described handling of pharmacy recommendations and order entry in EMR |
Inspection Report
Routine
Census: 76
Deficiencies: 23
Date: Dec 19, 2023
Visit Reason
Routine inspection of Brookdale Rosehill nursing home to assess compliance with regulatory requirements including resident care, medication management, infection control, staffing, and facility operations.
Findings
The facility had multiple deficiencies including failure to ensure dignified care related to incontinence, unresolved Resident Council concerns, incorrect beneficiary notice forms, lack of anonymous grievance system, failure to provide timely transfer notifications, incomplete baseline care plans, inadequate supervision during meals, inconsistent bathing, expired CPR certification, insufficient weekend activities, failure to obtain daily weights as ordered, improper wound care infection control, lack of physician orders for catheter care, failure to identify changes in incontinence, insufficient staffing, incomplete medication regimen reviews, improper medication storage, missing lab results, unsanitized food thermometers, and lapses in infection control related to COVID-19 precautions and hand hygiene.
Deficiencies (23)
F 0550: Facility failed to ensure dignified care environment for Resident 47 related to incontinence management, causing risk of embarrassment and decreased psychosocial wellbeing.
F 0565: Facility failed to adequately address and resolve recurring Resident Council issues including call light response times and staffing concerns, risking decreased psychosocial wellbeing.
F 0582: Facility failed to issue correct CMS 10055 Advance Beneficiary Notice of Non-coverage form to Residents 25 and 53.
F 0585: Facility failed to implement a system to allow residents to file grievances anonymously, risking decreased psychosocial wellbeing.
F 0623: Facility failed to provide written notification of facility-initiated transfer to Resident 165 or representative in a timely manner, risking miscommunication and missed healthcare opportunities.
F 0625: Facility failed to provide Resident 63 or representative a Bed Hold notice upon hospital discharge, risking loss of room reservation.
F 0655: Facility failed to develop a person-centered baseline care plan including indication for indwelling catheter for Resident 115, risking impaired care.
F 0676: Facility failed to provide adequate supervision during meals for Resident 43 at risk for aspiration, risking complications and decline.
F 0677: Facility failed to provide consistent bathing for Residents 19, 13, and 37, risking hygiene-related complications and impaired psychosocial wellbeing.
F 0678: Facility failed to ensure nursing staff maintained current CPR certification, placing residents at risk for inadequate resuscitation.
F 0679: Facility failed to provide consistent weekend activities, risking decreased psychosocial wellbeing and boredom.
F 0684: Facility failed to obtain daily weights as ordered for Residents 52 and 164 with congestive heart failure, and failed to apply thrombo-embolic deterrent hose for Resident 52, risking complications.
F 0686: Facility failed to ensure appropriate infection control during wound care for Resident 52 and failed to ensure pressure reducing measures for Resident 34, risking infection and pressure injuries.
F 0690: Facility failed to ensure appropriate catheter care orders and physician indication for Resident 115's indwelling catheter and failed to identify changes in Resident 47's incontinence patterns and implement interventions.
F 0725: Facility failed to provide sufficient nursing staff to meet residents' physical and psychosocial needs, resulting in delayed care and impaired quality of life.
F 0756: Facility failed to ensure consultant pharmacist recommendations for physician documented rationale for continued antipsychotic use for Resident 37 were addressed, risking unnecessary medication.
F 0757: Facility failed to ensure dosing instructions for Voltaren gel for Resident 52, risking unnecessary medication use and complications.
F 0758: Facility failed to provide physician documented rationale including unsuccessful nonpharmacological interventions and risk-benefit analysis for continued antipsychotic use for Residents 115 and 37.
F 0761: Facility failed to ensure safe and secure storage of medications and biologicals, including unlocked medication and treatment carts accessible to residents.
F 0775: Facility failed to ensure physician ordered laboratory test results for Resident 37 were included in clinical record, risking delayed treatment.
F 0812: Facility failed to ensure kitchen staff sanitized probe-type thermometer between food temperature checks and failed to maintain clean ice machine, risking foodborne illness.
F 0880: Facility failed to ensure infection control standards related to COVID-19 isolation precautions, clean supply storage, and hand hygiene during cares, risking infectious disease transmission.
F 0883: Facility failed to provide pneumococcal vaccinations or informed refusals for Resident 13 and influenza vaccinations or informed refusals for Resident 53, risking infectious disease complications.
Report Facts
Resident census: 76
Deficiency count: 25
Medication administration missed daily weights: 12
Bathing documentation missed: 11
Shower not occurred: 9
Baths received: 3
Psychotropic medication days: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Nurse D | Administrative Nurse | Named in multiple findings related to care and infection control |
| Certified Nurse Aid O | Certified Nurse Aid | Named in findings related to incontinence and grievance system |
| Licensed Nurse J | Licensed Nurse | Named in medication and care plan findings |
| Administrative Nurse E | Administrative Nurse | Named in wound care and infection control findings |
| Dietary Staff DD | Dietary Staff | Named in food temperature findings |
| Licensed Nurse H | Licensed Nurse | Named in bathing and lab results findings |
| Social Services X | Social Services Staff | Named in grievance and staffing findings |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jul 31, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at the nursing home.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Census: 70
Deficiencies: 6
Date: Feb 17, 2022
Visit Reason
The inspection was conducted as an annual survey of the nursing home to assess compliance with regulatory requirements and resident care standards.
Findings
The facility was found deficient in multiple areas including failure to provide adequate bathing and hygiene care, supervision to prevent accidents, appropriate urostomy care, monitoring hydration status and fluid restrictions, pain management, and proper medication administration including insulin and blood pressure medications.
Deficiencies (6)
F 0677: The facility failed to provide bathing services for Resident 62, resulting in poor hygiene and risk of harm.
F 0689: The facility failed to provide supervision and assistance to Resident 230 who was at risk for falls, placing the resident at risk of injury.
F 0691: The facility failed to provide appropriate urostomy care for Resident 178, resulting in risk for inappropriate care and complications.
F 0692: The facility failed to monitor hydration status for Resident 69 on fluid restriction and failed to implement fluid restriction for Resident 176, placing residents at risk for dehydration or fluid overload.
F 0697: The facility failed to provide pain management to Resident 62, including failure to provide prescribed Lidocaine patches, placing the resident at risk for pain.
F 0757: The facility failed to hold insulin for Resident 40 when blood sugars were below ordered parameters, failed to provide interventions for Resident 22 with constipation, and failed to hold blood pressure medication for Resident 69 when blood pressures were out of ordered parameters.
Report Facts
Resident census: 70
Days without bowel movement: 5
Insulin administration below threshold: 13
Lidocaine patch unavailable days: 6
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