Inspection Reports for Roselane Health Center by Harborview

A Follow-Up Survey was conducted to verify correction of previously cited survey tags.

All previously cited survey tags have been corrected. This was a desk review.

The document is a statement of deficiencies and plan of correction for Roselane Health Center by Harborview, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific findings or deficiencies in the text or image.

A revisit was conducted at Roselane by Harborview beginning 1/28/2025 through 1/30/2025 to verify correction of previously cited deficiencies from the recertification survey.

All deficiencies cited as a result of the recertification survey were found corrected as of 1/19/2025.

A follow-up survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags were corrected except for deficiency K353 related to sprinkler system maintenance. The facility failed to have a green tag on the automatic sprinkler riser, which remained yellow-tagged at the time of inspection.

An abbreviated/partial extended survey was conducted to investigate complaint GA00253374.

The complaint was unsubstantiated, and no regulatory violations were cited during the survey.

Complaint GA00253374 was investigated and found to be unsubstantiated.

The inspection was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code standards.

The facility was found not in substantial compliance with several Life Safety Code requirements, including obstruction of an exit in the east wing, lack of approved lock out device and red breaker for the fire alarm control panel, missing escutcheon ring around a sprinkler head, yellow tagged sprinkler risers, missing covers on light fixtures and electrical junction boxes, lack of approved oxygen storage signage, and unsecured compressed gas cylinders in the outside storage room.

A State Licensure survey was conducted at Roselane Health by Harborview from December 2, 2024, through December 5, 2024, to assess compliance with state health regulations and facility licensure requirements.

The survey identified multiple deficiencies including failure to properly sign out narcotic medications, improper cleaning of glucometers, incomplete care plans for residents, and inadequate labeling and dating of food items in the kitchen.

A recertification survey was conducted from December 2, 2024 through December 5, 2024, including investigation of multiple complaint intake numbers.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including inaccurate Minimum Data Set assessments, failure to update PASARR for a resident with major depression, incomplete care plans, failure to identify need for hospital transfer for a resident with altered mental status, failure to sign out narcotics properly, failure to administer ordered insulin, improper food labeling and dating, improper garbage disposal, and inadequate cleaning of glucometers.

Complaint Intake Numbers GA00252088 and GA00249391 were substantiated with federal deficiencies. Several other complaint intake numbers were substantiated without federal deficiencies or unsubstantiated.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies had been corrected during the follow-up visit.

This document is a Statement of Deficiencies and Plan of Correction for Roselane Health Center by Harborview, indicating a regulatory inspection was conducted.

The document does not provide specific findings or deficiencies details; it serves as a cover sheet for the Statement of Deficiencies and Plan of Correction.

A revisit survey was conducted to verify correction of deficiencies cited during the June 2, 2023 recertification survey.

All deficiencies cited in the June 2, 2023 recertification survey were found to be corrected during the revisit survey.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The survey noted that all previously cited deficiencies had been corrected. The report includes details about corridor doors and compliance with fire safety regulations.

A Life Safety Code Federal Monitoring Survey was conducted following a state agency survey to assess compliance with Medicare/Medicaid participation requirements related to life safety from fire and related codes.

The facility was found not in substantial compliance with life safety code requirements due to failure to maintain latches and smoke resistance of corridor doors. Six doors had deficiencies including holes near door handles, missing latching hardware, and lack of smoke detectors in certain rooms.

A licensure survey was conducted from 5/30/23 through 6/2/23 to assess compliance with regulatory requirements and facility licensure standards.

The facility failed to provide adequate nursing care related to pain management and comprehensive care planning for two residents. Specifically, there was a delay in assessing and treating a resident with a fractured femur, resulting in uncontrolled pain for approximately two days, and failure to develop a comprehensive care plan for dialysis care for another resident.

A standard annual survey was conducted from May 30, 2023 through June 2, 2023, including investigation of three complaint intake numbers in conjunction with the survey.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including inaccurate Minimum Data Set (MDS) assessments, failure to develop comprehensive care plans related to dialysis, failure to provide adequate pain management after a significant injury, failure to prevent urinary tract infections related to catheter care, and failure to ensure binding arbitration agreements were explained in a manner residents understood.

Complaint Intake Numbers GA00235443, GA00235351, and GA00234820 were investigated in conjunction with the standard survey.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and life safety codes.

The facility was found not in substantial compliance with fire safety requirements, including failure to maintain fire alarm system testing records, sprinkler system maintenance, corridor door latching, electrical safety, and emergency backup electrical system testing.

The document is a statement of deficiencies and plan of correction for Roselane Health Center by Harborview, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited as a result of a complaint investigation on 1/6/2023.

All deficiencies cited during the 1/6/2023 complaint investigation were found to be corrected during the revisit survey.

The revisit survey was conducted following a complaint investigation dated 1/6/2023; all cited deficiencies were corrected.

An Abbreviated/Partial Extended Survey was conducted to investigate allegations GA00231429 and GA00231711.

The investigations GA00231429 and GA00231711 were found to be unsubstantiated according to the survey results.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaint allegations related to resident abuse and mistreatment at Roselane Health Center by Harborview.

The facility failed to report an allegation of mistreatment made by a family member regarding resident #11 to the State Agency as required by policy and state law. The investigation found no evidence of mistreatment by police, but the facility did not follow reporting procedures, placing residents at risk.

The visit was complaint-related, investigating allegations of abuse and mistreatment involving resident #11. The family member alleged mistreatment, but the facility did not report the allegation to the State Agency. Police investigated and found no evidence of abuse. The facility staff misunderstood the allegation and failed to report it timely.

An Abbreviated/Partial Extended Survey was conducted from January 4 to January 6, 2023, investigating multiple complaint allegations on behalf of the Georgia Department of Community Health.

The facility failed to ensure residents and their responsible parties were informed of all rules and regulations governing resident conduct prior to or upon admission, and failed to report an allegation of mistreatment to the State Agency as required by policy.

The complaint investigation revealed that a family member alleged mistreatment of resident #11, but the facility failed to report this allegation to the State Agency. The allegation involved the resident's granddaughter accusing staff of mistreatment and was documented in nursing progress notes dated 9/21/2022. Police were called and issued a trespass warning to the granddaughter. The facility staff and administration misunderstood the allegation and did not report it as required, but acknowledged the policy requires reporting any accusation of mistreatment.

An abbreviated survey was conducted to investigate complaints #GA00229423, #GA00228207, #GA00227968, and #GA00225895.

The complaints investigated during the abbreviated survey were unsubstantiated and no deficiencies were cited.

Complaints #GA00229423, #GA00228207, #GA00227968, and #GA00225895 were investigated and found to be unsubstantiated with no deficiencies cited.