Inspection Reports for Roswell Nursing & Rehab Center
1109 GREEN STREET, ROSWELL, GA, 30075
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 17, 2025, found no deficiencies and confirmed correction of prior issues. Earlier inspections showed multiple deficiencies, including a resident’s death by choking due to inadequate supervision during meals, infection control lapses, failure to provide requested dietary accommodations, and cleanliness concerns around garbage areas. Life safety code surveys noted fire safety and emergency preparedness issues, and complaint investigations were mostly unsubstantiated or substantiated without deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have addressed previously cited deficiencies, indicating improvement in compliance over time.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
84% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
196 residents
Based on a April 2025 inspection.
Census over time
Inspection Report
Deficiencies: 0
Date: Apr 17, 2025
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Roswell Nursing & Rehab Center, indicating a regulatory inspection was conducted.
Findings
No specific deficiencies or findings are detailed in the provided document; only initial comments are noted without further elaboration.
Inspection Report
Abbreviated Survey
Census: 196
Deficiencies: 0
Date: Apr 17, 2025
Visit Reason
An abbreviated/partial extended survey was conducted at Roswell Nursing and Rehab investigating Complaint Intake Number GA00254279.
Complaint Details
Complaint Intake Number GA00254279 was found unsubstantiated.
Findings
The complaint intake was found unsubstantiated and no federal deficiencies were cited during the investigation.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Apr 17, 2025
Visit Reason
A revisit survey was conducted on 4/17/2025 to investigate multiple complaint intake numbers and verify correction of deficiencies cited in the 2/20/2025 Standard Survey.
Complaint Details
Complaint Intake Numbers GA00254279 and GA00254375 were unsubstantiated; GA00254553 and GA00253992 were substantiated without deficiencies.
Findings
All deficiencies cited in the 2/20/2025 Standard Survey were found to be corrected. The complaint investigation found two complaints unsubstantiated and two substantiated without deficiencies.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 28, 2025
Visit Reason
A follow-up survey was conducted to verify correction of previously cited survey tags.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Renewal
Census: 189
Deficiencies: 5
Date: Feb 20, 2025
Visit Reason
A Licensure Survey was conducted from 1/13/2025 through 2/20/2025 to assess compliance with state regulations and facility licensure requirements.
Findings
The facility was found deficient in multiple areas including failure to provide a pescatarian diet as requested by a resident, inadequate infection control practices during incontinent care, failure to provide nursing care according to care plans resulting in a resident's death by choking, lack of person-centered activities for a resident, and failure to maintain cleanliness around garbage dumpsters.
Deficiencies (5)
Failed to offer one of 19 sampled residents a diet that suits her pescatarian diet preferences.
Failed to follow infection control protocols related to hand hygiene during ADL care for four of five residents reviewed for incontinent care.
Failed to provide nursing care and services in accordance with the resident's needs and care plan for one resident, resulting in death by choking on a sandwich.
Failed to ensure an ongoing program of activities based on preferences for one resident reviewed for activities.
Failed to ensure areas around garbage dumpsters were kept free from dirt and debris and failed to keep sliding door closed when not in use.
Report Facts
Residents sampled for diet: 19
Residents reviewed for incontinent care: 5
Residents sampled for nursing care: 45
Residents diagnosed with dysphagia requiring feeding assistance: 30
Facility census: 189
Employees mentioned
| Name | Title | Context |
|---|---|---|
| UUU | Kitchen Manager | Admitted undercooked vegetables and hard rice in resident's meal; discussed dietary issues |
| LPN III | Licensed Practical Nurse | Interviewed regarding infection control practices during incontinent care |
| CNA RR | Certified Nursing Assistant | Observed providing incontinent care without proper hand hygiene |
| CNA KKK | Certified Nursing Assistant | Observed providing incontinent care without proper hand hygiene |
| CNA MMM | Certified Nursing Assistant | Observed providing incontinent care without proper hand hygiene and glove changes |
| Director of Nursing | DON | Interviewed about staff responsibilities and infection control training |
| CNA EE | Certified Nursing Assistant | Assigned feeding assistant who failed to feed resident and left tray unattended |
| CNA FF | Certified Nursing Assistant | Reassigned feeding assistant who found resident unresponsive |
| RN NNN | Registered Nurse, MDS Nurse | Interviewed regarding documentation of dysphagia diagnosis in resident's chart |
| Interim Activities Director | IAD | Interviewed regarding resident activities and 1:1 visits |
Inspection Report
Annual Inspection
Census: 189
Deficiencies: 12
Date: Feb 20, 2025
Visit Reason
A standard survey was conducted from 1/13/2025 through 2/20/2025, including complaint investigations, to assess compliance with Medicare/Medicaid regulations and facility licensing requirements.
Complaint Details
Multiple complaint intake numbers were investigated in conjunction with the standard survey. Several complaints were unsubstantiated, some substantiated without deficiencies, and others substantiated with deficiencies including the Immediate Jeopardy related to resident R200's choking death.
Findings
The facility was found not in substantial compliance with multiple deficiencies including Immediate Jeopardy related to failure to provide adequate supervision during meals resulting in a resident's death by choking, failure to accurately document advanced directives, failure to provide person-centered activities, inadequate supervision to prevent accidents resulting in fractures and burns, failure to monitor IV therapy causing infiltration and pain, failure to provide appropriate diet per resident preferences, failure to maintain clean garbage areas, failure to ensure call light system functionality, and failure to follow infection control protocols during incontinent care.
Deficiencies (12)
Failure to provide adequate supervision during meals for resident R200 with dysphagia, resulting in choking death.
Failure to develop and implement a comprehensive care plan for resident R200 related to dysphagia and meal supervision.
Failure to accurately document advanced directives for resident R68, showing conflicting DNR and Full Code statuses.
Failure to provide an ongoing program of activities based on resident preferences for resident R59.
Failure to provide adequate supervision to prevent accidents resulting in fracture for resident R46.
Failure to provide adequate supervision to prevent accidents resulting in second-degree burns from spilled hot coffee for resident R206.
Failure to monitor intravenous therapy for resident R204 resulting in infiltration, pain, and emergency room visit.
Failure to provide resident R5 with a pescatarian diet including daily fish options as per dietary preferences.
Failure to maintain clean garbage dumpster area and keep sliding door closed when not in use.
Failure of facility administration to provide protective oversight ensuring staff adherence to policies and procedures, resulting in multiple resident harms including Immediate Jeopardy.
Failure to follow infection control protocols related to hand hygiene during incontinent care for four residents.
Failure to ensure call light communication system was functioning adequately on Jasmine Unit, impairing residents' ability to call for assistance.
Report Facts
Resident census: 189
Residents reviewed for advanced directives: 43
Residents reviewed for dysphagia care plans: 45
Residents with updated dysphagia care plans: 30
Residents assigned meal supervision: 45
Staff in-serviced on care plan and ADL policies: 98
Residents reviewed for infection control: 5
Residents reviewed for call light system: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN DD | Licensed Practical Nurse | Assigned to manage IV therapy for resident R204 on 8/26/2024; failed to monitor IV site resulting in infiltration and pain |
| CNA EE | Certified Nursing Assistant | Left resident R200 unsupervised with food for 30 minutes leading to choking death |
| CNA FF | Certified Nursing Assistant | Assigned feeding assistant who found resident R200 unresponsive |
| LPN XX | Licensed Practical Nurse | Noted conflicting code status for resident R68 in EMR |
| DON | Director of Nursing | Involved in oversight and interviews related to multiple deficiencies |
| IAD | Interim Activities Director | Responsible for activities program and resident engagement |
| DM | Dietary Manager | Reported concerns about garbage dumpster cleanliness |
| Maintenance Assistant | Responsible for call light maintenance and testing |
Inspection Report
Life Safety
Census: 186
Capacity: 268
Deficiencies: 5
Date: Jan 13, 2025
Visit Reason
A life safety code survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 Edition.
Findings
The facility was found not in substantial compliance with life safety code requirements, including issues with self-closing doors, exit signage lighting, combustible storage in mechanical rooms, improper cooking equipment separation, and unsealed penetrations above smoke barriers.
Deficiencies (5)
Failed to maintain the NO EXIT door closer and latch within the hallway, affecting 30 residents in case of smoke and fire migration.
Exit sign lighting was inoperative in the conference room, potentially affecting 20 staff members' evacuation.
Failed to maintain mechanical room free of combustible storage, potentially affecting fire protection and 30 residents.
Failed to have proper separation (16 or 8 inch baffle) between deep fryer and surface top in kitchen, risking fire hazard affecting 3 to 4 kitchen staff.
Failed to seal penetrations above multiple smoke barriers at specified locations, potentially affecting evacuation of 100 residents.
Report Facts
Residents affected by door closer deficiency: 30
Staff affected by exit sign lighting deficiency: 20
Residents affected by combustible storage deficiency: 30
Kitchen staff affected by cooking equipment separation deficiency: 3
Residents affected by unsealed smoke barrier penetrations: 100
Census: 186
Total licensed capacity: 268
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed multiple deficiencies during facility tour and interviews |
Inspection Report
Abbreviated Survey
Census: 200
Deficiencies: 0
Date: Nov 1, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints identified by codes GA00251874, GA00251919, GA00251920, GA00251940, and GA00252168.
Complaint Details
Complaint GA00252168 was substantiated; complaints GA00251874, GA00251919, GA00251920, and GA00251940 were unsubstantiated.
Findings
The complaints GA00251874, GA00251919, GA00251920, and GA00251940 were unsubstantiated, while complaint GA00252168 was substantiated. No deficiencies were cited during the survey.
Inspection Report
Complaint Investigation
Census: 195
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00248556.
Complaint Details
Complaint #GA00248556 was substantiated with no deficiency cited.
Findings
The complaint #GA00248556 was substantiated with no deficiency cited.
Inspection Report
Abbreviated Survey
Census: 214
Deficiencies: 0
Date: Nov 20, 2023
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint #GA00241139.
Complaint Details
Complaint #GA00241139 was investigated and found to be unsubstantiated with no deficiencies cited.
Findings
The complaint #GA00241139 was unsubstantiated with no deficiencies cited during the survey.
Inspection Report
Abbreviated Survey
Census: 188
Deficiencies: 0
Date: Jun 8, 2023
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00233588, #GA00233596, #GA00235699, and #GA00235734 at Roswell Nursing and Rehab from 6/6/23 through 6/8/23 on behalf of the Georgia Department of Community Health.
Complaint Details
Complaints #GA00233588, #GA00233596, #GA00235699, and #GA00235734 were investigated and found to be unsubstantiated.
Findings
The complaints investigated were unsubstantiated and no regulatory violations were cited during the survey.
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 3, 2023
Visit Reason
A Follow-Up Survey was conducted on 5/5/23 to verify correction of previously cited deficiencies.
Findings
The survey noted that all previously cited survey tags have been corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 3, 2023
Visit Reason
A follow-up survey was conducted to verify that all previously cited survey tags have been corrected.
Findings
The follow-up survey noted that all previously cited survey tags have been corrected.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Roswell Nursing & Rehab Center following a regulatory inspection.
Findings
The document contains a summary statement of deficiencies identified during the inspection, but no specific deficiencies or severity levels are detailed in the provided page.
Inspection Report
Re-Inspection
Census: 199
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 3/9/23 Recertification Survey.
Findings
All deficiencies cited in the prior 3/9/23 Recertification Survey were found to be corrected during the revisit survey.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Roswell Nursing & Rehab Center, indicating a regulatory inspection was conducted and deficiencies were identified requiring correction.
Findings
The document does not provide specific details of deficiencies or findings but serves as a formal statement of deficiencies and plan of correction following the inspection.
Inspection Report
Re-Inspection
Census: 199
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the 3/9/23 Recertification Survey.
Findings
All deficiencies cited as a result of the 3/9/23 Recertification Survey were found to be corrected.
Inspection Report
Routine
Census: 196
Deficiencies: 9
Date: Mar 9, 2023
Visit Reason
A standard survey was conducted from March 7 through March 9, 2023, including investigation of multiple complaint intake numbers, to assess compliance with Medicare/Medicaid regulations for long term care facilities.
Complaint Details
Complaint Intake Numbers GA00232775, GA00232697, GA00232503, and GA00233101 were investigated in conjunction with the standard survey.
Findings
The facility was found not in substantial compliance with multiple deficiencies including failure to ensure proper documentation of Do Not Resuscitate orders, inadequate oxygen use and monitoring, insufficient assistance with activities of daily living, lack of contracture management, poor meal quality, unsanitary kitchen storage and ice machines, improper COVID-19 infection control practices, failure to obtain vaccination consents prior to COVID-19 vaccine administration, and inadequate cleaning of resident rooms.
Deficiencies (9)
Failure to ensure Do Not Resuscitate document was signed by a concurring physician for one resident.
Failure to implement interventions for oxygen use, COVID-19 symptom, and vital sign monitoring for one resident.
Failure to provide adequate activities of daily living assistance as evidenced by insufficient showers for one resident.
Failure to provide care and services related to contracture management and range of motion for one resident.
Failure to serve meals that were palatable and attractive for two residents.
Failure to maintain dry storage room and basement ice maker in a sanitary manner.
Failure to provide proper source control for doffed PPE, improper cohorting and symptom monitoring of COVID-19 positive residents, and lack of water management program to prevent Legionella.
Failure to obtain vaccination consent prior to administering COVID-19 vaccines for four residents.
Failure to maintain clean resident rooms on three units due to inadequate housekeeping staffing and cleaning.
Report Facts
Resident census: 196
Sampled residents: 63
Residents reviewed for vaccination status: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Worker | Interviewed regarding DNR documentation | |
| Administrator | Interviewed regarding DNR documentation and restorative program | |
| Registered Respiratory Therapist | Interviewed regarding oxygen therapy awareness | |
| Registered Nurse/Assistant Director of Nursing | Interviewed regarding oxygen therapy and symptom monitoring | |
| Certified Nursing Assistant EE | Interviewed regarding bathing and hygiene care | |
| Licensed Practical Nurse GG | Interviewed regarding bathing refusals and PPE practices | |
| Certified Nursing Assistant FF | Interviewed regarding bathing care | |
| Functional Maintenance Supervisor LPN AA | Interviewed regarding contracture management and restorative program | |
| Therapy Manager | Interviewed regarding restorative and functional maintenance programs | |
| Occupational Therapist DD | Interviewed regarding splinting and range of motion | |
| Certified Food Manager | Interviewed regarding kitchen sanitation and ice machine cleaning | |
| Regional Food Service Director | Interviewed regarding menu changes and resident food preferences | |
| Infection Preventionist | Interviewed regarding COVID-19 infection control practices | |
| Licensed Practical Nurse HH | Interviewed regarding housekeeping challenges | |
| Housekeeping Supervisor | Interviewed regarding housekeeping staffing and cleaning | |
| Unit Clerk FF | Interviewed regarding housekeeping cleaning frequency |
Inspection Report
Annual Inspection
Census: 196
Deficiencies: 6
Date: Mar 9, 2023
Visit Reason
A Licensure Survey was conducted from March 7, 2023 through March 9, 2023 to assess compliance with licensure requirements and resident care standards at Roswell Nursing & Rehab Center.
Findings
The facility was found deficient in multiple areas including food service quality, infection control practices related to COVID-19, nursing care for resident needs, contracture management, and sanitation of kitchen storage and ice machines. Several residents reported dissatisfaction with food quality, and infection control lapses were noted in PPE management and COVID-19 symptom monitoring. Nursing care deficiencies included inadequate oxygen therapy monitoring, insufficient assistance with activities of daily living, and lack of contracture management. The dry storage room and basement ice maker were not maintained in a sanitary manner.
Deficiencies (6)
Facility failed to serve meals that were palatable and attractive for two residents.
Failed to provide proper source control by not providing receptacles for doffed PPE for seven residents on transmission based precautions.
Failed to properly manage COVID-19 positive residents by cohorting with COVID-19 negative residents without proper symptom monitoring.
Failed to have a water management program to prevent growth of Legionella and other waterborne pathogens.
Failed to provide nursing care in accordance with resident needs for three residents, including oxygen use monitoring, assistance with showers, and contracture management.
Failed to maintain dry storage room in kitchen and basement ice maker in a sanitary manner.
Report Facts
Residents sampled: 63
Facility census: 196
Residents with PPE receptacle deficiency: 7
Residents with nursing care deficiencies: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN GG | Licensed Practical Nurse | Interviewed regarding PPE doffing procedures and shower refusals |
| CNA BB | Certified Nursing Assistant | Interviewed regarding PPE doffing and contracture care |
| CNA CC | Certified Nursing Assistant | Interviewed regarding contracture care |
| LPN AA | Functional Maintenance Supervisor | Interviewed regarding Functional Maintenance Program and contracture management |
| Therapy Manager | Interviewed regarding therapy discharge and Functional Maintenance Program | |
| Assistant Director of Nursing | ADON | Interviewed regarding nursing care responsibilities and COVID-19 symptom monitoring |
| Certified Food Manager | CFM | Interviewed regarding kitchen sanitation and ice maker cleaning |
| Maintenance Director | Interviewed regarding water management and ice maker cleaning responsibilities | |
| Infection Preventionist | IP | Interviewed regarding infection control practices and PPE management |
Inspection Report
Life Safety
Census: 196
Capacity: 268
Deficiencies: 5
Date: Mar 7, 2023
Visit Reason
The inspection was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements, specifically focusing on fire safety and emergency preparedness.
Findings
The facility was found not in substantial compliance with emergency preparedness and multiple fire safety requirements including fire alarm system maintenance, sprinkler system maintenance, corridor door smoke resistance, and electrical safety. Specific deficiencies included unlabeled fire alarm batteries, loaded sprinkler head, missing sprinkler system data plate, resident doors not latching properly to resist smoke, and blocked electrical panel access.
Deficiencies (5)
Emergency Preparedness Program was not in substantial compliance; no documentation of specific update and signed attendance sheet.
Fire alarm system batteries were not labeled with the manufacturer's date.
Sprinkler system deficiencies including a loaded sprinkler head in the laundry and no system data design plate on the riser.
Resident corridor doors failed to resist passage of smoke; several doors would not close or latch properly.
Electrical safety issues including blocked emergency access to electrical panel in kitchen, unlabeled circuits, and a Multiple-Outlet Power Supply (MOPS) found on the floor in rehab office.
Report Facts
Census: 196
Total Capacity: 268
Smoke Compartments affected: 1
Rooms with door deficiencies: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour and interviews |
Inspection Report
Abbreviated Survey
Census: 189
Deficiencies: 0
Date: Feb 1, 2023
Visit Reason
An abbreviated/partial extended survey was conducted to investigate multiple complaints identified by their codes, initiated on January 12, 2023, and concluded on February 1, 2023.
Complaint Details
Complaints GA00230800, GA00231133, GA00231311, GA00231381, GA00231474, and GA00231573 were investigated and found unsubstantiated with no regulatory violations.
Findings
All complaints investigated during the survey were unsubstantiated with no regulatory violations cited.
Report Facts
Resident Census: 189
Inspection Report
Abbreviated Survey
Census: 186
Deficiencies: 0
Date: Jan 6, 2023
Visit Reason
An Abbreviated Survey was conducted from January 4, 2023 through January 6, 2023 to investigate multiple complaint numbers on behalf of the Georgia Department of Community Health by Ascellon Corporation.
Complaint Details
Complaints #GA00230785, #GA00229769, #GA00229718, #GA00229467, #GA00227869, #GA00227449, #GA00226446, #GA00224693, #GA00223850, #GA00222922, #GA00220644, #GA00220342, #GA000220343, #GA00220346, #GA00220040, #GA00218733 and #GA00218450 were unsubstantiated.
Findings
All complaints investigated during the survey were unsubstantiated and no deficiencies were cited.
Inspection Report
Complaint Investigation
Census: 182
Deficiencies: 0
Date: Oct 7, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted in conjunction with an Abbreviated/Partial Extended Survey investigating multiple complaints at Roswell Nursing and Rehabilitation from October 4, 2021 through October 7, 2021.
Complaint Details
Complaints #GA00214382, GA00217244, GA00214991, GA00218000, GA00218039, and GA00217802 were investigated and found to be unsubstantiated with no regulatory violations cited.
Findings
The complaints investigated were unsubstantiated with no regulatory violations cited. The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparedness.
Report Facts
Complaints investigated: 6
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Jun 24, 2021
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00215156 and #GA00215453.
Complaint Details
Complaint #GA00215156 was unsubstantiated. Complaint #GA00215453 was substantiated.
Findings
Complaint #GA00215156 was unsubstantiated, complaint #GA00215453 was substantiated, and no regulatory violations were cited.
Inspection Report
Re-Inspection
Census: 177
Deficiencies: 0
Date: May 3, 2021
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited during the February 24, 2021 COVID-19 Focus Infection Control Survey.
Findings
All deficiencies cited in the prior COVID-19 Focus Infection Control Survey were found to be corrected during this revisit survey.
Report Facts
Census: 177
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Apr 27, 2021
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints identified by their numbers, including GA00213880, GA00213863, GA00213554, GA00213460, GA00213427, and GA00213294.
Complaint Details
Complaints GA00213880, GA00213863, GA00213554, GA00213427, and GA00213294 were unsubstantiated with no deficiencies. Complaint GA00213460 was substantiated with no deficiencies.
Findings
The complaints GA00213880, GA00213863, GA00213554, GA00213427, and GA00213294 were unsubstantiated with no deficiencies found. Complaint GA00213460 was substantiated but also had no deficiencies.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Mar 23, 2021
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00212958, #GA00213091, and #GA00212826.
Complaint Details
Complaints #GA00212958, #GA00213091, and #GA00212826 were investigated and found to be unsubstantiated.
Findings
The complaints investigated were unsubstantiated and no regulatory violations were cited during the survey.
Inspection Report
Routine
Census: 186
Deficiencies: 1
Date: Feb 24, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted to assess the facility's compliance with infection prevention and control regulations, specifically related to COVID-19 preparedness and practices.
Findings
The facility was found not to be in compliance with infection control regulations due to failure to maintain and implement an effective infection prevention and control program. Specifically, a Corporate Maintenance staff member entered and re-entered the Observation Unit without sanitizing hands or donning required PPE, risking cross-contamination.
Deficiencies (1)
Corporate Maintenance staff member entered the Observation Unit without sanitizing hands and without donning required PPE (gown and gloves), risking infection transmission.
Report Facts
Residents on Observation Unit: 3
Facility census: 186
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corporate Maintenance staff member | Named in infection control deficiency for failure to follow PPE protocol | |
| Director of Nursing | Director of Nursing (DON) | Provided interview confirming PPE policy and education provided |
| Infection Control Preventionist | Infection Control Preventionist (ICP) | Provided interview on PPE expectations and infection control measures |
| Interim Administrator | Interim Administrator | Confirmed PPE protocol violation by maintenance staff |
Inspection Report
Complaint Investigation
Census: 182
Deficiencies: 0
Date: Jan 28, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey and a Complaint Survey investigating multiple complaints were conducted from January 26 to January 28, 2021.
Complaint Details
Complaints GA00208414, GA00210398, GA00211019, GA00210213, GA00211517, GA00209784, GA00210281, and GA00210350 were unsubstantiated. Complaint GA00210598 was substantiated with no deficiencies.
Findings
The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. Most complaints were unsubstantiated, with one complaint substantiated but with no deficiencies.
Report Facts
Resident Census: 182
Inspection Report
Routine
Census: 183
Deficiencies: 0
Date: Nov 30, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and a COVID-19 Focused Infection Control Survey were conducted to determine compliance with infection prevention and control practices related to COVID-19 and other communicable diseases.
Findings
The facility was found to be in compliance with 42 CFR §483.73 and 42 CFR 483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Sep 16, 2020
Visit Reason
The survey was conducted as an abbreviated/partial extended survey to investigate multiple complaints and assess the facility's infection control practices, including processes related to the COVID-19 virus.
Complaint Details
Complaints #GA00203681, #GA00204022, #GA00205473, #GA00205500, #GA00203682, and #GA00205700 were substantiated with no regulatory violations cited. Complaints #GA00206588, #GA00205020, #GA00200931, #GA00203680, #GA00204537, #GA00204646, #GA00204689, #GA00204825, #GA00204827, #GA00205395, #GA00205587, #GA00205990, #GA00206183, #GA00206521, #GA00206805, #GA00207128 were unsubstantiated with no regulatory violations cited.
Findings
Several complaints were investigated, with some substantiated but no regulatory violations cited. Other complaints were unsubstantiated with no regulatory violations. A focused infection control survey was conducted with no regulatory violations cited.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 3, 2020
Visit Reason
A desk review was conducted on documentation supporting completion of the approved plan of correction (POC) by the Fire Safety Supervisor.
Findings
The approved plan of correction has been followed and all citations have been corrected.
Inspection Report
Routine
Census: 188
Deficiencies: 0
Date: Sep 2, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted at Roswell Nursing and Rehabilitation Center to assess compliance with CMS and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness and 42 CFR 483.80 related to infection control regulations.
Report Facts
Total census: 188
Inspection Report
Deficiencies: 0
Date: Aug 4, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for Roswell Nursing & Rehab Center, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.
Inspection Report
Deficiencies: 0
Date: Aug 4, 2020
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Roswell Nursing & Rehab Center, indicating a regulatory inspection was conducted.
Findings
No specific deficiencies or findings are detailed in the provided document.
Inspection Report
Routine
Census: 117
Deficiencies: 0
Date: Jun 16, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness Survey and Infection Control Survey were conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing recommended practices to prepare for COVID-19.
Report Facts
Total census: 117
Inspection Report
Renewal
Deficiencies: 3
Date: Feb 27, 2020
Visit Reason
The inspection was conducted as a Licensure Survey to assess compliance with state and federal regulations for Roswell Nursing & Rehab Center.
Findings
The facility was found deficient in monitoring behaviors and side effects for a resident on antidepressant medication, developing a comprehensive care plan for self-administration of medications, and securing portable oxygen tanks properly. Policies related to psychotropic drug monitoring and care planning lacked necessary documentation.
Deficiencies (3)
Failed to ensure monitoring for behaviors and side effects for a resident on an antidepressant medication.
Failed to develop a comprehensive care plan for self-administration of medications for a resident.
Failed to secure three portable oxygen tanks in a resident's room, posing a safety risk.
Report Facts
Residents reviewed: 39
Residents reviewed: 5
Portable oxygen tanks: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Manager | Confirmed monitoring requirements and care plan deficiencies | |
| Risk Manager | Verified facility policy deficiencies regarding psychotropic drug monitoring | |
| Director of Nursing | DON | Confirmed lack of care plan for self-administration of medication |
| Staff Development Coordinator | RN | Confirmed oxygen tank safety requirements |
Inspection Report
Recertification With Complaints
Census: 205
Deficiencies: 7
Date: Feb 27, 2020
Visit Reason
A recertification with complaints survey was conducted by Healthcare Management Solutions, LLC on behalf of the Centers for Medicare & Medicaid Services (CMS) to assess compliance with federal regulations.
Complaint Details
The survey was a recertification with complaints survey. No deficiencies were issued related to specific complaint intakes GA00202778, GA00202088, GA00199021, GA00199884, GA00199293.
Findings
The facility was found not to be in substantial compliance with 42 CFR 483 subpart B. Deficiencies included failure to evaluate and document safe self-administration of medications, failure to develop comprehensive care plans, inadequate updating of care plans for fall risk, unsecured oxygen tanks, duplicate medications, lack of monitoring for psychotropic medication side effects, and failure to implement an antibiotic stewardship program.
Deficiencies (7)
Facility's interdisciplinary team failed to determine if self-administration of eye drops was safe for a resident, resulting in unsafe storage and administration.
Facility failed to develop a comprehensive care plan for self-administration of medications for a resident.
Facility failed to update resident care plans for fall risk interventions for two residents, resulting in inappropriate or missing interventions.
Facility failed to secure three portable oxygen tanks in a resident's room, posing a risk of injury.
Facility failed to ensure one resident received duplicate multivitamin medications, risking overdose.
Facility failed to ensure monitoring for behaviors and side effects for a resident on an antidepressant medication.
Facility failed to develop and implement a comprehensive plan to monitor antibiotic use for a resident, including incorrect documentation of indication and lack of physician clarification.
Report Facts
Survey Census: 205
Sample Size: 39
Supplemental Residents: 1
Fall Risk Score: 19
Fall Risk Score: 20
Medication Orders: 2
Antibiotic Dose: 550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | Confirmed eye drops were administered by nursing staff and residents did not self-administer | |
| Nurse Manager | Explained resident self-administered eye drops without evaluation or physician order; verified care plan deficiencies; explained fall risk care plan interventions and SBAR reporting | |
| Director of Nursing (DON) | Confirmed resident self-administered eye drops without evaluation or care plan; confirmed care plan deficiencies and antibiotic indication errors | |
| Staff Development Coordinator/RN | Confirmed oxygen tanks should be secured in holders | |
| Consulting Pharmacist | Acknowledged duplicate multivitamin therapy and risk of overdose | |
| Risk Manager | Confirmed missing SBAR reports and care plan updates for falls | |
| Infection Preventionist/LPN | Confirmed incorrect antibiotic indication documentation and lack of physician clarification |
Inspection Report
Life Safety
Census: 205
Capacity: 268
Deficiencies: 2
Date: Feb 24, 2020
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and building codes.
Findings
The facility was found not in substantial compliance with the Life Safety Code due to failure to maintain the wet sprinkler system, evidenced by a yellow tag on the sprinkler riser, and failure to seal multiple penetrations above the ceiling at smoke barriers in Jasmine Place and Emerald Court/Memory Care.
Deficiencies (2)
Failure to maintain the wet sprinkler system; sprinkler riser showed a yellow tag denoting sprinkler violations.
Failure to seal multiple penetrations above the ceiling at smoke barriers at Jasmine Place and Emerald Court/Memory Care.
Report Facts
Census: 205
Certified Beds: 268
Residents at risk due to sprinkler violations: 100
Residents at risk due to smoke barrier penetrations: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M confirmed findings related to sprinkler violations and smoke barrier penetrations |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 25, 2019
Visit Reason
A complaint survey was conducted from 7/18/19 to 7/25/19 to investigate multiple complaints identified by their codes, by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
The survey investigated complaints GA00197013, GA196643, GA00196105, GA00198158, GA00197799, GA001977729, GA00197656, GA00197208, GA00198354, and GA00197143 and found no deficiencies.
Findings
No deficiencies were cited during the complaint survey.
Inspection Report
Complaint Investigation
Census: 196
Deficiencies: 0
Date: Mar 22, 2019
Visit Reason
A revisit and complaint survey were conducted at Roswell Nursing and Rehabilitation Center from March 18, 2019 through March 22, 2019 to assess compliance with Medicare/Medicaid regulations.
Complaint Details
The complaint was investigated and found to have no citations; the facility was in unsubstantial compliance with regulations.
Findings
The revisit and complaint survey found unsubstantial compliance with Medicare/Medicaid regulations with no citations related to the complaint.
Report Facts
Resident Census: 196
Inspection Report
Re-Inspection
Census: 196
Deficiencies: 0
Date: Mar 22, 2019
Visit Reason
A revisit and complaint survey were conducted at Roswell Nursing and Rehabilitation Center from March 18, 2019 through March 22, 2019 to assess compliance with Medicare/Medicaid regulations.
Complaint Details
The survey was complaint-related but no citation was issued related to the complaint.
Findings
The revisit revealed that the facility was not in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B. No citation was related to the complaint.
Report Facts
Resident census: 196
Inspection Report
Abbreviated Survey
Deficiencies: 0
Date: Nov 16, 2018
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate complaints GA00192639 and GA00192701.
Complaint Details
The complaints GA00192639 and GA00192701 were investigated and substantiated with no deficiencies.
Findings
The investigation of complaints GA00192639 and GA00192701 was substantiated with no deficiencies found.
Inspection Report
Re-Inspection
Census: 212
Deficiencies: 0
Date: Nov 16, 2018
Visit Reason
A revisit survey was conducted from 11/13/18 through 11/16/18 in conjunction with complaint investigations of intake numbers GA00192639 and GA00192701.
Complaint Details
Complaint Intake Numbers GA00192639 and GA00192701 were investigated and both were substantiated.
Findings
The revisit survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations. Both complaint investigations were substantiated, but no deficiencies were cited.
Report Facts
Complaint Intake Numbers: GA00192639 and GA00192701
Inspection Report
Routine
Census: 213
Deficiencies: 14
Date: Sep 28, 2018
Visit Reason
A standard survey was conducted including complaint investigations and review of compliance with Medicare/Medicaid regulations.
Complaint Details
Complaint Intake Numbers GA00191417, GA00191356, GA00190910, GA00190845, GA00190868 and GA00190551 were investigated. Five of these were substantiated with deficiencies cited.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including accounting of resident funds, safe and clean environment, care plan implementation, medication administration, infection control, staffing information posting, and food safety.
Deficiencies (14)
Facility failed to provide quarterly financial statements for resident trust fund accounts as required.
Facility failed to maintain a safe, clean, comfortable, and homelike environment including cleanliness and maintenance issues on multiple units.
Facility failed to follow care plans for showers, shampooing, nail care, and monitoring behaviors and medication side effects for several residents.
Facility failed to update care plan to reflect restorative walking plan discussed in patient care conference for a resident.
Facility failed to ensure medication administration records were completed and failed to reconcile narcotic medications accurately.
Facility failed to ensure medication carts were locked and secure on the memory care unit.
Facility failed to ensure kitchen staff wore complete hair restraints.
Facility failed to ensure infection prevention and control including proper cleaning and labeling of resident care equipment and glucometers.
Facility failed to post complete nurse staffing information daily including per patient day data.
Facility failed to ensure psychotropic medication PRN orders were not continued beyond 14 days without physician review and failed to monitor behaviors and side effects for a resident on psychotropic medications.
Facility failed to ensure medication error rate was below 5%, with errors observed in medication administration.
Facility failed to ensure food service staff wore proper hair restraints.
Facility failed to ensure oxygen equipment was clean and humidification was provided as ordered.
Facility failed to ensure handrails were firmly secured on two of four units.
Report Facts
Resident census: 213
Resident trust fund accounts: 123
Medication error rate: 11.54
Dental premium: 125
Missed medication documentation: 11
Missed medication documentation: 20
Missed medication documentation: 23
Missed medication documentation: 18
Missed medication documentation: 19
Missed medication documentation: 12
Missed medication documentation: 7
Missed medication documentation: 7
Missed medication documentation: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN I | Licensed Practical Nurse | Notified of missing Morphine Sulfate tablet but failed to notify pharmacy or supervisors immediately |
| RN LL | Registered Nurse | Medication administration errors including failure to have resident rinse mouth after Fluticasone and giving incorrect Vitamin C dose |
| LPN MM | Licensed Practical Nurse | Medication administration error giving one Keppra tablet instead of two |
| LPN NN | Licensed Practical Nurse | Failed to disinfect glucometer between resident uses |
| CNA VV | Certified Nursing Assistant | Described process for documenting showers and refusals |
| CNA WW | Certified Nursing Assistant | Described shower assignment and process |
| Line Cook AAA | Line Cook | Observed with hair braid not covered by hair restraint |
| Dietary Aid BBB | Dietary Aid | Observed with hair braid not covered by hair restraint |
| Director of Nursing OO | Director of Nursing | Verified unlocked medication carts and expectations for locking |
| Social Worker TT | Social Worker | Discussed dental program enrollment and resident preferences |
| DON | Director of Nursing | Discussed PRN medication orders and documentation expectations |
| Unit Manager CC | Unit Manager/LPN | Discussed restorative walking plan and lack of follow through |
| MDS/LPN QQ | MDS Nurse/LPN | Attended patient care conference and confirmed restorative walking plan not implemented |
| Maintenance Supervisor | Not aware of medical equipment power strip safety concerns or loose handrails | |
| LPN JJ | Licensed Practical Nurse | Described oxygen tubing and humidification bottle change schedule |
| Unit Manager KK | Unit Manager | Verified oxygen tubing and humidification bottle issues |
| LPN MM | Licensed Practical Nurse | Medication administration error for Keppra dose |
| LPN I | Licensed Practical Nurse | Reported missing Morphine tablet but delayed notification |
| LPN G | Licensed Practical Nurse | Medication administration error for Morphine and Xanax documentation |
| RN E | Registered Nurse | Forgot to sign medication administration record |
| CNA AAA | Certified Nursing Assistant | Observed not washing hands between residents and not cleaning overbed table |
| Line Cook AA | Line Cook | Observed hair braid not covered by hair restraint |
| Dietary Aid BB | Dietary Aid | Observed hair braid not covered by hair restraint |
| LPN NN | Licensed Practical Nurse | Failed to disinfect glucometer between resident uses |
Inspection Report
Routine
Census: 213
Deficiencies: 3
Date: Sep 28, 2018
Visit Reason
The inspection was conducted to evaluate compliance with pharmacy management, nursing care, and infection control regulations at Roswell Nursing & Rehab Center.
Findings
The facility failed to ensure proper medication management for antianxiety and psychotropic medications, did not follow care plans for resident hygiene and behavior monitoring, and had multiple infection control deficiencies including improper disinfection of glucometers and unsanitary storage of personal care equipment.
Deficiencies (3)
Antianxiety medication was administered beyond the specified time and behavior and medication side effect monitoring was not conducted for residents receiving psychotropic medications.
Failure to follow plan of care for showers, shampooing, nail care, and monitoring behaviors and side effects of antipsychotic medication for multiple residents.
Glucometer was not disinfected after each resident use and resident personal care equipment was not stored in a sanitary manner.
Report Facts
Facility census: 213
Sample size: 60
Medication order duration: 60
Days with missing documentation: 20
Days with missing documentation: 25
Days with missing documentation: 21
Days with missing documentation: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NN | Licensed Practical Nurse (LPN) | Observed not disinfecting glucometer between resident uses |
| OO | Director of Nursing (DON) | Provided interviews regarding medication administration and infection control expectations |
| CC | Charge Nurse | Admitted to not consistently reviewing medication administration records and behavioral documentation |
| DD | Certified Nursing Assistant (CNA) | Reported difficulty caring for resident #23 with behavioral issues |
| AAA | Certified Nursing Assistant (CNA) | Observed not using hand sanitizer or washing hands after resident care tasks |
Inspection Report
Life Safety
Census: 268
Capacity: 268
Deficiencies: 0
Date: Sep 25, 2018
Visit Reason
A Life Safety Code Survey was conducted to review the emergency preparedness plan and compliance with fire safety regulations at Roswell Nursing and Rehab Center.
Findings
The facility was found to be in substantial compliance with the requirements for participation in Medicare/Medicaid at 42 CFR Subpart 483.70(a), Life Safety from fire, and the related NFPA 101 Life Safety Code 2012 edition. The emergency preparedness plan was also in substantial compliance with Appendix Z requirements.
Inspection Report
Re-Inspection
Census: 204
Deficiencies: 0
Date: Jul 17, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the May 17, 2018 survey related to complaint GA 00187081.
Complaint Details
The visit was a follow-up to investigate complaint GA 00187081; deficiencies were corrected.
Findings
All deficiencies cited as a result of the May 17, 2018 complaint investigation survey were found to be corrected.
Inspection Report
Re-Inspection
Census: 204
Deficiencies: 0
Date: Jul 17, 2018
Visit Reason
A revisit survey was conducted from 7/16/18 to 7/17/18 in conjunction with investigation of Complaint Intake Number GA00189770.
Complaint Details
Complaint Intake Number GA00189770 was investigated and found unsubstantiated.
Findings
All deficiencies cited as a result of the 5/17/18 Complaint Survey were found to be corrected. The complaint investigation GA00189770 was found unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 20, 2018
Visit Reason
A complaint survey was conducted on 6/19/18 through 6/20/18 to investigate complaints GA00189189 and GA00189336 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
Investigation of complaints GA00189189 and GA00189336; no deficiencies were cited.
Findings
No deficiencies were cited during the complaint survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 6, 2018
Visit Reason
A complaint survey was conducted to investigate complaints #GA00188850 and GA00189073 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
The survey was conducted in response to complaints #GA00188850 and GA00189073; no deficiencies were found, indicating the complaints were not substantiated.
Findings
No deficiencies were cited during the complaint survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 20, 2018
Visit Reason
A complaint survey was conducted to investigate complaints #GA00186233, GA00186324, GA00186509, and GA00186639 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
The survey was conducted in response to multiple complaints, and no deficiencies were found, indicating no substantiated issues.
Findings
No deficiencies were cited during the complaint survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 2, 2018
Visit Reason
The inspection was conducted to investigate complaint #GA00183276 and determine compliance with Federal and State Long Term Care regulations.
Complaint Details
Complaint #GA00183276 was investigated and found to have no deficiencies.
Findings
No deficiencies were cited during the complaint survey at Roswell Nursing and Rehabilitation Center.
Inspection Report
Life Safety
Census: 220
Capacity: 251
Deficiencies: 0
Date: Nov 7, 2017
Visit Reason
The visit 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 2012 Edition.
Findings
The facility was found in substantial compliance with the Life Safety Code requirements for participation in Medicare/Medicaid at 42 CFR Subpart 483.70(a) and the NFPA 101 Life Safety Code 2012 Edition.
Inspection Report
Complaint Investigation
Census: 218
Deficiencies: 0
Date: Nov 2, 2017
Visit Reason
A standard survey was conducted from October 30, 2017 through November 3, 2017, including investigation of Complaint Intake Numbers GA00180299 and GA00180780 in conjunction with the standard survey.
Complaint Details
Complaint Intake Number GA00180299 and GA00180780 were investigated in conjunction with the standard survey.
Findings
The standard survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B - Requirements for Long Term Care Facilities.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Sep 8, 2017
Visit Reason
A revisit survey was conducted on September 8, 2017, to verify correction of deficiencies cited in the July 19, 2017 Complaint Survey. Additionally, Complaint Intake Number GA00179163 was investigated in conjunction with this revisit survey.
Complaint Details
Complaint Intake Number GA00179163 was investigated and found to be unsubstantiated with no deficiencies cited.
Findings
All deficiencies cited as a result of the July 19, 2017 Complaint Survey were found to be corrected. The complaint investigation found GA00179163 to be unsubstantiated and no deficiencies were cited.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Sep 8, 2017
Visit Reason
A revisit survey was conducted on September 8, 2017, in conjunction with the investigation of Complaint Intake Number GA00179163.
Complaint Details
Complaint Intake Number GA00179163 was investigated and found to be unsubstantiated with no deficiencies cited.
Findings
All deficiencies cited as a result of the July 19, 2017 Complaint Survey were found to be corrected. The complaint investigation was unsubstantiated and no deficiencies were cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 26, 2017
Visit Reason
The inspection was conducted as a Complaint Survey to investigate complaint #GA 00178946 and determine compliance with Federal and State Long Term Care regulations.
Complaint Details
Complaint #GA 00178946 was investigated and found to have no deficiencies.
Findings
No deficiencies were cited during the complaint survey at Roswell Nursing and Rehabilitation Center.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 26, 2017
Visit Reason
The inspection was conducted to investigate complaints #GA00175405, #GA00175289, and #GA00175190 to determine compliance with Federal and State Long Term Care regulations.
Complaint Details
The survey was complaint-related, investigating three specific complaints, and found no deficiencies.
Findings
No deficiencies were cited during the complaint survey conducted on 5/24/17-5/25/17.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 7, 2017
Visit Reason
A complaint survey was conducted on May 7th, 2017 at Roswell Nursing and Rehab to investigate complaint GA00174437.
Complaint Details
Complaint GA00174437 was investigated and found to be unsubstantiated due to lack of evidence.
Findings
The complaint was investigated and found to be unsubstantiated due to lack of evidence.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 29, 2017
Visit Reason
The inspection was conducted to investigate complaints #GA00170419, GA00171594, and GA00173162 at Roswell Nursing and Rehab Center to determine compliance with Federal and State Long Term Care regulations.
Complaint Details
The complaint investigation found no deficient practices related to the complaints.
Findings
No deficient practice was cited related to the complaints during the complaint survey conducted on 3/29/17 - 3/30/17.
Report
Jul 2, 2025
Report
Feb 20, 2025
Report
Feb 20, 2025
Report
Mar 9, 2023
Report
Mar 9, 2023
Report
Feb 27, 2020
Viewing
Loading inspection reports...
