Inspection Reports for The Gardens of Rose Hill

The facility has not corrected all deficiencies; specifically, the HVAC equipment is not maintained in an operable condition, with 5 heat pumps not working and corridor temperatures between 78-79 degrees Fahrenheit.

The facility was found to have multiple deficiencies including unsafe electrical outlets in wet locations, failure to maintain fire safety equipment and building systems in safe and operable condition, non-operable plumbing components, HVAC equipment issues, and non-functioning exhaust fans in required areas.

The facility failed to ensure quarterly licensed health professional support evaluations were completed for one sampled resident and failed to ensure medications were administered as ordered for three sampled residents, including errors with medications for high blood pressure, asthma, hyperphosphatemia, irritable bowel syndrome, and nerve pain. Documentation and adherence to medication parameters such as vital sign checks prior to administration were inadequate.

The facility was found to have multiple deficiencies including unsafe and inoperable shower rooms, electrical outlets in wet locations lacking ground fault interrupters, plumbing system issues such as an incorrect air gap on the ice machine drain, and non-operable exhaust fans in various areas.

The facility failed to administer medications as ordered for residents, including errors with topical pain medications for Resident #7 and failure to observe residents taking medications for Residents #1 and #6. Medication aides left medications unattended and did not follow proper administration protocols.

The inspection included a complaint investigation as part of the annual survey conducted from January 14-16, 2020.

The facility failed to maintain cleanliness and protect food from contamination in the kitchen and food storage areas, and failed to administer medications as ordered to one resident. Additionally, the facility failed to observe proper medication administration procedures by leaving a steroid cream in a resident's room.

The facility was found not to be maintained free of hazards, including a broken concrete bench with a rough edge on the patio. Additionally, fire safety equipment was not maintained in operating condition, including a non-operational 4" butterfly valve for the dry sprinkler system, missing cover for fire alarm connections in the wet system riser, and sprinkler heads around the kitchen hood coated with grease and dust.

Multiple deficiencies were identified including unsecured janitor closets with cleaning agents, unsafe and unmaintained outside premises, poor housekeeping and furnishings, lack of fire safety rehearsal records, fire safety system penetrations and equipment not maintained in safe operating condition, fire doors propped open, electrical hazards, and inadequate exhaust ventilation.

The survey found deficiencies including inadequate documentation of fire safety rehearsals on each shift, corridor doors that do not close and latch properly presenting fire safety risks, and hot water temperatures exceeding the maximum allowed limit, posing a risk of burns to residents.

The facility had multiple deficiencies including a non-functioning NFPA 13 wet sprinkler system since January 2014, compromised one-hour fire rated walls and ceilings with unsealed penetrations, propped open fire rated doors, cross-corridor doors failing to latch, lack of monthly inspection of the kitchen range hood fire suppression system, ice machine drain line improperly installed, and hot water temperature exceeding the maximum allowed, posing safety risks to residents and staff.