SHAWNEE, KS — Federal health inspectors identified five deficiencies at Brookdale Rosehill during a standard health inspection completed on December 10, 2025, including a citation for failing to ensure residents' drug regimens were free from unnecessary medications.
Pharmacy Service Deficiency at Brookdale Rosehill
Inspectors cited the Shawnee facility under regulatory tag F0757, a federal standard that requires nursing homes to ensure each resident's medication regimen is free from unnecessary drugs. The citation falls under the broader category of pharmacy service deficiencies, which address how facilities manage, review, and administer medications to residents.
The deficiency was classified at Scope/Severity Level D, meaning it was isolated in nature with no documented actual harm, but carried the potential for more than minimal harm to residents. While this is not the most severe classification on the federal scale, it signals a gap in medication oversight that could lead to adverse outcomes if left unaddressed.
Notably, as of the inspection date, Brookdale Rosehill has not submitted a plan of correction for this deficiency — a required step in the federal compliance process.
Why Unnecessary Medications Pose Risks
The federal requirement under F0757 exists because unnecessary medications carry well-documented health risks, particularly for elderly nursing home residents. An unnecessary drug is generally defined as one that is prescribed without adequate clinical indication, is given at an excessive dose, is continued for longer than clinically warranted, or is used without adequate monitoring.
Older adults are especially vulnerable to adverse drug effects due to age-related changes in how the body processes medications. Kidney and liver function naturally decline with age, which can cause drugs to accumulate in the body at higher-than-intended levels. This makes routine medication reviews a critical component of nursing home care.
Antipsychotic medications, sedatives, and certain anti-anxiety drugs are among the most commonly flagged unnecessary medications in nursing home settings. These drug classes carry risks including excessive sedation, increased fall risk, cognitive decline, and cardiovascular complications. Federal regulators have placed particular emphasis on reducing the use of antipsychotic medications in nursing homes over the past decade due to evidence linking them to increased mortality in elderly patients with dementia.
Federal Standards for Medication Management
Under federal regulations, nursing homes are required to conduct regular drug regimen reviews for every resident. A licensed pharmacist must review each resident's complete medication list at least once per month and report any irregularities to the attending physician and the facility's director of nursing.
When a pharmacist identifies a potentially unnecessary medication, the attending physician is required to act on the recommendation within a set timeframe — either by adjusting the medication regimen or by documenting a clinical rationale for continuing the drug. Facilities that fail to complete this process risk citations under F0757.
The expectation is that each medication a resident receives serves a clear clinical purpose, is prescribed at the lowest effective dose, and is regularly reassessed as the resident's condition changes.
No Correction Plan Filed
One notable aspect of this citation is the facility's lack of a submitted plan of correction. When a nursing home receives a deficiency citation, federal regulations require the provider to develop and submit a detailed plan outlining how it will address the problem and prevent recurrence. The absence of such a plan raises questions about the facility's response to the inspection findings.
This pharmacy deficiency was one of five total deficiencies identified during the December 2025 inspection of Brookdale Rosehill. The full scope of all five citations provides a broader picture of the facility's compliance status at the time of the survey.
What Families Should Know
Families with loved ones at Brookdale Rosehill may want to request a current list of all medications being administered and ask whether a recent pharmacy review has been completed. Residents and their representatives have the right under federal law to be informed about their medications and to participate in care planning decisions.
The full inspection report, including details on all five deficiencies cited during the December 2025 survey, is available for review on the facility's profile page on NursingHomeNews.org.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Brookdale Rosehill from 2025-12-10 including all violations, facility responses, and corrective action plans.
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