Roseville Point Health & Wellness Center
Roseville Point Health & Wellness Center in Roseville, CA — inspection on September 2, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 9/2/25 at 3:30 p.m. with the Administrator (ADM), ADM confirmed Resident 3 touched Resident 2's lap near the groin area and stated the incident was witnessed by AA. A review of the facility's policy titled, Abuse Prevention and Management, dated 6/12/24, indicated, The Facility does not condone any form of resident abuse, neglect, misappropriation of resident property, exploitation, and/or mistreatment.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
056139 09/02/2025
Roseville Point Health & Wellness Center 600 Sunrise Avenue Roseville, CA 95661
During an interview on 9/2/25 at 2:20 p.m. with Activity Assistant (AA), AA stated while she was conducting facility activities in the activity room on 9/1/25 around 10 a.m., she observed Resident 3 touching with his left hand Resident 2's lap near the groin area. AA immediately gestured Resident 3 to stop and separated him from Resident 2. AA further stated she did not report the incident to proper agencies or notify her supervisor. A review of a document titled, Report of Suspected Dependent Adult/Elder Abuse (SOC 341), dated 9/2/25, indicated on 9/1/25 around 10 a.m. Resident 3 was seen sitting next to Resident 2 and moving his hand up and down touching Resident 2's private area.
The report further indicated staff told Resident 3 to stop and escorted him out of the room. A review of a document titled, Fax Log, dated 9/2/25, indicated the facility faxed the SOC 341 to the Department on 9/2/25 at 9:59 a.m.
During an interview on 9/2/25 at 3:30 p.m. with the Administrator (ADM), ADM stated the expectation was to report the alleged sexual abuse incident immediately within two hours. A review of the facility's policy titled, Abuse Prevention and Management, dated 6/12/24, indicated, The facility will report all allegations of abuse and criminal activity as required by law and regulations to the appropriate agencies .
Reports of resident abuse, mistreatment, neglect, exploitation, injuries of an unknown source, and any suspicion of crimes are promptly reported and thoroughly investigated.
056139 09/02/2025
Roseville Point Health & Wellness Center 600 Sunrise Avenue Roseville, CA 95661
During an observation on 9/2/25 at 10:31 a.m. inside Resident 6's room, the Housekeeper was observed not wearing the proper PPE while cleaning the room.
Housekeeper stated he was aware that Resident 6 was on Enhanced Barrier Precaution (EBP, infection control intervention to reduce transmission of resistant organisms).
During a concurrent observation and interview on 9/2/25 at 10:40 a.m. with Licensed Nurse 1 (LN 1) inside Resident 6's room, LN 1 confirmed there was a sign outside Resident 6's room indicating he was placed on EBP and the Housekeeper was not wearing a gown while cleaning Resident 6's room. LN 1 stated staff should follow the EBP when providing care to Resident 6.
During a concurrent interview and record review on 9/2/25 at 12:35 p.m. with the Director of Staff Development (DSD), Resident 6's Physician Order was reviewed. DSD confirmed Resident 6 was placed on EBP due to his pressure ulcer. DSD stated the Housekeeper should have followed infection prevention and control practices by donning gloves and gown while cleaning Resident 6's room to prevent the spread of infection and decrease putting other residents at risk. A review of the facility's policy titled, Enhanced Barrier Precautions, revised in October 2024, indicated, .
Enhanced Barrier Precautions . will be used in the facility . EBP is employed for resident care . at risk of transmission . include residents with chronic wound .
Use of EBP by Environmental Services . EVS personnel should use gown and gloves while cleaning and disinfecting the environment around residents on EBP . cleaning and disinfecting high touch surfaces such as bed rails . bed side tables or stands on or near the resident's space.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.