Rosewood Nursing Center
Rosewood Nursing Center in Lake Charles, LA — inspection on March 31, 2026.
Found 1 citation. 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
Review of the coffee temperature log at 6:30 a.m., 10:00 a.m., and 2:00 p.m. from 03/16/2026 through 03/30/2026 revealed temperatures were between 122 - 130 degrees F as per the facility's policy.
Observations on 03/30/2026 and 03/31/2026 revealed coffee was distributed in cups with lids.
Observation on 3/30/2026 of prepared carafes temperature prior to being served to residents was 120.3 degrees F. On 03/30/2026 at 2:22 p.m.
S9ACT was observed pouring coffee into blue cups and placing lids on the cups prior to giving it to the residents. On 3/30/2026 at 1:55 p.m., an interview and observation of coffee temperatures was conducted with S5DM.
She stated the coffee had already been prepared, temped.
Upon request S5DM obtained the temperatures again, readings were both 120.3.On 03/31/2026 at 8:30 a.m., several residents were observed in activity room drinking coffee from blue cups with lids.On 03/31/2026 at 11:38 a.m., observed resident #R8 in activity room with cup with lid. He stated he was drinking coffee.The facility implemented the following actions to correct the deficient practice: I. On 03/15/2026, the facility began an immediate investigation.On 03/16/2026, a suspension was immediately implemented for S8DA who temped the coffee on 3/12/26 at the incorrect temperature.On 03/20/2026, upon completion of the investigation, a termination was implemented for S8DA. II. On 03/16/2026, education and in-service for all clinical and dietary staff were re-educated on the Hot Beverage Policy.On 03/16/2026, an audit of all resident's plan of care was completed.On 03/16/2026, a skin audit of residents that had impaired cognition or nonverbal was conducted to ensure no other residents were affected.On 03/16/2026, a questionnaire was completed for all other residents who are verbal and hold a BIMS score of 13 or higher.Previously, on 03/02/2026, residents began complaining about the chilled temperature of the coffee because they wanted it hotter.
The administrator then called a Resident Council meeting on 3/2/2026 to educate residents on the Hot Beverage policy. III. On 03/16/2026, QAPI meeting was held by ID team to discuss progression of the investigation and why this past noncompliance was developed and implemented.On 03/16/2026, Community Medical Director notified of event.On 03/16/2026 through 03/17/2026, a mandatory meeting called at the facility for all clinical staff and dietary staff to in-service on the Hot Beverage Policy and Abuse, Neglect, and Timely reporting policy, and lids placed on all coffee drinks prior to serving.On 03/16/2026, reeducation completed with dietary manager and dietary staff on following Hot Beverage policy, temp requirement and who is responsible for temping hot beverage.Education will require staff return demonstration from dietary staff of temping hot beverage with the thermometer to validate competency.
Dietary staff will not be allowed to return to duty until completion of education and return demonstration. IV.
Quality Assurance plans to monitor facility compliance to make sure that corrections are achieved and permanent.Routine reviews will be completed 3 times a week for 90 days on sample selection of facility staff using abuse, neglect timely reporting quiz to assess knowledge base. To be completed by June 14, 2026.Routine reviews will be completed by S1ADM, S2DON, S5DM of dietary staff 3 times per week for 90 days.
Results of routine review will be reported during morning stand up meeting. To be completed by June 14, 2026 V.
Date of Compliance was 03/17/2026.Anticipatory monitoring completion date by 06/14/2026.