Rosewood Heights
ROSEWOOD HEIGHTS in KILLEEN, TX — inspection on April 18, 2025.
Found 2 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
Review of the in-services dated 04/03/25 reflected the Regional Director of Clinical Operations educated the DON, ADON, and MDS nurse on validating completion of admission assessments, base line care plans with person-centered care being completed withing 48 hours of the resident's admission, and Abuse/Neglect and Resident Rights.
Review of the in-service initiated on 04/03/25 and continuing 04/04/25, reflected the DON and ADON provided education to licensed nurses on the process of completing the admission/readmission assessment in its entirety and completion of the baseline care plan within 48 hours.
Nurses from all shifts were in-serviced.
During interviews on 04/04/25 from 4:17 PM to 6:22 PM, 4 LVNs and 3 RNs from both shifts stated they had been in-serviced on the Kardex, baseline care plans, and resident-centered interventions.
The nurses were able to state the baseline care plans were developed within 48 hours after admission.
The nurses stated the care plans included information, including fall interventions, needed to care for the residents.
The nurses stated fall interventions included reminding the resident to use the call light to call for assistance, not leaving the resident alone in the room while up in a wheelchair, anticipating needs, and keeping items within reach.
The nurses stated the Kardex was like a guidebook or snapshot of care the residents needed.
During an interview on 04/04/25 at 5:13 PM, the DON stated she had been in-serviced by the RDCO on baseline care plans.
She stated the baseline care plans were completed within 48 hours and interventions, including fall interventions, were implemented.
She stated she had been in-serviced on the process of validating the completion of admission/readmission assessments and ongoing monitoring.
The information was discussed in the morning meeting to confirm the interventions were in place to meet the resident needs.
The DON stated she had been in-serviced on ANE.
She was able to speak to the policy.
The DON stated after she was in-serviced, she and other administrative nurses in-serviced other nursing staff on the same topics.
The ADM was notified on 04/04/25 at 7:15 PM that the IJ had been removed.
While the IJ was removed, the facility remained at a scope of isolated an a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems.
455503
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 455503 B.
Wing 04/18/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Rosewood Retirement Community 5700 E Central Texas Expwy Killeen, TX 76543
During an interview on 04/04/25 at 5:13 PM, the DON stated she was in-serviced by the RDCO on baseline care plans.
She stated the baseline care plans were completed within 48 hours and interventions, including fall interventions, were implemented.
She stated she had been in-serviced on the process of validating the completion of admission/readmission assessments and ongoing monitoring.
The information was discussed in the morning meeting to confirm the interventions were in place to meet the resident needs.
The DON stated she had been in-serviced on ANE.
She was able to speak to the policy.
The DON stated after she was in-serviced, she and other administrative nurses in-serviced other nursing staff on the same topics.
The DON stated she would be reviewing all admission/readmission assessments going forward to ensure all interventions for falls were place.
She stated she would also be conducting audits frequently on care plans to validate the fall interventions.
455503
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 455503 B.
Wing 04/18/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
The Rosewood Retirement Community 5700 E Central Texas Expwy Killeen, TX 76543