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Complaint Investigation

Rosewood Heights

April 18, 2025 · Killeen, TX · 5700 E Central Texas Expwy
Citations 2
CMS Rating 3/5
Beds 64
Provider ID 455503
Healthcare Facility
Rosewood Heights
Killeen, TX  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF655
Immediate 4/3/2025

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

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in KILLEEN, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROSEWOOD HEIGHTS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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