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Complaint Investigation

Rosenberg Health & Rehabilitation Center

January 29, 2026 · Rosenberg, TX · 1419 Mahlman St
Citations 1
CMS Rating 1/5
Beds 124
Provider ID 675046
Healthcare Facility
Rosenberg Health & Rehabilitation Center
Rosenberg, TX  ·  View full profile →
Inspection Summary

Rosenberg Health & Rehabilitation Center in Rosenberg, TX — inspection on January 29, 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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

20p.m. on 01/29/2026, she said, people who complete care plans are responsible for updating the care plans when they are supposed to. RN A said care plans should be reviewed and updated after an incident.

She said this will enable the team to see what can be improved for the residents who had an incident. If the care plan is not reviewed, things would stay the same or there would be no improvement. RN A said, she does not know why Resident # 1's care plan was not updated. In an interview with the DON at 12:30 p.m. on 01/29/2026, he said the management team is responsible for the development and updating of the care plans. He said when there is an acute change, the nurse managers will update the care plans.

The DON said I cannot say why Resident #1 ‘s care plan was not updated. If we did not update the care plan, she can make the same claim. In an interview with the Administrator at 1:03 p.m. on 01/29/2026, he said, care plan development and updates were the responsibility of the MDS Coordinator. He said, he does not know why Resident ‘s care plan was not updated.

Record review of facility's policy of abuse dated 10/24/2022.

Policy Statement:-It is the policy of this facility to provide protection for the health, welfare and rights of each resident .that prohibits and prevents abuse.-Sexual abuse is non-consensual sexual contact of any type with a resident.-The facility provides ongoing oversight and supervision of staff in order to assure that it's policies are implemented as written-New and existing staff will be educated on prohibiting and preventing all forms of abuse.

Facility ID:

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 Rosenberg, 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 Rosenberg Health & Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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