Inspection·November 22, 2024

F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm Based upon clinical record review, it was determined the facility failed to ensure Minimum Data Set Assessments were completed accurately for two of 28 residents reviewed (Resident 46 and 106 Resident). Residents Affected - Few Findings include: Review of Resident 46's Quarterly Minimum Data Set (MDS - periodic assessment of resident needs) dated September 4, 2024, revealed Resident 46 had a right foot pressure ulcer (opening of the skin caused by prolong pressure applied to an area). Review of Resident 46's clinical record revealed Resident 46 had a right foot wound as a result of an injury. Further review of Resident 46's clinical record failed to reveal evidence of a right foot pressure ulcer. Interview with the Director of Nursing on November 24, 2024 at 8:50 a.m. confirmed the MDS was inaccurately completed and further confirmed Resident 46 did not have a right foot pressure ulcer. A review of Resident 106's Annual Minimum Data Set (MDS- A standardized assessment tool that measures health status in long-term care residents) dated September 15, 2024, revealed resident was taking an Antipsychotic medication (Are prescription medications that treat certain disorders by changing how the brain works). A review of Resident 106's September 2024, Medication Administration Records revealed resident were on Lexapro and Remeron (A medication used for depression) and Lorazepam (A medication for anxiety). Clinical records failed to reveal that Resident was on Antipsychotic medication. An interview with licensed nurse Employee E3 was conducted on November 21, 2024, at 11:57 a.m. Employee E3 confirmed Resident 106 was not taking Antipsychotic mediation and that MDS was coded in error. The facility failed to ensure residents' assessments were completed accurately. 28 PA Code 211.5(a)(b)(f) Clinical Records 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 REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 395052 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395052 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/22/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rosewood Gardens Rehabilitation and Nursing Center 146 Marple Road Broomall, PA 19008 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)