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Roswell Nursing & Rehab Center

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About Roswell Nursing & Rehab Center

General Information

Legal Business NameRoswell Cypress LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1989 (28 years)
Capacity268
Residents182
Percent Occupied68%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Roswell Nursing & Rehab Center

Roswell Nursing & Rehab Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Georgia Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 1, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

October 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaint+InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaint+InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

January 9, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Roswell Nursing & Rehab Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 5min
2hr 30min
ReportedExpected
CNA
1hr 10min
45min
ReportedExpected
LPN
40min
1hr 15min
ReportedExpected
RN
3hr 55min
4hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

73.2%
94.7%
94.7%
94.7%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
79.3%
90.8%
97.7%
97.0%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.5%
60.0%
58.5%
58.1%
46.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
21.7%
24.3%
23.3%
28.9%
26.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
36.3%
23.3%
32.2%
22.3%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents whose ability to move independently worsened
23.9%
28.2%
29.1%
26.8%
19.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who received an antipsychotic medication
20.6%
18.9%
24.8%
15.5%
15.9%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents whose need for help with daily activities has increased
18.7%
14.3%
19.3%
21.6%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who self-report moderate to severe pain
8.9%
8.8%
6.5%
6.1%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who lose too much weight
6.8%
6.9%
10.1%
8.3%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.6%
0.0%
0.0%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who have depressive symptoms
7.8%
5.8%
4.7%
5.4%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents with a urinary tract infection
2.8%
3.5%
2.9%
4.2%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents experiencing one or more falls with major injury
3.7%
5.5%
3.9%
2.7%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

47.5%
67.0%
77.6%
72.4%
80.3%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.6%
62.0%
62.0%
62.0%
78.4%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
73.3%
69.9%
80.7%
61.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
36.7%
20.0%
19.5%
22.2%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
1.9%
3.3%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents who newly received an antipsychotic medication
0.9%
1.5%
0.6%
0.0%
1.2%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents with pressure ulcers that are new or worsened