All citations for Accordius Health at Rose Manor LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Accordius Health at Rose Manor LLC

Last standard health inspection on record

May 8, 2025

Showing 1 to 25 of 59 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  2. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 8, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  3. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of May 8, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  4. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  5. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure electrical receptacles or cover plates have distinctive color or marking.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0917, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  7. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2022).

  8. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of September 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2022).

  9. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2022).

  10. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  12. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of May 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  13. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  14. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2025).

  15. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  16. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  17. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  19. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 29, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  21. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of January 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  22. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2022).

  23. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 15, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

  24. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of May 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

  25. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 8, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 30, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.