All citations for Rose City Nursing and Rehabilitation

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 Rose City Nursing and Rehabilitation

Last standard health inspection on record

June 26, 2026

Showing 1 to 17 of 17 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2024).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of March 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2024).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

  13. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

  15. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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.