Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rosewood Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
Failure to assess self-administration of medications: A resident was found in bed, non-verbal, with multiple meds left in a cup within reach on the bedside table. Staff confirmed he was not able to self-administer meds, and the record contained no assessment or care plan approving self-administration. The MDS showed memory problems and that he was not cognitively intact, while the DON stated the resident often spit meds into a cup and the nurse should have retrieved and documented the pills.
Failure to follow isolation precautions during incontinence care was identified for a resident on transmission-based precautions. A CNA provided peri-care and a brief change, disposed of PPE in the room, and exited without washing hands or using hand sanitizer before leaving; the CNA acknowledged the lapse, and the DON confirmed staff are to perform hand hygiene before exiting the room.
A resident was observed with an albuterol inhaler at her bedside, which she used as needed for shortness of breath. The facility failed to evaluate her for self-administration of medications, as her care plan did not include related goals or interventions, and there was no documentation in the MAR. The DON confirmed the resident had not expressed a desire to self-administer, and the facility's policy required physician orders and team approval for self-administration.
A facility failed to submit a Level II PASARR for a resident who had significant changes in mental health status, including new diagnoses of Disorganized Schizophrenia, major depressive disorder, and severe Vascular Dementia. The resident's Level I PASARR did not indicate mental health issues, and the DON admitted that a Level II screening was not applied for when the new diagnoses were added. The facility submitted the Level II screen only after the deficiency was identified.
A facility failed to create a comprehensive care plan for a resident's antibiotic use. Despite a physician's order for Minocycline HCl and the MDS indicating antibiotic use, the care plan did not address this. A RN confirmed the absence of a necessary care plan for the antibiotic treatment.
A resident with an amputation and moderately impaired cognition did not receive adequate ADL care, including regular showers and nail grooming, as scheduled. Despite expressing a desire for showers, the resident was observed with unwashed hair and an odor of urine. Staff interviews revealed inconsistencies in care documentation and provision, with no evidence of documented refusals or adherence to facility policies on bathing and nail care.
Failure to Assess Self-Administration of Medications
Penalty
Summary
The facility failed to ensure the interdisciplinary team assessed and determined whether a resident was capable of self-administering medications before allowing medications to remain at the bedside. During observation, the resident was found in bed, non-verbal, with several medications inside a large plastic cup on the overhead table within reach. When asked if the medications were his, he responded by giving a thumbs-up. Staff later confirmed that the resident was not able to self-administer medications and stated that the nurse who distributed the medications should have ensured they were taken or disposed of appropriately if refused. Record review showed physician orders for multiple morning medications, including gabapentin, Lasix, acidophilus, clopidogrel bisulfate, tamsulosin, Linzess, and calcium. The quarterly MDS indicated the resident had short-term and long-term memory problems and was not cognitively intact. The resident’s medical record did not contain an assessment or care plan for self-administration of medications. Staff also stated the resident often spit medications into a cup, and the DON acknowledged that the nurse who administered the medications should have gone back to retrieve the pills and document the event. The facility policy stated a resident may not be permitted to administer or retain medication in the room unless ordered in writing by the attending physician and approved by the interdisciplinary care plan team.
Failure to Follow Isolation Precautions During Incontinence Care
Penalty
Summary
Provide and implement an infection prevention and control program was cited after staff failed to follow isolation transmission-based precautions during incontinence care for Resident #81. A CNA was observed providing peri-care and changing a brief for the resident, then disposing of gloves and gown in the trash bag in the room and exiting without washing hands or using hand sanitizer before leaving the room. The CNA later acknowledged not performing proper handwashing before leaving the room. The DON stated that after removing personal protective equipment inside the resident room, staff are to perform handwashing before exiting the room. Record review of the facility's Isolation Precautions policy stated that staff are to remove gloves before leaving the room and wash hands or use hand sanitizer before leaving the room.
Failure to Evaluate Resident for Self-Administration of Medication
Penalty
Summary
The facility failed to evaluate a resident for self-administration of medications, specifically an inhaler, for one resident. On two separate occasions, the resident was observed with an albuterol inhaler at her bedside, which she stated she used as needed for shortness of breath. The inhaler was labeled as Albuterol Sulfate, and the physician's orders indicated it was to be used every six hours as needed. However, there was no documentation in the Medication Administration Record (MAR) for July and August 2024 regarding the administration of this medication, and the resident's care plan did not include any goals or interventions related to self-administration of medications. During an interview, the Director of Nursing (DON) confirmed that the resident had never expressed a desire to self-administer the inhaler and stated that the facility did not have any residents self-administering medications. A review of the facility's policy on self-administration of medication revealed that a resident could not retain or administer medication in their room without a written order from the attending physician and approval from the Interdisciplinary Care Plan Team. The policy also required that medications stored in the resident's room be secured to prevent access by other residents.
Failure to Submit Level II PASARR for Resident with New Mental Health Diagnoses
Penalty
Summary
The facility failed to submit a Level II PASARR screening for a resident who experienced a significant change in mental health status and received new diagnoses of serious mental disorders. The resident's Level I PASARR, dated 10/28/22, did not indicate any mental health or intellectual disability issues. However, the resident's medical record showed new diagnoses of Disorganized Schizophrenia on 04/18/2023, major depressive disorder on 1/16/23, and severe Vascular Dementia with other behavioral disturbances on 04/20/23. During an interview, the Director of Nursing (DON) acknowledged that the PASARRs are reviewed and completed for all new residents and updated as needed. Despite this, the DON admitted that a Level II screening was not applied for when the new diagnoses were added in April 2023. The facility only submitted the Level II screen on 08/21/24, after the deficiency was identified.
Failure to Develop Care Plan for Antibiotic Use
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for antibiotic use for a resident. A physician's order was placed for Minocycline HCl, a broad-spectrum antibiotic, to be administered once daily for an infection. However, the comprehensive care plan, which was initiated and last updated over a year apart, did not include any mention of antibiotic use. The annual Minimum Data Set (MDS) indicated antibiotic use but did not note any infections. During an interview, a Registered Nurse and MDS coordinator confirmed that there was no care plan in place for the resident's antibiotic use, acknowledging that there should have been one.
Deficiency in ADL Care for a Resident
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADL) care, specifically bathing and grooming, for Resident #42. Observations and interviews revealed that the resident, who has an amputation of the left hand and forearm and moderately impaired cognition, expressed concerns about not receiving regular showers and having unwashed hair. Despite being scheduled for showers three times a week, there was no documentation of any showers or bed baths between 08/12/2024 and 08/20/2024, with the last recorded shower on 07/31/2024. The resident was observed multiple times with an odor of urine and unkempt appearance, indicating a lack of proper hygiene care. Interviews with staff, including CNAs and RNs, highlighted inconsistencies in the documentation and provision of care. CNA A, who had only been assigned to the resident for two days, mentioned that the resident expressed a desire for a shower, but she had not yet provided one. CNA D demonstrated the documentation process but did not confirm recent care. RN B acknowledged the need for nail care and agreed that the resident's nails required attention, particularly the thick and discolored middle fingernail. Despite the facility's policy requiring nail care during baths, the resident reported not receiving such care. The Director of Nursing (DON) suggested that the resident often refuses showers and fabricates stories, but there was no documentation to support these claims. The DON admitted to trimming the resident's long and thick middle fingernail but could not provide evidence of documented refusals of care. The lack of consistent documentation and follow-up on the resident's care needs, as well as the failure to adhere to the facility's policies on bathing and nail care, contributed to the deficiency in providing adequate ADL care for Resident #42.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 96 citations issued within 25 miles in the last 12 months — including the 12 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pensacola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arabella Health & Wellness Of Pensacola | 1 mi | ★★★★★ | 12 | 3 |
| Coral Bay At Pensacola, Llc | 2.1 mi | ★★★★★ | 32 | 9 |
| Pensacola Nursing & Rehabilitation Center | 2.3 mi | ★★★★★ | 20 | 0 |
| Havens At Pensacola, The | 2.5 mi | ★★★★★ | 4 | 0 |
| Bayside Health And Rehabilitation Center | 4.6 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Rosewood Healthcare And Rehabilitation Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.