Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Advena Living At Fountainview during CMS and state inspections, most recent first.
The facility failed to conduct annual performance reviews for five direct care staff members, including CMAs and CNAs, who had been employed for over a year. The absence of these evaluations was confirmed by the facility's administrator, who could not explain the oversight. Additionally, the facility lacked a policy for conducting these evaluations, which are crucial for ensuring adequate resident care.
A resident receiving tube feeding was cared for by a nurse who did not follow Enhanced Barrier Precautions (EBP), using only gloves instead of the required PPE. The facility's policy mandates gloves and gowns for high-contact care to prevent infection transmission, but the nurse failed to comply, risking resident safety.
A facility failed to ensure a resident with schizoaffective disorder had a current and valid PASARR. The resident's last assessment was completed in 2020, despite facility policy requiring annual evaluations. The resident's care plan included monitoring for medication side effects, but no subsequent assessments were conducted, as confirmed by an administrative nurse.
A resident was found with unsecured wound cleaning medication in their room, contrary to the facility's policy requiring such substances to be locked and inaccessible. Observations and staff interviews confirmed the medication was left unattended, posing a potential hazard.
A resident with acute respiratory failure and hypoxia did not receive appropriate respiratory care due to improper storage of oxygen equipment. The nasal cannula and tubing were found on the floor without a storage bag, risking cross-contamination. Staff confirmed the need for proper storage, but the facility's infection control policy lacked guidance on this matter.
A facility failed to provide timely pharmaceutical services, resulting in two residents not receiving their prescribed medications. One resident with diabetes, hyperlipidemia, and anemia did not receive Atorvastatin for high cholesterol for several days, while another resident with diabetes and neuropathy missed doses of Gabapentin and Farxiga due to insurance issues and unexplained delays. Staff interviews revealed a communication process for missing medications, but it was ineffective in ensuring timely administration, contrary to the facility's policy.
Lack of Annual Performance Reviews for Direct Care Staff
Penalty
Summary
The facility failed to conduct annual performance reviews for five direct care staff members, which included certified Medication Aides and Certified Nurse Aides, who had been employed for 12 months or more. This deficiency was identified through observation, interviews, and record reviews. The staff members involved were hired between June 2022 and February 2023. Administrative Staff A, who had been the facility's administrator for approximately six weeks, confirmed the absence of performance evaluations and was unable to provide an explanation for this oversight. The facility also lacked a policy to address annual performance evaluations for direct care staff, which is essential to ensure residents receive adequate care.
Inadequate Use of Enhanced Barrier Precautions During Tube Feeding
Penalty
Summary
The facility failed to ensure proper infection prevention and control measures were followed, specifically in the use of Enhanced Barrier Precautions (EBP) during resident care. A resident with a history of dysphagia and other digestive issues, who was receiving tube feedings, was observed being cared for by a Licensed Nurse (LN) who did not adhere to the required personal protective equipment (PPE) protocols. The nurse administered the tube feeding wearing only gloves, without the additional PPE such as gowns, which are mandated under the facility's EBP policy for high-contact care activities. The facility's policy, aligned with CDC guidelines, requires the use of gloves and gowns during high-contact care to prevent the transmission of resistant organisms. Despite this, the nurse acknowledged awareness of the EBP protocol but failed to comply during the tube feeding procedure. This oversight was confirmed by an Administrative Nurse, who stated that all staff are expected to follow the EBP protocol. The failure to adhere to these precautions placed residents at risk for healthcare-acquired infections.
Failure to Maintain Current PASARR for Resident
Penalty
Summary
The facility failed to ensure that Resident 6 had a current and valid Preadmission Screening and Annual Resident Review (PASARR). The resident, who has diagnoses of schizoaffective disorder bipolar type, anxiety, and depressive disorder, was observed seated in her wheelchair in her room. Her Electronic Health Record (EHR) indicated a Brief Interview for Mental Status (BIMS) score of 15, suggesting intact cognition, and documented the use of various medications including antipsychotic, antianxiety, hypnotic, anticoagulant, antibiotic, diuretic, and opioid medications. The resident's care plan, last reviewed in September 2024, instructed staff to administer and monitor medications for possible side effects. During an interview, Administrative Nurse D confirmed that the only Care Assessment completed for the resident was in 2020, and no subsequent assessments had been conducted. The facility's policy, revised in October 2024, stated that PASARR should be evaluated annually and upon any significant change for individuals identified with mental illness and intellectual disabilities. However, the regional director had informed the staff that no further assessments were needed unless the resident was discharged to the community for more than six months. This oversight resulted in the facility's failure to maintain a current and valid PASARR for Resident 6.
Unsecured Medication Poses Hazard in Resident Room
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards for a resident, identified as R25, who had a medication located in her room that was not secured. During the survey, it was observed on two separate occasions that R25 had a 16-ounce spray wound cleaning medication on her over-the-bed table and dresser, both times with a warning label indicating 'Keep out of reach of children.' This medication was left unsecured in the resident's room, contrary to the facility's policy on controlling hazardous chemicals. Interviews conducted during the survey revealed that R25's roommate was unaware of why the spray bottle was present and suggested that staff might have forgotten it. A CNA confirmed that residents should not have wound care medications in their rooms, and a licensed nurse expressed surprise that such medication would be left unsecured. An administrative nurse also confirmed that the wound cleanser should not be left unattended in any resident room. The facility's policy, dated October 2024, clearly stated that all substances with warning labels should be locked and inaccessible at all times, which was not adhered to in this instance.
Inadequate Storage of Respiratory Equipment
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, identified as R35, by not maintaining proper storage of respiratory equipment, specifically the oxygen nasal cannula and tubing. The resident had a diagnosis of acute respiratory failure with hypoxia and required continuous oxygen via nasal cannula. However, the care plan did not include directions for the maintenance and storage of the oxygen supplies when not in use. During an observation, it was noted that the resident's nasal cannula and oxygen tubing were lying directly on the floor next to the bed without a storage bag, which could lead to cross-contamination and infection spread. Interviews with facility staff, including a Certified Nurse Aide and an Administrative Nurse, confirmed that the oxygen equipment should be stored in a container when not in use to prevent infection. The facility's infection control policy, dated October 2024, did not address the storage of nasal cannulas and oxygen tubing, contributing to the deficiency. This oversight in policy and practice led to the failure in providing safe and appropriate respiratory care for the resident.
Failure to Administer Prescribed Medications Timely
Penalty
Summary
The facility failed to provide adequate pharmaceutical services, resulting in two residents not receiving their prescribed medications in a timely manner. Resident 25, who has diagnoses of diabetes mellitus, hyperlipidemia, and anemia, did not receive her prescribed Atorvastatin for high cholesterol from January 8 to January 17, 2025. Despite the medication being on the pharmacy refill list, it was not administered, and the facility could not explain the oversight. The resident's care plan required nursing staff to administer medications as ordered and monitor for side effects, but this was not adhered to. Resident 38, diagnosed with diabetes mellitus type II, polyneuropathy, and anemia, also experienced a lapse in medication administration. Her Gabapentin for neuropathy was not administered from December 11 to December 13, 2024, and her Farxiga for diabetes was not given from December 21, 2024, through January 27, 2025. The facility attributed the delay in Farxiga administration to insurance issues, but no explanation was provided for the gap in Gabapentin administration. The resident's care plan similarly required medication administration as ordered, which was not fulfilled. Interviews with facility staff revealed a process for addressing missing medications, involving communication between certified nurse aides, licensed nurses, and the pharmacy. However, this process failed to ensure the timely delivery and administration of medications for both residents. The facility's Pharmacy Services Overview policy mandates the provision of routine and emergency medications 24/7, yet this was not achieved, placing both residents at risk of delayed treatment.
What surveyors are citing around you — mapped
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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 279 citations issued within 25 miles in the last 12 months — including the 8 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.
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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rose Hill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Derby Health & Rehabilitation, Llc | 5.8 mi | ★★★★★ | 2 | 0 |
| Caritas Center, Inc | 7.2 mi | ★★★★★ | 15 | 0 |
| Westview Of Derby Rehabilitation & Health Care Cen | 7.2 mi | ★★★★★ | 2 | 0 |
| Villa Maria | 8.6 mi | ★★★★★ | 0 | 0 |
| Orchard Gardens | 9.6 mi | ★★★★★ | 7 | 0 |
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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.