Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Nursing Center during CMS and state inspections, most recent first.
A resident with Parkinson’s disease, essential tremor, dementia, and legal blindness, who was care planned as being at risk for burns from hot liquids and to receive hot beverages in lidded cups at temperatures not exceeding 130°F, sustained 2nd and 3rd degree burns to the left thigh after spilling coffee during a group activity. The facility’s policy required hot beverages to be cooled to 120–130°F and mandated temperature monitoring, but the coffee served at the time of the incident was reported by dietary staff to be 140°F, and the coffee temperature log did not include documentation for the 10:00 a.m. service when the spill occurred. This failure to adhere to the hot beverage policy and to consistently monitor and document beverage temperatures resulted in actual harm to the resident.
A resident with a history of falls and cognitive intactness was found with an unexplained abrasion and a wound. The injury, which the resident could not explain, was documented and the resident was sent to the ER, but the incident was not reported to the State Agency within the required 2-hour timeframe as mandated by policy and state law.
The facility did not post daily nurse staffing information, including resident census and hours worked by RNs, LPNs, and CNAs, in a prominent place accessible to residents and visitors. The Administrator and Payroll Manager confirmed the absence of this information, and the Regional Director of Operations acknowledged the oversight.
The facility failed to maintain proper respiratory care for three residents receiving oxygen therapy, as their oxygen concentrators' humidifier jars were found empty. Nursing staff confirmed the deficiency, acknowledging that the humidifier jars should have been regularly checked and filled with water to ensure proper oxygen administration.
A facility failed to provide a clean and homelike environment for a resident, as observed with a tube feeding machine and oxygen concentrator covered in crusty substances. The resident expressed concern about the lack of cleanliness, and a registered nurse confirmed the findings, acknowledging that the equipment should have been cleaned.
A facility failed to implement a Registered Dietitian's recommendations for a resident receiving enteral feedings, resulting in unaddressed weight loss. Despite the RD's report being sent to administrative staff, including the DON, the recommendation to increase the tube feeding rate was not implemented, and no policy for reviewing RD recommendations was provided.
The facility failed to properly label enteral feeding administration sets for two residents, leading to unlabeled flush bags and missing rate information. An LPN confirmed the absence of necessary labeling details, and the DON acknowledged the lack of a policy for labeling these sets.
A facility failed to monitor side effects for a resident receiving antipsychotropic medications, including Quetiapine, Duloxetine, Mirtazapine, and Buspirone. Despite the requirement for monitoring, no documentation was found in the EMAR, and both an LPN and the DON confirmed the oversight. The facility also lacked a policy for monitoring these medications, potentially affecting all 63 residents.
The facility failed to refrigerate an opened container of Concord Grape Jelly as required, potentially affecting 56 residents who eat meals from the kitchen. The Dietary Manager confirmed the oversight during an inspection.
A resident with cognitive and physical impairments suffered a fractured leg after a CNA attempted a mechanical lift transfer without the required two-person assistance. The CNA, aware of the two-person requirement, proceeded alone after a brief wait for help. The sling pad ripped during the transfer, causing the resident to fall. The facility's investigation confirmed the CNA's failure to follow the care plan and assess the sling's functionality.
Resident Burn from Overheated Coffee and Failure to Follow Hot Beverage Policy
Penalty
Summary
The deficiency involves the facility’s failure to ensure the environment was free from accident hazards and that residents received adequate supervision to prevent accidents, specifically related to serving hot beverages. The facility had a written policy titled “Serving Hot Beverages and Soup,” revised in 07/2007, which required the Food Service Department to monitor the temperature of all hot liquids to prevent burns if they contacted skin. The policy specified that coffee should be chilled to 120–130°F before being served and that the Food Service Department was responsible for ensuring all hot beverages, including those for activities, left the kitchen at the proper temperature. However, the coffee temperature log for March only included entries for 6:00 a.m. and 2:00 p.m., with no slot or documentation for 10:00 a.m. coffee temperatures, despite coffee being served at that time. Resident #1 was admitted with diagnoses including Parkinson’s disease, unspecified dementia, essential tremor, and legal blindness. A quarterly MDS with an ARD of 12/31/2025 showed a BIMS score of 13, indicating the resident was cognitively intact, and Section GG indicated no functional limitation in upper extremity range of motion. The resident’s care plan included a focus that the resident was at risk for burns from hot liquids, with interventions such as encouraging consumption of hot liquids while sitting at a table, requiring use of a cup with a lid for all hot beverages, and specifying that the temperature of hot liquids should not exceed 130°F. Another care plan focus addressed impaired visual function related to legal blindness, with interventions to provide activities adjusted to the resident’s visual disability. During a 10:00 a.m. group activity, Resident #1 spilled hot coffee on her lap. The dietary manager later confirmed that coffee was served at 6:30 a.m., 10:00 a.m., and 2:00 p.m., and that the dietary aide who prepared the coffee for the incident reported the coffee temperature as 140°F, which exceeded the facility’s policy limit of 130°F. Resident #1 reported that she spilled coffee on herself while sitting at a table in the activity room and that the coffee was hot and burned when it was spilled. Subsequent nursing and NP assessments documented two in-house–acquired wounds on the resident’s left upper thigh: one described as a blister and one as a burn, later characterized by the NP as a full-thickness (3rd degree) burn and a partial-thickness (2nd degree) burn. These findings, combined with the lack of documented 10:00 a.m. temperature monitoring and the reported serving temperature of 140°F, demonstrate that the facility did not follow its hot beverage policy and failed to protect the resident from an avoidable burn hazard.
Failure to Timely Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin to the State Agency within the required 2-hour timeframe as mandated by state law and facility policy. According to the facility's policy, all alleged violations involving abuse, neglect, exploitation, or mistreatment—including injuries of unknown source—must be reported immediately to the administrator and to the State Agency no later than 2 hours after the allegation is made. In this case, a resident with a history of falls, Type 2 Diabetes Mellitus, and Schizoaffective Disorder was found to have a red abrasion on the right hip and a wound to the right foot. The resident was cognitively intact and unable to recall or verbalize how the injury occurred. The injury was discovered and documented by the administrator, who subsequently sent the resident to the emergency room for evaluation. However, the incident was not reported to the State Agency until several days after the discovery, rather than within the required 2-hour window. During an interview, the administrator confirmed awareness of the injury and acknowledged that, since the cause was unknown and the resident could not explain it, it should have been classified as an injury of unknown origin and reported promptly as per policy and state law.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to comply with the requirement to post daily nurse staffing information in a prominent place that is readily accessible to residents and visitors. This information should include the resident census and the total number of actual hours worked by RNs, LPNs, and CNA staff directly responsible for resident care per shift. During an interview on December 10, 2024, the Administrator and Payroll Manager confirmed that the facility did not post this required information anywhere in the facility. Additionally, the Regional Director of Operations acknowledged that the facility does not post the daily staffing information, although it is recognized that they probably should.
Failure to Maintain Oxygen Humidifier Jars
Penalty
Summary
The facility failed to provide necessary respiratory care in accordance with professional standards for three residents who were receiving oxygen therapy. Observations revealed that the humidifier jars attached to the oxygen concentrators for these residents were empty, lacking the required water to ensure proper humidification of the oxygen being administered. This deficiency was noted during observations and interviews with the nursing staff, who confirmed that the humidifier jars should have been checked regularly and replenished with water as needed. Resident #11 had a physician's order for oxygen at 3 liters per nasal cannula, but the humidifier jar was found empty and on the floor. Resident #33, who used supplemental oxygen continuously, also had an empty humidifier jar. Similarly, Resident #37, who had an order for oxygen as needed for shortness of breath, was found with an empty humidifier jar. The nursing staff acknowledged these deficiencies, indicating a lapse in following the facility's policy for oxygen administration, which requires ensuring that the humidifier jars are filled with water and functioning properly.
Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment for one resident, which had the potential to affect the entire census of 63 residents. During an observation, a silver pole on wheels holding a tube feeding machine was found with a dry white substance running down the pole and a tan, crusty substance covering almost the entire wheel base. Additionally, the oxygen concentrator in the room had dried white and tan crusty splattered substances and drip spots on its front and top. The resident expressed concern about the cleanliness of the equipment, stating that it was dirty and not cleaned. A registered nurse confirmed these observations and acknowledged that the equipment should have been cleaned.
Failure to Implement RD Recommendations for Enteral Feeding
Penalty
Summary
The facility failed to ensure that the recommendations made by the Registered Dietitian (RD) in response to identified weight loss were communicated to the physician for review and implementation for a resident receiving nutrition from enteral feedings. The resident, who was admitted with diagnoses including Dysphagia, Aphasia, Protein-Calorie Malnutrition, and was receiving nutrition through a gastrostomy tube, experienced a significant weight loss of 13.4 pounds in one month. The RD recommended an increase in the tube feeding rate to address the weight loss, but this recommendation was not implemented as there was no order for the increased feeding rate in the resident's records. The RD confirmed that the recommendations were sent to the facility's administrative staff, including the Director of Nursing (DON), Assistant Director of Nursing (ADON), and the Administrator. However, the DON acknowledged receiving the RD's report but failed to ensure the recommendation was implemented, as there was no order to increase the tube feeding rate. Additionally, the facility did not provide a policy regarding the process for reviewing and implementing RD recommendations by the time of the survey completion.
Failure to Label Enteral Feeding Sets
Penalty
Summary
The facility failed to ensure proper labeling of enteral feeding administration sets for two residents receiving tube feedings. Resident #34, who was admitted with conditions including cerebral infarction and moderate protein calorie malnutrition, had an order for enteral feeding with Isosource 1.5 via a PEG tube. Observations revealed that the administration set lacked a rate listing, and the flush bag was not labeled with necessary information such as the resident's name, contents, rate, date, time, room number, and nurse's initials. This was confirmed by an LPN during an observation. Similarly, Resident #35, admitted with diagnoses including hemiplegia and dysphagia, had an order for Diabetisource via a PEG tube. Observations showed that the administration set did not include a rate listing, and the flush bag was also unlabeled. The LPN confirmed the absence of labeling, which should have included the same details as for Resident #34. The Director of Nursing acknowledged that the facility lacked a policy and procedure for labeling tube feeding administration sets, which contributed to the deficiency.
Failure to Monitor Side Effects of Antipsychotropic Medications
Penalty
Summary
The facility failed to ensure that a resident's medication regimen was free from unnecessary medications by not monitoring for side effects of antipsychotropic medications. Specifically, Resident #42, who was diagnosed with Vascular Dementia, Anxiety Disorder, and Depression, was receiving multiple medications including Quetiapine, Duloxetine, Mirtazapine, and Buspirone. A review of the resident's Electronic Medication Administration Records (EMAR) for November and December 2024 revealed a lack of documented monitoring for side effects and targeted behaviors associated with these medications. During the survey, both a Licensed Practical Nurse (S7LPN) and the Director of Nursing (S2DON) confirmed that the medications required monitoring for side effects and that this monitoring should have been documented in the EMAR. However, no such documentation was found. Additionally, the facility was unable to provide a policy regarding the monitoring of antipsychotropic medications when requested by the surveyors. This deficiency had the potential to affect the entire census of 63 residents.
Improper Refrigeration of Food Products
Penalty
Summary
The facility failed to ensure that food products were properly refrigerated after being opened, which could potentially affect the 56 residents who consume meals from the facility's kitchen. During an initial observation of the kitchen's dry storage room, a 48-ounce container of Concord Grape Jelly was found opened with approximately one-third of the jelly missing. The label on the container clearly stated that it should be refrigerated after opening. A subsequent observation with the Dietary Manager confirmed that the jelly had been opened and should have been refrigerated according to the label instructions.
Resident Injury Due to Improper Mechanical Lift Transfer
Penalty
Summary
The facility failed to ensure a resident was free from accident hazards during a mechanical lift transfer. A Certified Nursing Assistant (CNA) attempted to transfer a resident from a shower bed to a regular bed using a mechanical lift without the assistance of another qualified staff member, as required by the facility's policy. This resulted in the resident falling from the lift sling and sustaining a fractured right leg, which required hospitalization and surgical intervention. The resident involved had a history of heart failure, vascular dementia, major depressive disorder, and cognitive communication deficit. The resident's care plan clearly indicated the need for a two-person assist with mechanical aid for transfers. However, the CNA proceeded with the transfer alone after waiting briefly for assistance, which did not arrive. During the transfer, the sling pad reportedly ripped, causing the resident to fall and suffer significant injuries. Interviews with staff revealed that the CNA was aware of the two-person requirement but chose to proceed alone. Another CNA had assisted with an earlier transfer but was not present during the incident. The facility's investigation confirmed that the CNA failed to follow the care plan and did not assess the functionality of the sling prior to use. The sling was later found to have a defect where it had come unsewn at the seam, contributing to the incident.
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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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Nursing homes near Lake Charles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake Charles Care Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Landmark Of Lake Charles | 1.8 mi | ★★★★★ | 6 | 0 |
| Resthaven Nursing & Rehab Center, Llc | 2.6 mi | ★★★★★ | 4 | 0 |
| Calcasieu Community Care Center | 2.8 mi | ★★★★★ | 3 | 0 |
| Grand Cove Nursing & Rehabilitation Center | 2.9 mi | ★★★★★ | 5 | 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.