Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Rosewood Health Center during CMS and state inspections, most recent first.
A resident with multiple cardiovascular diagnoses experienced several episodes of elevated systolic blood pressure above the threshold for PRN hydralazine administration, but nursing staff failed to document administration of the medication or follow-up actions in the MAR or progress notes. Interviews revealed inconsistent practices and lack of documentation regarding medication administration and blood pressure monitoring, despite clear physician orders and expectations from the DON and physician.
A resident with hypertension and atrial fibrillation was prescribed Eliquis and Hydralazine, but the facility did not develop a care plan with interventions or monitoring for these high-risk medications. This omission was identified during a review of records and staff interviews, which revealed the care plan was missed during a transition to a new electronic medical records system.
Expired bottles of Children's Acetaminophen and an opened bottle of Chlorhexidine Gluconate Oral Rinse without an expiration date were found in a medication cart during a survey. The nurse responsible was unaware of the expired and unlabeled medications. Although pharmacy technicians and night shift nurses were expected to audit medication carts for expired drugs, there was no set schedule for these checks, resulting in expired medications remaining in the cart.
Failure to Administer PRN Antihypertensive Medication as Ordered
Penalty
Summary
A deficiency was identified when nursing staff failed to administer a prescribed PRN antihypertensive medication, hydralazine, to a resident with a history of hypertension, transient ischemic attack, cerebral infarction, paroxysmal atrial fibrillation, aortic stenosis, atherosclerotic heart disease, and peripheral vascular disease. The physician's order specified that hydralazine 50 mg should be given by mouth every 8 hours as needed for systolic blood pressure (SBP) greater than 160. Multiple instances were documented where the resident's SBP exceeded 160, but the medication administration record (MAR) was left blank, and there was no documentation in the nursing progress notes indicating whether the medication was administered or if the blood pressure was rechecked. On several dates across three months, the resident's SBP readings were recorded as above the threshold for PRN hydralazine administration, yet there was no evidence in the MAR or nursing notes that the medication was given or that follow-up actions were taken. Interviews with nursing staff revealed inconsistent practices regarding rechecking blood pressure, documenting actions taken, and administering the PRN medication as ordered. Some nurses stated they may have rechecked the blood pressure or notified the oncoming nurse, but these actions were not documented. One nurse admitted she may have forgotten to sign the MAR after giving the medication, while another acknowledged the lack of prompts in the electronic system to alert staff to high blood pressure readings. The Director of Nursing confirmed that the PRN order for hydralazine was active and should have been followed when the resident's SBP was above 160. The resident's physician also stated that he expected the medication to be administered as prescribed and for staff to document reasons if it was not given. The physician noted that a systolic blood pressure of 195 could have serious health implications, and he would have advised administration of the PRN medication if contacted.
Failure to Develop Care Plan for High-Risk Medications
Penalty
Summary
The facility failed to develop a comprehensive care plan addressing the use of high-risk medications for a resident with multiple diagnoses, including hypertension, paroxysmal atrial fibrillation, and nonrheumatic aortic stenosis. The resident was prescribed Eliquis, an anticoagulant, and Hydralazine HCI for hypertension, both of which are considered high-risk medications. Despite ongoing administration of these medications as documented in the medication administration records for several months, there was no care plan in place that included interventions or monitoring specific to these drugs. Record review and staff interviews confirmed that the omission occurred during a transition to a new electronic medical records system, resulting in the failure to create goals and interventions for the resident's use of anticoagulants and antihypertensives. Both the MDS Coordinator and the Director of Nursing acknowledged that the resident's use of these high-risk medications should have been care planned, but this was not completed at the time of the survey.
Expired and Unlabeled Medications Found in Medication Cart
Penalty
Summary
Surveyors found that expired medications were stored in one of five medication carts reviewed, specifically the 300 Hall Medication Cart. During an observation, three bottles of Children's Acetaminophen Oral Solution with expiration dates of 9/24/2024 and one opened bottle of Chlorhexidine Gluconate Oral Rinse without an expiration date were discovered in the cart. The nurse present at the time was unaware of the expired and unlabeled medications and acknowledged that such items should not be present in the medication cart. Interviews with facility leadership revealed that pharmacy technicians were responsible for monthly audits of medication carts for expired medications, while night shift nurses were expected to check the carts weekly. However, there was no designated day for these weekly checks, and both the DON and Administrator confirmed that expired medications should not be present in the carts. The presence of expired and unlabeled medications indicated that the established procedures for checking and removing expired drugs were not consistently followed.
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 183 citations issued within 25 miles in the last 12 months — including the 2 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 Raleigh
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Litchford Falls Health And Rehabilitation Center | 3.2 mi | ★★★★★ | 3 | 0 |
| The Cardinal At North Hills | 4.5 mi | ★★★★★ | 2 | 0 |
| Hillcrest Raleigh At Crabtree Valley | 4.7 mi | ★★★★★ | 2 | 0 |
| Perry Creek Health And Rehabilitation Center | 5.8 mi | ★★★★★ | 12 | 0 |
| Bloomsbury At Hayes Barton Place | 6 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Rosewood Health 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 August 2026) and official state health department websites.