Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Gardens Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
A resident’s quarterly MDS assessment was completed with inaccurate coding in the insulin section, as the form indicated no insulin use despite an active physician order and documented insulin administration on two days within the seven-day look-back period. Review of the MAR confirmed the insulin doses, and an LPN acknowledged that the MDS had been marked incorrectly, resulting in a deficiency related to assessment accuracy and associated clinical record and nursing service requirements.
The facility failed to maintain and inspect its sprinkler systems as per NFPA 25 standards, affecting the entire facility. Documentation for a 3-year dry system full flow test and a 5-year internal valve and pipe inspection was missing. A revisit revealed that the dry sprinkler system did not pass inspection due to pipes being partially full of foreign materials, requiring internal cleaning.
The facility failed to ensure accurate MDS assessments for two residents. One resident's MDS inaccurately documented a pressure ulcer, while the clinical record showed a wound from an injury. Another resident's MDS incorrectly noted antipsychotic medication use, which was not supported by the Medication Administration Records. These inaccuracies were confirmed by the DON and a licensed nurse.
A facility failed to complete a discharge summary for a resident who had a planned discharge. The resident's clinical record lacked a physician-completed discharge summary with a recapitulation of their stay. This was confirmed by the Nursing Home Administrator and DON, violating 28 Pa Code 211.5 (f) on clinical records.
A resident's medical records inaccurately documented a right foot pressure ulcer. The MDS indicated a pressure ulcer, but the clinical record attributed the wound to an injury. Wound tracking and progress notes from July to September noted a pressure ulcer, but the DON confirmed its absence, revealing documentation inaccuracies.
Inaccurate MDS Coding for Insulin Administration
Penalty
Summary
The facility failed to ensure an accurate assessment for one resident when completing a quarterly MDS dated December 11, 2025. In section N0350 (Insulin) of this MDS, the resident was not coded as receiving insulin. However, review of the physician’s orders showed an active order for insulin for this resident, and review of the MAR confirmed that insulin was administered on two days within the seven-day look-back period, specifically December 9 and 10, 2026. In an interview on February 5, 2026, at 10:40 a.m., a licensed nurse (Employee E3) confirmed that the MDS assessment for this resident had been marked incorrectly. This deficiency was cited under 42 CFR 483.20 for accuracy of assessments and was noted as previously cited on November 22, 2024, along with related state regulations 28 Pa. Code 211.5(f) regarding clinical records and 28 Pa. Code 211.12(c) regarding nursing services, which were also previously cited on that date.
Failure to Maintain and Inspect Sprinkler Systems
Penalty
Summary
The facility failed to maintain and inspect its sprinkler systems in accordance with NFPA 25 standards, affecting the entire facility. During a document review, it was found that the facility could not provide documentation for a 3-year dry system full flow test and a 5-year internal valve and pipe inspection. An exit interview with the Administrator and Maintenance Director confirmed the lack of documentation. Upon a subsequent onsite revisit, it was determined that although a 5-year internal valve and pipe inspection was conducted, the dry sprinkler system did not pass inspection due to pipes being partially full of foreign materials, necessitating an internal cleaning. The blockage in the dry sprinkler pipes was confirmed during an exit interview with the Administrator and Maintenance Director.
Plan Of Correction
Internal inspection and flushing of dry system will be completed by 4/18/25. TLW to be submitted to allow for additional time to accommodate the weather to be 50 degrees or above to avoid freezing.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate completion of Minimum Data Set (MDS) assessments for two residents. For Resident 46, the Quarterly MDS dated September 4, 2024, inaccurately documented a right foot pressure ulcer, whereas the clinical record indicated a right foot wound due to an injury, with no evidence of a pressure ulcer. This inaccuracy was confirmed by the Director of Nursing. For Resident 106, the Annual MDS dated September 15, 2024, incorrectly noted the use of an antipsychotic medication. However, the Medication Administration Records for September 2024 showed the resident was on Lexapro, Remeron, and Lorazepam, which are not antipsychotic medications. This error was confirmed by a licensed nurse, Employee E3, who verified that Resident 106 was not taking antipsychotic medication.
Incomplete Discharge Summary for Resident
Penalty
Summary
The facility failed to ensure a complete discharge summary was completed for a resident who was reviewed. The resident was admitted to the facility on an unspecified date and had a planned discharge on November 8, 2024. Upon reviewing the clinical record, it was found that there was no documented evidence of a discharge summary completed by the physician, which should have included a recapitulation of the resident's stay at the facility. An interview with the Nursing Home Administrator and Director of Nursing on November 22, 2024, confirmed that the recapitulation was not completed prior to the resident's discharge. This failure to provide a complete discharge summary is a violation of 28 Pa Code 211.5 (f) regarding clinical records.
Inaccurate Documentation of Resident's Pressure Ulcer
Penalty
Summary
The facility failed to ensure accurate documentation in the medical records of a resident, identified as Resident 46. A review of the resident's Quarterly Minimum Data Set (MDS) dated September 4, 2024, indicated the presence of a right foot pressure ulcer. However, the clinical record showed that the right foot wound was due to an injury that occurred on July 3, 2024, and did not document a pressure ulcer. Despite this, wound tracking documentation and progress notes from the wound nurse and Nurse Practitioner from July through September 2024, indicated the presence of a right foot pressure ulcer. An interview with the Director of Nursing confirmed that Resident 46 did not have a right foot pressure ulcer, highlighting inaccuracies in the resident's clinical record.
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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 Broomall
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Broomall Manor | 0.2 mi | ★★★★★ | 1 | 0 |
| Pine View Healthcare And Rehabilitation Center | 0.6 mi | ★★★★★ | 44 | 0 |
| Quadrangle | 1.8 mi | ★★★★★ | 1 | 0 |
| William Hood Dunwoody Care Ctr | 2 mi | ★★★★★ | 5 | 0 |
| Wesley Enhanced Living Main Line Rehab And Skd Nsg | 2.4 mi | ★★★★★ | 1 | 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.