ROSEWOOD HEALTH AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Rosewood Health and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ROSEWOOD HEALTH AND REHABILITATION CENTER
3920 ROSEWOOD WAY
ORLANDO, FL 32808
(407) 298-9335

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 110
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Limited Liability Company
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Rosewood Health and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.5%
Total Percent:0.5%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-169.3%
ADL Index Range: 6-1015.5%
ADL Index Range: 0-546.2%
Total Percent:70.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.4%
ADL Index Range: 6-109.3%
ADL Index Range: 0-54.8%
Total Percent:14.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.7%
ADL Index Range: 0-52.8%
Total Percent:3.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.9%
ADL Index Range: 6-101.7%
ADL Index Range: 0-50.9%
Total Percent:3.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.5%
ADL Index Range: 2-5
- Signs of depression
0.9%
Total Percent:1.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.5%
ADL Index Range: 2-5
- Signs of depression
0.3%
ADL Index Range: 2-5
- No Signs of depression
0.9%
Total Percent:1.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 0-1
- Signs of depression
0.9%
ADL Index Range: 0-1
- No Signs of depression
1.8%
Total Percent:2.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
1.0%
Total Percent:1.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
0.2%
Total Percent:0.2%
 

Rating Details For Rosewood Health and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours17 Minutes1 Hour and 19 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 3 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 2 Minutes2 Hours and 13 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes2 Hours and 4 Minutes
Total Nurse Hours4 Hours and 22 Minutes4 Hours and 17 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination54%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season54%87%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder18%54%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of Long-Stay Residents Who Lose Too Much Weight12%8%
Percent of Long-Stay Residents Who Were Physically Restrained1%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season34%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination43%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain3%17%
Percent of Short-Stay Residents Who Have Delirium3%2%
Percent of Short-Stay Residents Who Have Pressure Sores9%14%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/20/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/17/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/30/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 05/20/2010
  • Correction Date: 07/01/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Rosewood Health and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/01/2011
  • Correction Date: 04/06/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 03/01/2011
  • Correction Date: 04/06/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/13/2008
  • Correction Date: 12/18/2008

Resident Assessment

Get Doctor Orders for the Resident's Immediate Care when Admitted.
  • Complaint Filed: 11/13/2008
  • Correction Date: 12/18/2008

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 02/08/2010
  • Correction Date: 03/22/2010
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
  • Complaint Filed: 02/08/2010
  • Correction Date: 03/22/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Rosewood Health and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/17/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/05/2008
  • Correction Date: 06/17/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/05/2008
  • Correction Date: 06/17/2008

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/05/2008
  • Correction Date: 06/17/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/17/2010
  • Correction Date: 06/25/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/22/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/17/2010
  • Correction Date: 06/25/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/09/2009
  • Correction Date: 07/22/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/17/2010
  • Correction Date: 06/25/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 05/05/2008
  • Correction Date: 06/17/2008
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 05/17/2010
  • Correction Date: 06/25/2010
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011