Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rosewood Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A resident was observed with an albuterol inhaler at her bedside, which she used as needed for shortness of breath. The facility failed to evaluate her for self-administration of medications, as her care plan did not include related goals or interventions, and there was no documentation in the MAR. The DON confirmed the resident had not expressed a desire to self-administer, and the facility's policy required physician orders and team approval for self-administration.
A facility failed to submit a Level II PASARR for a resident who had significant changes in mental health status, including new diagnoses of Disorganized Schizophrenia, major depressive disorder, and severe Vascular Dementia. The resident's Level I PASARR did not indicate mental health issues, and the DON admitted that a Level II screening was not applied for when the new diagnoses were added. The facility submitted the Level II screen only after the deficiency was identified.
A facility failed to create a comprehensive care plan for a resident's antibiotic use. Despite a physician's order for Minocycline HCl and the MDS indicating antibiotic use, the care plan did not address this. A RN confirmed the absence of a necessary care plan for the antibiotic treatment.
A resident with an amputation and moderately impaired cognition did not receive adequate ADL care, including regular showers and nail grooming, as scheduled. Despite expressing a desire for showers, the resident was observed with unwashed hair and an odor of urine. Staff interviews revealed inconsistencies in care documentation and provision, with no evidence of documented refusals or adherence to facility policies on bathing and nail care.
Failure to Evaluate Resident for Self-Administration of Medication
Penalty
Summary
The facility failed to evaluate a resident for self-administration of medications, specifically an inhaler, for one resident. On two separate occasions, the resident was observed with an albuterol inhaler at her bedside, which she stated she used as needed for shortness of breath. The inhaler was labeled as Albuterol Sulfate, and the physician's orders indicated it was to be used every six hours as needed. However, there was no documentation in the Medication Administration Record (MAR) for July and August 2024 regarding the administration of this medication, and the resident's care plan did not include any goals or interventions related to self-administration of medications. During an interview, the Director of Nursing (DON) confirmed that the resident had never expressed a desire to self-administer the inhaler and stated that the facility did not have any residents self-administering medications. A review of the facility's policy on self-administration of medication revealed that a resident could not retain or administer medication in their room without a written order from the attending physician and approval from the Interdisciplinary Care Plan Team. The policy also required that medications stored in the resident's room be secured to prevent access by other residents.
Failure to Submit Level II PASARR for Resident with New Mental Health Diagnoses
Penalty
Summary
The facility failed to submit a Level II PASARR screening for a resident who experienced a significant change in mental health status and received new diagnoses of serious mental disorders. The resident's Level I PASARR, dated 10/28/22, did not indicate any mental health or intellectual disability issues. However, the resident's medical record showed new diagnoses of Disorganized Schizophrenia on 04/18/2023, major depressive disorder on 1/16/23, and severe Vascular Dementia with other behavioral disturbances on 04/20/23. During an interview, the Director of Nursing (DON) acknowledged that the PASARRs are reviewed and completed for all new residents and updated as needed. Despite this, the DON admitted that a Level II screening was not applied for when the new diagnoses were added in April 2023. The facility only submitted the Level II screen on 08/21/24, after the deficiency was identified.
Failure to Develop Care Plan for Antibiotic Use
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for antibiotic use for a resident. A physician's order was placed for Minocycline HCl, a broad-spectrum antibiotic, to be administered once daily for an infection. However, the comprehensive care plan, which was initiated and last updated over a year apart, did not include any mention of antibiotic use. The annual Minimum Data Set (MDS) indicated antibiotic use but did not note any infections. During an interview, a Registered Nurse and MDS coordinator confirmed that there was no care plan in place for the resident's antibiotic use, acknowledging that there should have been one.
Deficiency in ADL Care for a Resident
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADL) care, specifically bathing and grooming, for Resident #42. Observations and interviews revealed that the resident, who has an amputation of the left hand and forearm and moderately impaired cognition, expressed concerns about not receiving regular showers and having unwashed hair. Despite being scheduled for showers three times a week, there was no documentation of any showers or bed baths between 08/12/2024 and 08/20/2024, with the last recorded shower on 07/31/2024. The resident was observed multiple times with an odor of urine and unkempt appearance, indicating a lack of proper hygiene care. Interviews with staff, including CNAs and RNs, highlighted inconsistencies in the documentation and provision of care. CNA A, who had only been assigned to the resident for two days, mentioned that the resident expressed a desire for a shower, but she had not yet provided one. CNA D demonstrated the documentation process but did not confirm recent care. RN B acknowledged the need for nail care and agreed that the resident's nails required attention, particularly the thick and discolored middle fingernail. Despite the facility's policy requiring nail care during baths, the resident reported not receiving such care. The Director of Nursing (DON) suggested that the resident often refuses showers and fabricates stories, but there was no documentation to support these claims. The DON admitted to trimming the resident's long and thick middle fingernail but could not provide evidence of documented refusals of care. The lack of consistent documentation and follow-up on the resident's care needs, as well as the failure to adhere to the facility's policies on bathing and nail care, contributed to the deficiency in providing adequate ADL care for Resident #42.
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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 Pensacola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arabella Health & Wellness Of Pensacola | 1 mi | — | 12 | 3 |
| Coral Bay At Pensacola, Llc | 2.1 mi | — | 32 | 9 |
| Pensacola Nursing & Rehabilitation Center | 2.3 mi | — | 20 | 0 |
| Havens At Pensacola, The | 2.5 mi | — | 0 | 0 |
| Bayside Health And Rehabilitation Center | 4.6 mi | — | 0 | 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 August 2026) and official state health department websites.