Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Roseview Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with bilateral BKA, hemiplegia, and wheelchair dependence, care planned as high risk for falls, was transported in the facility van with the wheelchair floor straps secured but without the required chest and lap safety belts across the body. During the trip, the CNA van driver braked and the resident fell out of the wheelchair onto the van floor. Staff pulled over, used the ramp, and repositioned the resident back into the wheelchair and continued to the appointment without securing the chest or lap belt. The facility was not notified at the time of the fall, no nurse assessment was performed on the resident upon return, the nurse was unaware of the incident, and no accident/incident report or incident log entry was completed, despite facility policies requiring immediate nurse evaluation, physician notification, and written documentation for accidents and falls.
A deficiency occurred when staff inaccurately completed a required daily van safety checklist during a resident transport. Facility policy required documentation of correct use of the shoulder and lap belt and identification of any unsafe conditions for every transport. On the relevant date, the CNA/van driver marked that the shoulder and lap belt were correctly secured and that there were no unsafe conditions, even though the chest strap was not used during the transport. In subsequent interviews, both the Administrator and the CNA/van driver acknowledged that the checklist entry was inaccurate and that the item regarding correct shoulder and lap belt use should have been marked "no."
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A resident who was bedbound and required total care for all ADLs, including a two-person assist for transfers, was provided incontinent care by a single CNA. The CNA, despite being aware of the care plan and posted signage, attempted to turn the resident alone, resulting in the resident falling from the bed. Supervisory staff confirmed the care plan was not followed.
A resident, who was cognitively intact and had multiple medical conditions, experienced verbal abuse from a CNA. The CNA made inappropriate comments about providing care and used profanity when the resident fell. Video footage confirmed the CNA's behavior, and the DON acknowledged a violation of company policy.
A resident with multiple medical conditions fell while attempting to get into her wheelchair, and the facility failed to conduct a full assessment before moving her. The LPN and CNAs moved the resident without assessing her condition, contrary to facility policy. The resident later required hospital treatment for a right femur fracture.
Failure to Secure Resident During Van Transport and to Assess and Document Post-Fall
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident was properly secured during facility van transport, to assess the resident after a fall in the van, and to promptly report and document the incident. The resident had multiple significant diagnoses, including type 2 diabetes mellitus with hyperglycemia, hemiplegia and hemiparesis following cerebral infarction, glaucoma, bilateral below-knee amputations, and muscle wasting and atrophy, and used a wheelchair for mobility. The resident’s care plan identified a high risk for falls related to being a bilateral amputee and wheelchair-bound. Facility policy for accidents and falls required that residents not be moved until evaluated by a licensed nurse, that the nurse in charge be notified, that a thorough head-to-toe assessment be completed, that the physician be notified for follow-up orders, and that an accident/incident report and appropriate documentation be completed by the end of the shift. On the date of the incident, the resident was being transported by facility van to a medical appointment with a CNA who was also the van driver, another CNA, and a complainant present. Multiple interviews indicated that while the wheelchair was secured at the front and back on the van floor, the chest strap and lap safety belt that hook together across the resident were not in place. The resident, the complainant, and the accompanying CNA reported that the chest strap did not work or was not snapped in and attached, and that they proceeded with transport without the chest or lap strap across the resident. During transport, the van driver applied the brakes at a light, and the resident came out of the wheelchair and fell to the floor of the van, ending up on the floor facing the back of the van. Staff then pulled the van over, opened the back, used the ramp, and repositioned the resident back into the wheelchair, which took an extended period of time, and then continued on to the scheduled appointment without the chest strap or lap belt in place. Following the incident, the facility did not follow its own accident and fall policies. The van driver did not call the facility at the time of the fall so that a nurse could assess the resident before he was moved or before proceeding to the appointment. The resident’s nurse reported not being informed of the fall and therefore did not complete an assessment. The incident was not entered on the facility’s incident log, and no accident/incident report was completed by the end of the shift or thereafter. The DON, administrator, and corporate nurse later acknowledged that the chest and lap safety belts were not used, that the van driver should have called the facility and that the resident should have been assessed for injuries, and that an incident report and documentation should have been completed. The resident reported that no one checked on him or asked if he was okay upon his return to the facility, and the complainant reported the resident had bruises on his residual limbs after the fall.
Inaccurate Documentation on Van Safety Checklist During Resident Transport
Penalty
Summary
The deficiency involves the facility’s failure to ensure accurate documentation on the daily van safety checklist for a resident transported by the facility van. The facility’s policy required the daily van safety checklist to be used for every transport and to document whether the shoulder and lap seat belt was secured correctly, whether seatbelts and wheelchair straps were re-checked after initial strapping, and whether any unsafe conditions existed. Review of the checklist for 01/08/2026 showed that the van driver/CNA documented “yes” to the question about correct shoulder and lap belt use and indicated no unsafe conditions. However, during an interview, the Administrator stated that staff on the van did not use the strap across the resident’s chest during the transport on that date and acknowledged that the driver’s documentation was inaccurate. In a separate interview, the van driver/CNA confirmed that the checklist should have been marked “no” for the question about correct shoulder and lap belt use at the time of the resident’s transport, demonstrating that the record did not accurately reflect the actual safety measures used during the transport. No additional medical history or clinical condition of the resident at the time of the deficiency is provided in the report.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Follow Two-Person Assist Care Plan During ADL Care
Penalty
Summary
A deficiency occurred when staff failed to follow a resident's care plan, which required a two-person assist for all activities of daily living (ADLs) and transfers. The resident, who was bedbound and dependent on staff for all ADLs due to multiple diagnoses including ataxia, muscle wasting, contractures, and aphasia, was found to be always incontinent and required total care. The care plan and signage above the resident's bed clearly indicated the need for two-person assistance. Despite this, a CNA provided incontinent care alone after not finding another available aide. While changing the resident, the CNA attempted to turn the resident without assistance, resulting in the resident rolling off the bed and falling to the floor. The incident was confirmed by nurse's notes and interviews with supervisory staff, who acknowledged that the CNA was aware of the two-person assist requirement but did not follow the established care plan.
Verbal Abuse Incident by CNA
Penalty
Summary
The facility failed to protect a resident's right to be free from verbal abuse by a staff member. The incident involved a resident who was cognitively intact, as indicated by a BIMS score of 15, and had multiple medical conditions including ESRD, COPD, and anxiety disorder. The resident reported that a CNA entered her room and made an inappropriate comment about providing incontinent care. Additionally, the resident's responsible party reported hearing the CNA use profanity and dismissive language when the resident fell and called for help. Video footage confirmed the presence of the CNA in the resident's room and captured the CNA using curse words in the hallway. The CNA admitted to confronting the resident about allegedly lying about being on the floor. The DON confirmed that the CNA's language violated company policy. The incident highlights a failure in maintaining a respectful and abuse-free environment for residents.
Failure to Conduct Proper Assessment After Resident Fall
Penalty
Summary
The provider failed to ensure services met professional standards of quality by not completing a full head-to-toe assessment with vital signs after a resident fall. The facility's policy required that a licensed nurse assess the resident's condition before moving them, but this was not followed. The incident involved a resident with multiple medical conditions, including ESRD, COPD, and a history of falls, who fell while trying to get into her wheelchair. The resident was found on the floor by a CNA, and the wheelchair was noted to be unlocked. The LPN on duty, upon hearing the resident scream, called for CNAs to assist but did not perform the required assessment before the resident was moved. The CNAs, with the LPN holding the wheelchair steady, moved the resident into the wheelchair without a prior assessment. The resident later complained of hip pain, and subsequent imaging revealed a right femur fracture, necessitating hospital transfer and surgical intervention. Interviews with staff confirmed that the facility's protocol for fall incidents was not followed. The LPN and CNAs involved acknowledged that an assessment should have been conducted before moving the resident. The Director of Nursing also verified that a full assessment was required before moving any resident who had fallen. This oversight led to a delay in identifying the resident's injury and providing appropriate care.
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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 Shreveport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shreveport Manor Skilled Nursing & Rehabilitation | 0.1 mi | — | 0 | 0 |
| Progressive Care Center | 0.3 mi | — | 3 | 0 |
| Willis-knighton Extended Care Center | 0.3 mi | — | 0 | 0 |
| Claiborne Healthcare Center | 0.7 mi | — | 7 | 1 |
| Magnolia Manor Nursing And Rehab Ctr, Llc | 0.8 mi | — | 6 | 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.