A list of the most recent deficiencies for Rolling Hills Health and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-19 | 2023-03-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-19 | 2023-03-01 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-08-11 | 2021-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-11 | 2021-08-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-11 | 2021-08-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-11 | 2021-08-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-11 | 2021-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-11 | 2021-08-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-07 | 2021-08-05 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-07 | 2021-08-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-07 | 2021-08-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-07 | 2021-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-07 | 2021-05-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-11-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-10 | 2019-11-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-10 | 2019-11-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-10 | 2019-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-11-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-10 | 2019-11-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-10 | 2019-11-13 | N |
| Post nurse staffing information every day. | Health | 2019-10-10 | 2019-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-10 | 2019-11-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-05 | 2019-02-28 | N |
