Deficiency Records for Rolling Hills Rehab and Care Ctr
Updated as of November 01, 2019
This is not the most recent data for Rolling Hills Rehab and Care Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Rolling Hills Rehab and Care Ctr. 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-23 | 2019-06-06 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-04-09 | 2019-06-06 | Y |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-02-05 | 2019-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-05 | 2019-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-07 | 2019-03-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-07 | 2019-03-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-02-07 | 2019-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-07 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-05-09 | 2018-06-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-09 | 2018-06-04 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-05-09 | 2018-06-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-05-09 | 2018-06-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-05-09 | 2018-06-04 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2017-12-22 | 2018-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-22 | 2018-06-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-22 | 2018-04-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-07 | 2018-04-19 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-02-28 | 2018-04-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-18 | 2018-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-18 | 2018-04-19 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-01-18 | 2018-04-19 | Y |
| Post nurse staffing information every day. | Health | 2018-01-18 | 2018-04-19 | 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 | 2018-01-18 | 2018-04-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-18 | 2018-04-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-18 | 2018-04-19 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2017-12-22 | 2018-04-19 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2017-12-22 | 2018-04-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2017-12-22 | 2018-04-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2017-12-22 | 2018-04-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-22 | 2018-04-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-22 | 2018-04-19 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2017-12-22 | 2018-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-22 | 2018-04-19 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-22 | 2018-04-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-22 | 2018-04-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2017-12-22 | 2018-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-22 | 2018-04-19 | 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 | 2017-12-22 | 2018-04-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-22 | 2018-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-22 | 2018-04-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-22 | 2018-04-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2017-12-22 | 2018-04-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2017-12-22 | 2018-04-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2017-12-22 | 2018-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-22 | 2018-04-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide or obtain dental services for each resident. | Health | 2017-12-22 | 2018-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2017-12-22 | 2018-04-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2017-12-22 | 2018-04-19 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2017-12-22 | 2018-04-19 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2017-12-22 | 2018-04-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-22 | 2018-04-19 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2017-12-22 | 2018-04-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-22 | 2018-04-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2017-12-22 | 2018-04-19 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2017-12-22 | 2018-04-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2017-12-22 | 2018-04-19 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-05 | 2018-04-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-05 | 2018-04-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-12-05 | 2018-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-05 | 2018-04-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-12-05 | 2018-04-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-12-05 | 2018-04-16 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-28 | 2017-10-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-08 | 2017-10-20 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-20 | 2017-04-14 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-20 | 2017-04-14 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-20 | 2017-04-14 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-06 | 2016-12-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-06 | 2016-12-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-06 | 2016-11-16 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-06 | 2016-11-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-06 | 2016-11-16 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-06 | 2016-11-16 | N |
| 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. | Health | 2016-10-06 | 2016-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-06 | 2016-11-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-06 | 2016-11-16 | N |
| Provide or obtain dental services for each resident. | Health | 2016-10-06 | 2016-11-16 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-10-06 | 2016-11-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-06 | 2016-11-16 | N |
