Forest Hills Center

In the surveyor’s words

From the most serious findings on record at Forest Hills Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Oct 18, 2021

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, The Department of Health and Human Services, Center for Medicare and Medicaid (CMS) Memo QSO 20-20-ALL dated 03/20/20, review of CMS Memo QSO 20-38 revised 09/10/21, Nursing Home Guidance from the Centers for Disease Control (CDC), record review, review of a facility COVID-19 positive timeline, review of the county community COVID-19 transmission rate, review of staff time sheets, review of census, review of staff screening forms, review of resident and staff rapid point of care (POC) test results, review of resident's vaccination logs, staff interviews, review of the facility COVID-19 procedure policy, and observations, the facility failed to implement… […]

• No harm, potential for more than minimal, widespreadF680Jun 10, 2026

  Based on personnel file review, facility record review, staff interviews, and facility policy review, the facility failed to ensure the activities program was directed by a qualified activities professional. This had the potential to affect all 74 residents residing in the facility. The facility census was 74. Findings include:Review of the facility Activity Director job description revealed the primary purpose of the position was to plan, organize, develop, direct, and implement the overall operation of the activity department to ensure an ongoing program of activities designed to meet the interests and physical, mental, and psychosocial well-being of each resident. […]

• No harm, potential for more than minimal, widespreadF804Jun 10, 2026

  Based on observations, staff and resident interviews and policy review, the facility failed to ensure food was served at an appetizing temperature. This had the potential to affected 72 out of 72 residents who receive their meals from the kitchen, the facility identified two (#9 and #55) residents who do not eat food from the kitchen. The facility census was 74. Findings include:Observation on 06/03/26 at 12:03 P.M. revealed food temperatures for the regular texture chicken was 191.7 degrees Fahrenheit (F), regular texture vegetable was 196 degrees F, and regular sweet potato was 197 degrees F. Observation on 06/03/26 from 12:19 P.M. to 1:00 P.M. revealed during tray line facility had warming shells (tops and bases) to keep food warm. […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2026

  Based on observations, staff interviews, and policy review, the facility failed to ensure food was stored in a safe and sanitary manner. In addition, the facility failed to ensure hand hygiene was completed during meal service. This affected 72 residents who received meals from the facility kitchen. The facility identified two Residents (#9 and #55) who do not eat food from the kitchen. The facility census was 74.1. Observation on 06/01/26 from 9:33 A.M. to 9:50 A.M. revealed in the refrigerator a tub of applesauce and a tub of fruit was undated, shredded cheese was open and undated and four orange juice containers had no dates. In the freezer biscuits were uncovered and open to air. […]

• No harm, potential for more than minimal, widespreadF835Jun 10, 2026

  Based on observation, interview, record review, resident council review, personnel file review, and Quality Assurance and Performance Improvement (QAPI) review, the facility failed to effectively administer the facility by failing to ensure the activities program was directed by qualified personnel and failing to ensure residents received an activity program that addressed their assessed interests, preferences, and psychosocial well-being. In addition, the facility failed to implement effective corrective actions to achieve compliance after the facility's QAPI program identified concerns related to activity programming and staffing. This had the potential to affect all 74 residents residing in the facility. […]