Forest Hills Rehabilitation & Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF600Aug 13, 2025

  Based on review of clinical records, the facility's abuse prohibition policy, and select facility investigative documentation and staff interview, it was determined the facility failed to ensure that one resident (Resident 1) was free from physical abuse perpetrated by another resident (Resident 2) out of 6 residents sampled for abuse prevention, which resulted in serious harm and injury, a fractured humerus (arm) and femur (leg). This deficiency is cited as past non-compliance.Findings include: A review of a facility policy entitled Abuse Policy last reviewed by the facility on April 22, 2025, revealed the residents have the right to be free from abuse, neglect, misappropriation of resident property, corporal punishment and involuntary seclusion. […]

• Actual harm, isolatedF689Jun 16, 2023

  Based on review of clinical records, select facility policy and incident reports and staff interview it was determined that the facility failed to consistently provide necessary supervision required by a resident with a known history of unsafe behaviors to prevent a fall resulting in a fractured hip for one resident out of 35 sampled residents (Resident 172). Findings include: Review of a facility policy entitled Falls and Fall Risk, Managing that was last reviewed by the facility on May 5, 2023, indicated that based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling. […]

• Actual harm, isolatedF760Dec 21, 2022

  Based on review of select facility policy, clinical records, and information submitted by the facility and staff interview it was determined that the facility failed to ensure that one of three residents sampled was free from significant medication errors (Resident 77), which caused adverse effects, hypoglycemia, and required corrective treatment. Findings include: Review of the facility Administering Medications Policy last reviewed July 2022 indicated that medications are administered in a safe and timely manner, as prescribed. Only persons licensed by the state to prepare, administer, and document the administration of medications may do so. The director of nursing services supervises and directs all personnel who administer medications and/or have related functions. […]

• No harm, potential for more than minimal, widespreadF812Mar 13, 2026

  Based on observation and staff interview, it was determined the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of foodborne illness in the food and nutrition services department and on three of four resident pantry areas (Area 1, Area 3, and Area 4). Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]

• No harm, potential for more than minimal, widespreadF886Jul 22, 2022

  Based on a review of the facility's COVID-19 testing, standards established by the Centers for Medicare & Medicaid Services, and facility line listing and staff interview, it was determined that the facility failed to maintain documentation of COVID testing in the clinical record of six residents out of six reviewed. (Resident 162, 65, 8, 171, 66, and 90) Findings include: A review of Center for Clinical Standards and Quality/Survey & Certification Group, Ref: QSO - 20-38-NH dated August 26, 2020, and revised March 10, 2022, revealed a final ruling, which establishes Long-Term Care (LTC) Facility Testing Requirements for Staff and Residents. […]