Rockwood South Hill

In the surveyor’s words

From the most serious findings on record at Rockwood South Hill, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 16, 2021

  Based on observation, interview, and record review, the facility failed to ensure 1 of 3 residents (1), reviewed for accidents, had an environment free from accident hazards. This failure resulted in actual harm to Resident 1, who sustained two second degree [CONDITION(S)] to the thigh, after spilling hot coffee on their lap. Findings included . According to the 11/10/2021 admission assessment Resident 1 was admitted on [DATE], with diagnoses including a disease of the nervous system resulting in tremors (a shaking movement in one or more parts of the body). Resident 1 was able to make needs known. […]

• No harm, potential for more than minimal, widespreadF812Mar 23, 2026

  Based on observation and interview, the facility failed to date, cover and discard expired food in the dry storage areas and 1 of 3 refrigerators (refrigerator 1), dishwasher final rinse temperatures were not maintained as required for the dishwasher, and refrigerator and freezer temperatures were not maintained at the required ranges for 2 of 2 dining room refrigerators (DR refrigerator 1 and DR refrigerator 2). The facility further failed to complete hand hygiene when indicated during 2 meal services. […]

• No harm, potential for more than minimal, widespreadF880Mar 23, 2026

  Based on observation, interview, and record review, the facility failed to implement a comprehensive infection prevention program designed to reduce the risk of infections for 1 of 1 residents (Resident 40). These failures placed residents, staff and students at risk of acquiring infections and unintended health consequences.Findings included.<Annual Review of Infection Prevention and Control Policies> Infection Prevention and Control policies were not reviewed annually. During the Entrance Conference conducted on 03/16/2026 at 9:06 AM, policies regarding the Infection Prevention and Control program were requested. […]

• No harm, potential for more than minimal, widespreadF812Dec 9, 2024

  Based on observation, interview and record review, the facility failed to ensure the staff performed the required hand hygiene and wore hair coverings during food preparation and meal service for 2 of 2 dining rooms observed. Additionally, the facility failed to ensure the staff discarded expired foods, labeled food items, monitored the temperatures of foods being served, and were competent on preparation of thickened liquids. This failure placed the residents at risk for foodborne illnesses and aspiration (accidental inhalation of liquid into the lungs). Findings included . […]

• No harm, potential for more than minimal, widespreadF812Aug 3, 2023

  Based on observation and interview, the facility failed to store food in accordance with professional standards for food service safety for 1 of 1 kitchen and 1 of 2 dining rooms (South dining room). Failure to securely close opened bags of food to protect from exposure to contaminants, label foods with dates they were opened or discard dates, and discard expired food, placed all residents at risk for food-borne illness. Findings included . On [DATE] at 9:00 AM, during a tour of the kitchen with Staff N, Executive Chef, the following observations were made: Produce Refrigerator: An opened gallon of Asian Sesame Dressing was nearly empty. There was no date that showed when it was opened or should have been discarded. It was past the labeled manufacturer expiration date. […]