Rolling Hills Care Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Feb 7, 2025

  Based on observations, interviews, record review, and review of pertinent documents on 1/30/25, it was determined that the facility failed to ensure 5 of 5 cognitively impaired residents (Residents #3, #13, #29, #37, and #42) at risk of aspiration (accidental breathing in of fluid or food into the lungs) and who had physician's order (PO) for a pureed textured (blended, mixed, or processed into a smooth and uniform texture) diet received an entree consistent with the prescribed diet. This deficient practice was identified for 5 of 5 residents reviewed for mechanically altered diet (require change in texture of food or liquids; example pureed food). On 1/30/25 at 12:13 PM, the surveyor observed the lunch meal tray preparation in the kitchen. […]

• Actual harm, isolatedF684Nov 22, 2023

  Complaint# NJ00154003 Based on interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a.) follow a Physician's Order (PO) for a serum Complete Blood Count (CBC; is a blood test that measures many different parts and features) that was ordered on 01/28/22, to be done on 01/31/22 and b.) notify the resident's physician that staff was unable to obtain the serum CBC according to the standards of clinical practice. This deficient practice was identified for one (1) of 16 residents, (Resident #215) reviewed for quality of care. […]

• No harm, potential for more than minimal, widespreadF812Feb 7, 2025

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain kitchen sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] from 9:28 AM to 11:31 AM, the surveyor, accompanied by the Dietary Aide (DA #1) and the Food Service Director (FSD) toured the kitchen and observed the following: 1. On [DATE] at 10:09 AM the surveyor observed a high temperature dish machine running at 136 degrees Fahrenheit (F). The FSD stated that per the manufacture's recommendations the dish machine should wash above 150 degrees and rinse above 180 degrees. […]

• No harm, potential for more than minimal, widespreadF812Nov 22, 2023

  Based on observation, interview, and document review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe consistent manner. This deficient practice was evidenced by the following: On 11/15/23 at 10:56 AM, the surveyor accompanied by the Food Service Director (FSD), observed the following in the kitchen: 1. Upon entry to the kitchen, nine (9) stacks of dessert tray cups were observed with scattered white substances. The FSD informed the surveyor that the white substances were dust. The FSD stated that two (2) out of nine (9) stacks were empty. […]

• No harm, potential for more than minimal, widespreadF922Nov 22, 2023

  Based on observation, interviews, and review of facility provided documents, it was determined that the facility failed to maintain the designated emergency supply of water needed for residents in the event of a loss of normal water supply in accordance with the facility's emergency disaster plan. This failure had the potential to affect all 62 residents who currently live in the facility. This deficient practice was evidenced by the following: On [DATE] at 12:45 PM, the surveyor observed the emergency water storage area in the presence of the Food Service Director (FSD), Licensed Nursing Home Administrator (LNHA), and the Director of Nursing (DON). […]