Rolling Hills Healthcare and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF744Sep 17, 2026

  Based on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address dementia and cognitive loss displayed by three of three residents reviewed for dementia care (Residents 13, 33, and 47). Findings include: Clinical record review for Resident 13 revealed a diagnosis list that included the need for assistance with personal care and vascular dementia unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety (dementia: a group of symptoms related to loss of memory, judgment, language, complex motor skills, and other intellectual function, caused by the permanent damage or death of the brain's nerve cells, or neurons; vascular dementia: caused… […]

• No harm, potential for more than minimal, patternF812Sep 17, 2026

  Based on observation and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner in the main kitchen in the facility and one of two nursing units (Main Unit).Findings include: Initial tour of the facility's main kitchen with Employee 2, dietary manager, on September 15, 2026, at 9:00 AM revealed the following: The walk-in cooler contained a one-gallon container of prepared yellow mustard with the expiration date of December 18, 2025. A four-ounce container of vanilla yogurt in the walk-in cooler past the use by date of September 9, 2026. The freezer contained a Styrofoam cup with a plastic lid and straw that contained an unidentified orange substance and no use by date. […]

• No harm, potential for more than minimal, patternF880Sep 17, 2026

  Based on review of select facility policies and procedures, observation, clinical record review, and staff interview, it was determined that the facility failed to implement appropriate transmission based precautions (TBP) for two of two residents reviewed on TBP (Residents 45 and 12) and ensure an environment free from the potential spread of infection with the storage of resident supplies on one of two nursing units (Annex; Residents 43 and 50).Findings include: Observation on September 15, 2026, at 11:35 AM of Resident 43's room revealed an uncovered toilet riser was sitting on the floor to the left of the toilet, leaning against the wall. […]

• No harm, potential for more than minimal, patternF791Aug 1, 2025

  Based on observation, clinical record review, and staff and resident interview, it was determined that the facility failed to provide professional dental services for two of two residents reviewed for dental concerns (Residents 27 and 46). Findings include: Observation of Resident 27 on July 30, 2025, at 10:32 AM revealed she was edentulous (without natural teeth). Interview with Resident 27 on the date and time of the observation revealed that she once had a full denture for her upper and lower jaws; however, Resident 27 alleged that staff took her lower denture, and she did not know when or where they took them. […]

• No harm, potential for more than minimal, patternF623Oct 13, 2023

  Based on clinical record review and staff interview, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman of a transfer to the hospital for three of three residents reviewed (Residents 13, 37, and 46). Findings include: Review of Resident 13's clinical record revealed that the facility transferred him to the hospital on August 8, 2023. There was no documented evidence that the facility notified the Office of the State Long-Term Care Ombudsman of Resident 13's transfer to the hospital. Review of Resident 37's clinical record revealed that the facility transferred him to the hospital on June 20, 2023, and again on September 17, 2023. […]