Rolling Meadows Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 2, 2025

  Based on observation, interview and record review, the facility failed to implement immediate interventions to prevent future falls for 2 of 3 residents reviewed for falls. (Residents B and C). This deficient practice resulted in Resident B sustaining a right hip fracture during a subsequent fall following a fall resulting in a wrist fracture. Findings include: 1. Resident B's clinical record was reviewed on 5/30/25 at 10:55 a.m. Diagnoses included fracture of the left wrist, fracture of the right femur, dementia, muscle weakness, difficulty walking and the need for personal assistance with care. […]

• No harm, potential for more than minimal, patternF689Jan 25, 2022

  Based on observation, record review and interview, the failed to provide adequate supervision to prevent falls, and failed to develop and implement immediate interventions to prevent further falls for 4 of 7 residents reviewed for accidents (Residents 50, 56, 55, and 51). Findings include: 1. During an observation, on 1/18/22 at 11:00 a.m., Resident 50 was sitting up in a chair in her room. Her clinical record was reviewed on 1/19/22 at 10:45 a.m. Diagnoses included, but were not limited to, Alzheimer's disease and history of falling. Current physician orders included, but were not limited to, Broda chair for comfort and repositioning, order date was 1/19/22. A 11/16/21 significant change MDS (Minimum Data Set) assessment indicated she had severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF744Jan 25, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents with dementia did not receive anti-psychotic medications without indication and had individualized interventions for targeted behaviors for 3 of 5 residents reviewed for unnecessary medications (Residents 55, 56, and 50). Findings include: 1. On 1/19/22 at 1:40 p.m., Resident 55 was sleeping in a recliner in the lounge. On 1/19/22 at 3:01 p.m., she remained in the recliner. On 1/20/22 at 9:23 a.m., she was seated in a recliner in the lounge, awake, and talking with another resident with a fidget popper in her hand. On 1/20/22 at 1:06 p.m., she was seated in a recliner in the lounge. During random observations on 1/21/22 from 10:40 a.m. […]

• No harm, potential for more than minimal, isolatedF644Oct 30, 2024

  Based on record review and interview, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was submitted for a resident with a newly diagnosed mental health condition requiring psychotropic medication for 2 of 3 residents reviewed for PASRR (Resident 76 and 90). Findings include: 1. Resident 76's clinical record was reviewed on 10/28/24 at 10:41 a.m. Diagnoses included unspecified dementia, severe, with anxiety (9/9/23), major depressive disorder (9/9/23), generalized anxiety disorder (9/9/23), and psychotic disorder with delusions due to known physiological condition (9/15/23). […]

• No harm, potential for more than minimal, isolatedF755Oct 30, 2024

  Based on record review and interview, the facility failed to ensure procedures were in place to ensure pending physician's orders were followed up on and medications administered in a timely manner for 1 of 5 residents reviewed for unnecessary medications (Resident 70). Finding includes: Resident 70's clinical record was reviewed on 10/29/24 at 2:12 p.m. Diagnoses included atherosclerotic heart disease of native coronary artery without angina pectoris and type 2 diabetes mellitus without complications. […]