Seven Hills Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Seven Hills Health & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF692Jul 7, 2025

  Based on record review, observation, policy review, and interview, the facility failed to provide evidence that enteral tube feedings were administered to prevent weight loss. This affected two residents (#57 and #60) out of three reviewed for tube feeding. The facility also failed to obtain weekly weights as ordered. This affected four residents (#11, #20, #57, and #60) out of six reviewed for nutrition. The facility also failed to provide adequate hydration to prevent dehydration. This affected one resident (#11) out of three reviewed for hydration. […]

• Actual harm, isolatedF686Jun 29, 2023

  Based on observation, record review, facility policy review and interview the facility failed to ensure timely assessments were completed, wound care was completed as ordered and adequate interventions were implemented to prevent the development of pressure ulcers for Resident #33 and Resident #51. The facility census was 58. Actual Harm occurred on 04/03/23 when Resident #33, who required extensive to total dependence from staff for activities of daily living (ADL) including bed mobility, toileting and transfers, was found to have an unstageable (full thickness tissue loss in which the actual depth of the ulcer was obscured by slough/ dead skin) pressure ulcer to his right trochanter (hip). […]

• Actual harm, isolatedF689Aug 22, 2022

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, facility policy and procedure review and interview the facility failed to prevent second degree [CONDITION(S)] to Resident #37. Actual Harm occurred on 06/01/22 when Resident #37, who had a diagnosis of dementia, impaired cognition and required set up assistance for drinking, was served hot coffee, with a temperature of 160 degrees Fahrenheit during a supervised activity program which was spilled on his inner thighs resulting in second degree [CONDITION(S)] (burn involves the first two layers of skin and may present as deep reddening of the skin, pain, blisters, glossy appearance from leaking fluid, and possible loss of some skin which… […]

• No harm, potential for more than minimal, widespreadF730Sep 19, 2022

  Based on interview, record review, and review of the facility policy, the facility failed to ensure State tested Nursing Assistants (STNA) received 12 hours of inservices annually. This had the potential to affect all 75 of 75 residents residing in the facility. Findings include: Record review of STNA #326's employee file revealed a hire date of 06/25/20. Record review of the the signed transcript for STNA #326 revealed a combined total of 10.10 hours of annual inservices. Record review of STNA #327 employee file revealed a hire date of 03/30/21. Record review of the the signed transcript for STNA #327 revealed a combined total of 6.70 hours of annual inservices. Interview on 09/19/22 at 9:30 A.M. […]

• No harm, potential for more than minimal, widespreadF880Sep 19, 2022

  Based on observation, interview, facility policy review, and review of online resources for the Centers for Disease Control and Prevention (CDC), the facility failed to ensure staff wore personal protective equipment (PPE) as required when entering Resident #127 and #266's room who were under droplet precautions for COVID-19 observation. This had the potential to affect all 75 residents residing in the facility. Findings include: Review of medical record for Resident #127 revealed admitted [DATE] and a physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the immunization record revealed Resident #127 had declined the COVID-19 vaccination. Review of medical record for Resident #266 revealed admitted [DATE] and a physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . […]