Seven Hills Health & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF761Apr 22, 2021

  Based on observations, interviews and review of the facility's policy and procedure, the facility failed to ensure the proper labeling and storage of medications in 3 of 3 medications carts inspected (A middle cart; B middle cart and B front cart). The findings include: On 04/21/2021 beginning at approximately 2:15 PM, an inspection of Unit A's middle medication cart was conducted in the presence of the Unit Manager. Observed in the medication cart were the following: - An opened box of eye drops, dated 03/05, for Resident #274 who had been discharged on [DATE] remained in the drawer. […]

• No harm, potential for more than minimal, isolatedF755Jul 1, 2026

  Based on observations, staff interviews, and a review of resident records, the facility failed to ensure the accurate administration and also failed to ensure reconciliation of narcotic medications for 2 of 6 medication carts observed.The findings include:1. On 7/1/2026 at approximately 9:26 AM, Staff A, a Licensed Practical Nurse (LPN), spilled approximately 1/3 of a crushed Percocet 5/325 mg tablet (a narcotic pain medication) onto the medication cart #2 located in the building's B wing, while attempting to pour it into a medication cup for administration with applesauce. […]

• No harm, potential for more than minimal, isolatedF552Mar 5, 2026

  Based upon observations and record reviews, the facility failed to inform and obtain consent of psychotropic medication for 1 out 5 residents reviewed. (Resident #13)The findings include:An observation of Resident #13 was conducted on 03/03/2026 at 09:15 AM. Resident #13 was in a wheelchair in the common area next to the nurse's station. An interview with Resident #13 was attempted but the resident was unable to answer questions at this time. Resident #13 was dressed and groomed appropriately for the day. Resident #13 was able to move about the facility using a wheelchair without difficulty. […]

• No harm, potential for more than minimal, isolatedF584Mar 5, 2026

  Based on observations, resident interview, and staff interviews, the facility failed to store resident care equipment in a sanitary manner in 1 of 22 sampled resident restrooms (room [ROOM NUMBER]). The facility also failed to maintain restroom plumbing in good working order for 1 of 22 sampled resident restrooms. (room [ROOM NUMBER]) The findings include:room [ROOM NUMBER]Observations of room [ROOM NUMBER] shared restroom was conducted on 3/3/26 at 10:12 AM. One bedpan and 4 basins were on the floor under the sink. The items were not labeled or bagged. An additional observation of room [ROOM NUMBER]'s shared restroom was conducted on 3/5/26 at 11:42 AM with the Director of Nursing (DON). The bedpan and 4 basins remained on the floor under the sink. The items were not labeled or bagged. […]

• No harm, potential for more than minimal, isolatedF604Mar 5, 2026

  Based on observation, record review, and interview, the facility failed to assess and obtain consent prior to implementing the use of abdominal binders as restraints for 2 of 3 residents sampled for restraints. (Resident #3 and #149)The findings include:Resident #3Observations of Resident #3 on 3/3/26 at approximately 9:05 AM, 11:35 AM, and 3:25 PM and on 3/4/26 at approximately 9:00 AM and 12:25 PM revealed an abdominal binder covering the gastrostomy tube to the resident's abdomen. […]