Seven Hills Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Seven Hills Rehabilitation and Nursing, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Aug 2, 2023

  Based on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to ensure hazardous smoking materials were secured for three of forty residents in the survey sample (Residents #43, #24 and #75). The facility experienced a centrally located fire on [DATE] with heavy smoke requiring evacuation of the facility with three of forty residents in the survey sample hospitalized for assessment/treatment related to the smoke/evacuation event (Residents #19, #23 and #239). Resident #43 was found with a lighter immediately after the [DATE] fire that started in her room. There was no protocol implemented after finding the lighter, to ensure all smoking materials including lighters, were securely stored. […]

• Immediate jeopardy, patternF740Feb 14, 2024

  Based on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to assess and implement behavioral health interventions following statements of suicidal intent for three of seven residents in the survey sample (Residents #2, #6 and #7), resulting in the identification of immediate jeopardy. The findings include: 1. Facility staff failed to identify and implement interventions to address Resident #2's behavioral health needs following statements of self-harm reported to staff on 12/26/23. Resident #2 attempted self-harm on 1/19/24 by wrapping the bed remote cord around her neck. […]

• Immediate jeopardy, isolatedF610Apr 30, 2026

  Based on staff interviews, and facility documentation reviews, the facility staff failed to ensure that residents were protected during an allegation of abuse investigation and failed to investigate an allegation of verbal abuse involving one resident (Resident #1) in a survey sample of 10 residents. Resident #1 (R1) was the victim of two different abuse allegations and during the investigations on 5/30/25 and 10/30/25 the perpetrator was allowed to work to the end of their shift and worked their schedule days following, and while the investigation was being conducted. […]

• Immediate jeopardy, isolatedF689Feb 14, 2024

  Based on clinical record review, staff interview, and review of facility documents, the facility failed to ensure adequate supervision and implement interventions for non-compliance with smoking materials for one of seven residents (Resident #3). Multiple occurences of non-compliance with smoking materials, designated smoking times, designated smoking areas, and smoking supervision was revealed in Resident #3's clinical record, as well as through staff interviews. No evidence was found that the facility implemented interventions to address the unsecured smoking materials repeatedly observed in R3's possession. While R3 was in therapy on 2/1/24, a fire occurred in R3's room and unsecured smoking materials were again retrieved from the room, which had been accessible to other residents. […]

• Immediate jeopardy, isolatedF689Jan 13, 2023

  Based on complaint investigation, clinical record review, staff interview, and review of facility documents, the facility failed for one of fifteen residents in the survey sample (Resident #1) to provide adequate supervision for the resident who was suspected of starting several fires in the facility. The resident was placed on 30-minute checks, but continued to move about the building, setting several more fires, before being transferred to the hospital. Upon review of the initial survey findings, further investigation was deemed necessary, and the survey was extended, subsequently finding that the facility failed to implement any interventions to prevent reoccurrence, after the first fire was discovered. […]