Spring Hill Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Spring Hill Rehabilitation and Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF607Jan 22, 2026

  Based on reviews of facility policy, employees files, facility documentation, and staff interviews, it was determined that the facility failed to ensure annual abuse and neglect prevention training was completed for five of seven staff members (Nurse Aide (NA) Employee E1, Registered Nurse (RN) Employee E3, NA Employee E4, RN Employee E6, and the Director of Nursing (DON) identified in an incident of reported neglect. The facility also failed to provide annual abuse and neglect training for 88 of 90 current Facility Employees for 12 of 12 months (January through [DATE]). The facility also failed to screen employees for a potential history of abuse by completing pre-employment criminal background checks for one of seven employees (Licensed Practical Nurse (LPN) Employee E2). […]

• Immediate jeopardy, isolatedF600Jan 22, 2026

  Based on review of facility policy, clinical records, staff interviews, resident interviews, and observations it was determined that the facility failed to ensure that residents were free from neglect and failed to timely and effectively manage 12 allegations of resident neglect, which created an Immediate Jeopardy situation for 12 of 12 residents (Resident R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, and R12). Findings include:Review of facility Abuse, Neglect, Mistreatment policy dated 9/22/25, indicated the facility prohibits the mistreatment, neglect, and abuse of residents and misappropriation of resident property by anyone including staff, family, friends, etc. […]

• Immediate jeopardy, isolatedF725Jan 22, 2026

  Based on review of facility policy, resident and staff interviews, and observations, it was determined that the facility failed to have sufficient nursing staff to provide nursing related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, which created an Immediate Jeopardy situation for 12 of 12 residents residing on one of two halls (West Hall) for Residents R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, and R12).Findings Include:Review of the facility policy Resident Rights dated 9/22/25, indicated all residents will be treated with respect, and dignity. Residents have the right to reside and receive services in the facility. […]

• Actual harm, isolatedF697Feb 26, 2026

  Based on review of facility policies and clinical records, resident and staff interviews, it was determined that the facility failed to provide effective pain management for one of five residents reviewed (Resident R1), which resulted in excessive pain, poor sleeping, and decreased level of functioning of activities of daily living, causing harm to Resident R1.Findings include: Review of the facility policy Medication Ordering and Receiving from Pharmacy dated 9/22/25, indicated medications are administered in an organized and safe manner. Pour the correct number of tablets or capsules into the medication cup. Administer medication and remain with resident while medication is swallowed. Review of Resident R1's admission record indicated she was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812May 21, 2026

  Based on a review of policy, observation and staff interview, it was determined that the facility failed to properly label and date food products, maintain kitchen equipment in a sanitary condition, properly store chemicals, and properly restrain hair creating the potential for cross contamination in the Main Kitchen of the facility.Findings include: Review of facility policy Food Safety Requirements, dated 5/1/26, stated that it is the policy of the facility to procure food from sources approved or considered satisfactory by federal, state, and local authorities. Food will also be stored, prepared, distributed and served in accordance with professional standards for food service safety. Refrigerated food shall be labeled, dated, and monitored. […]