Sterling Care Forest Hill

In the surveyor’s words

From the most serious findings on record at Sterling Care Forest Hill, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 14, 2024

  Based on record review, observations, and interviews, the facility failed to provide supervision to a cognitively impaired resident with known elopement risk and exit-seeking behavior from exiting the building unsupervised. This was evident for 1 of 12 residents reviewed for elopement during the survey. This failure resulted in an Immediate Jeopardy for Resident #82. The facility implemented effective and thorough corrective measures following the incident. The facility's plan of correction and actions were verified during the survey; therefore, this deficiency will be cited as past non-compliance. The date of correction was 07.21.22. […]

• No harm, potential for more than minimal, widespreadF812Aug 14, 2024

  Based on observation and interview with facility staff, it was determined that the facility failed to store food in accordance with professional standards for food service safety. This was found to be evident during the facility's survey and has the potential to affect all residents eating food prepared in the facility's kitchen. The findings include: During the initial tour of the kitchen conducted on 08/06/2024 at 8:35 AM with the dietary aide staff #13 accompanying the surveyors. Inside of the stand-alone refrigerator was a large bowl of croutons with a date-in of 06/13/24 and a date-out of 06/19/24. […]

• No harm, potential for more than minimal, patternF584Dec 22, 2025

  Based on observation, resident interview, and staff interview it was determined that the facility staff failed to ensure resident rooms were maintained in a homelike environment. This was evident for 5 of the resident rooms observed during the initial tour of the facility during this recertification survey. The findings include: Members of the survey team made observations of the environmental conditions of certain rooms while touring the facility on 12/17/25. room [ROOM NUMBER] had a hole in the wall at the end of the bed and a patched area, room [ROOM NUMBER] had scraping on the wall below the window on the left side of the bed, room [ROOM NUMBER] had peeling behind the bed, room [ROOM NUMBER] had a sink that appeared to be coming off of the wall and had a sign on the bathroom door that… […]

• No harm, potential for more than minimal, isolatedF558Dec 22, 2025

  Based on observation and staff interview it was determined that the facility staff failed to ensure a call bell was in reach of a resident. This was evident for 2 (#37 and #85) out of 43 residents reviewed as part of the survey sample. The findings include: A member of the survey team observed on 12/17/25 at 10:36 AM the call light cord on the floor on the left side of Resident #37's bed in room [ROOM NUMBER] during the initial tour of the facility. This surveyor toured several rooms noted by the survey team for further observation on 12/22/25. This surveyor observed at 11:13 AM a call light cord below the bed of Resident #85 (roommate of #37) in room [ROOM NUMBER]. Staff #6 was interviewed at 11:15 AM. […]

• No harm, potential for more than minimal, isolatedF677Dec 22, 2025

  Based on interview, record review, and observation, it was determined the facility failed to provide ADL care related to urine incontinence timely. This was evident for 1 of 1 resident (Resident # 6) reviewed for Activities of Daily Living during the recertification survey.The findings include: Activities of Daily Living (ADLs) is a term used collectively to describe fundamental skills required to independently care for oneself, such as eating, bathing, toileting, and mobility.On 12/17/2025 at 9:10 AM during an interview, Resident #6 expressed a concern regarding the timeliness of incontinence care. Resident #6 elaborated, When I get up and they put me in the wheelchair, I am raw on my skin from the urine; it hurts and burns my skin. They do not change me the way that they should. […]