Rolling Hills Rehab: Mobility Care Plan Failures - WI
The facility failed to provide appropriate treatment to maintain residents' range of motion and mobility, according to inspection records. The violations affected residents identified as R25, R26, R30, and R31 in the federal report.
R25 was supposed to receive restorative services at least three times per week according to her care plan. She didn't get them.
R26's situation was different but equally problematic. Her care plan failed to specify how often she needed restorative services or how long each session should last. Without these basic details, staff had no clear guidance for her mobility care.
R30's care plan called for daily restorative services. Inspectors found she wasn't receiving them daily as prescribed.
R31 faced a similar gap. Her care plan required restorative services five times per week, but the facility wasn't providing them at that frequency.
The inspection report classified the violations as having "minimal harm or potential for actual harm" to residents. However, the consequences of missed mobility services can compound over time, particularly for elderly residents whose physical condition may deteriorate without consistent therapeutic intervention.
Federal regulations require nursing homes to provide appropriate care to maintain or improve residents' range of motion and mobility unless a medical reason justifies decline. The regulation recognizes that consistent physical therapy and restorative services are essential for preventing further loss of function in nursing home residents.
Rolling Hills Rehab Center's administrator acknowledged the violations during the inspection process. The facility indicated it would address the compliance issues, though specific corrective measures weren't detailed in the available inspection records.
The violations represent a systemic problem with care plan implementation at the facility. Care plans serve as individualized roadmaps for each resident's treatment, outlining specific services, frequencies, and goals based on medical assessments. When facilities fail to follow these plans, residents may not receive the level of care their conditions require.
For nursing home residents, mobility services often represent the difference between maintaining independence and experiencing accelerated physical decline. Range of motion exercises, physical therapy, and other restorative services help residents retain the ability to perform daily activities and can prevent complications like contractures or muscle atrophy.
The inspection found that the facility's failures weren't limited to a single resident or isolated incidents. The pattern across four residents suggests broader issues with staff training, scheduling, or oversight of therapeutic services.
R26's case highlighted a particularly concerning gap in care planning. Without specified frequency and duration requirements, even well-intentioned staff couldn't ensure she received appropriate care. The lack of detail in her care plan represented a fundamental failure in the assessment and planning process.
The other three residents faced a different but equally serious problem. Their care plans contained specific requirements, but the facility failed to implement them consistently. This gap between written care plans and actual service delivery undermines the entire care planning system.
Federal inspectors noted the violations under regulation F688, which specifically addresses facilities' obligations to provide appropriate care for maintaining and improving residents' range of motion and mobility. The regulation acknowledges that some decline may be medically unavoidable but requires facilities to provide necessary services to prevent unnecessary deterioration.
Rolling Hills Rehab Center operates at 14400 County Highway B in Sparta. The facility's response to the violations wasn't fully detailed in the inspection report, leaving questions about specific steps being taken to ensure residents receive their prescribed mobility services going forward.
The inspection was completed on February 20, 2025, as part of the routine federal oversight of nursing home compliance with Medicare and Medicaid standards.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Rolling Hills Rehab Ctr from 2025-02-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
ROLLING HILLS REHAB CTR in SPARTA, WI was cited for violations during a health inspection on February 20, 2025.
The facility failed to provide appropriate treatment to maintain residents' range of motion and mobility, according to inspection records.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.