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Complaint Investigation

Rolling Hills Healthcare Center

Inspection Date: September 8, 2025
Total Violations 1
Facility ID 155488
Location NEW ALBANY, IN
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Inspection Findings

F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Based on record review and interview, the facility failed to document medication administration for 1 of 5 residents reviewed for pharmacy services. (Resident B) Findings include: The clinical record for Resident B was reviewed on 09/08/25 at 11:36 AM. A Quarterly Minimum Data Set (MDS) assessment, dated 07/09/25, indicated the resident was moderately cognitively impaired . The resident's diagnoses included, but were not limited to, diabetes, hypertension, non-Alzheimer's dementia, anxiety, and depression.A current, open-ended physician's order, with a start date of 03/24/25, indicated the staff were to administer

the resident's Lantus (insulin), 30 units, twice a day , in the morning and at bedtime. The August and September 2025, Electronic Medication Administration Record (EMAR) lacked documentation that the resident had received the Lantus medication on the following dates and times: 08/02/25 in the morning; 08/03/25 in the morning; 08/09/25 in the morning; 08/10/25 in the morning, 08/23/25 in the morning; 08/30/25 in the morning; 08/31/25 in the morning; and 09/07/25 in the morning.The clinical record lacked documentation that the resident was out of the building when the resident's medication administration was not documented. During an interview, on 09/08/25 at 2:56 P.M., RN 2 indicated all medications should be initialed in the EMAR. If the medication was not administered there should have been a progress note as to why it wasn't administered. During an interview, on 09/08/25 at 3:05 P.M., Clinical Support Nurse indicated

a blank in the EMAR could mean that the medication was not signed out or the medication order had changed. The current facility policy titled, Medication Administration, was provided by the Clinical Support Nurse on 09/08/25 at 3:41 P.M. The policy indicated, .Medications will be charted when given .Medications that are refused or withheld or not given will be documented .Documentation of medication will be current for medication administration .Documentation of medications will follow accepted standards of nursing practice .This citation related to Intake 2609439.3.1-25(b)(3)

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

ROLLING HILLS HEALTHCARE CENTER in NEW ALBANY, IN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NEW ALBANY, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROLLING HILLS HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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