Rolling Hills Rehab And Care Ctr
Inspection Findings
F-Tag F0561
F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, record review and resident agreement review the facility failed to ensure residents were transported to medical appointments. This affected one resident (Resident #17) of four residents reviewed.Findings include: Record review revealed Resident #17 was admitted to the facility on [DATE REDACTED] with diagnoses including type 2 diabetes, vascular dementia, anemia, hypertension (HTN) and nicotine dependence.Review of the Minimum data set (MDS) revealed Resident #17 had a brief interview for mental status (BIMS) score of 13, out of a possible 15, indicating intact cognition.Medical record review revealed
the facility was aware transportation was unavailable for Resident #17 as of 07/18/25 and there was no documentation to support attempts for alternate transportation were made so Resident #17 could attend
the appointment.Interview on 07/31/25 at 10:55 A.M. with Resident #17 revealed on 07/21/25 he got up and got ready for an appointment regarding a cyst above his eye. Resident #17 stated he had been waiting for
this appointment and went to the front of the building and waited but never saw the van for transport. He stated he eventually asked staff about what was happening and he was told his appointment was cancelled because the van was broken. The resident said he was confused and shocked because he had not cancelled the appointment and he was upset because no one had told him about the transportation cancellation. The resident stated he felt out of the loop on his appointments and other things, and it seemed like others knew about what was going on but he did not. The resident shared he had asked to be kept informed and even said the facility could call his room to update him.An interview on 07/31/25 with Receptionist #602 with the dermatology office confirmed Resident #17 had an appointment scheduled with them on 07/21/25 at 1:30 P.M. but the appointment was cancelled that day. Review of Rolling Hills undated resident admission agreement page three revealed physician ordered services are available through duly licensed, registered, and/or certified practitioners or entities including transportation services. This deficiency demonstrated non-compliance investigated under Master Complaint Number 2576098.
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:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Rehab and Care Ctr
68222 Commercial Drive Bridgeport, OH 43912
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0600
F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
person, always awake and utilized her call light often which she hadn't been doing, and hadn't voided.
Interview on 08/04/25 at 8:40 A.M. with ASM #451 revealed for about a week (the week of 07/20/25) the facility did not have a transportation van. This resulted in several residents missing appointments. The ASM voiced administration did not attempt to get transportation for the residents, it didn't seem like they cared.
Resident #51 missed her dialysis appointments, for two days, she hadn't been to dialysis since 07/18/25 so
she hadn't been to dialysis in five days leading up to her discharge to the hospital. The ASM stated administration didn't seem to care. Interview on 08/04/25 at 9:30 A.M. with Dialysis RN #607 confirmed Resident #51 missed her dialysis appointment on 07/21/25 and 07/23/25. RN #607 stated Resident #51 had not been to dialysis for two appointments totaling five days without being dialyzed, and Resident #51 was very compliant with dialysis, she didn't miss. The two days that were missed were due to the facility not having transportation to get Resident #51 to dialysis. RN #607 stated on Monday they asked the facility if
the resident could attend dialysis Tuesday 07/22/35 and the facility reported the earliest they could get Resident #51 to dialysis was on Wednesday 07/23/25. RN #607 stated Resident #51's dialysis appointments typically began around 10:30 A.M. On 07/23/25 when it became apparent Resident #51 was not going to make it to her dialysis appointment the dialysis facility called the facility to recommended Resident #51 be transferred to the hospital fairly immediately; however, the resident was not sent until later that evening. Dialysis RN #607 stated it was not safe for someone to miss a dialysis appointment; this could cause fluid overload putting a burden on the resident's heart. Missing dialysis could also cause your potassium to rise causing hyperkalemia and anomalies with heart rhythm all the way up to cardiac arrest.
Interview on 08/04/25 at 10:15 A.M. with DON #7
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Rehab and Care Ctr
68222 Commercial Drive Bridgeport, OH 43912
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
reported incident form in accordance with the Ohio Department of health then current instructions. The administrator will notify the resident or the resident representative, as appropriate, when a report has been made to Ohio Department of health. The facility will initiate an investigation of the allegation. The investigation must be completed within five working days. The investigation protocol includes interview with
the resident, the accused, and all witnesses. Witnesses will include anyone who witnessed or heard the incident, came in close contact with the resident the day of the incident including other residents and family members, and employees who worked closely with the accused and or alleged victim the day of the incident. If there are no direct witnesses then the interviews may be expanded. Obtain a statement from each witness. Review the resident records. Evidence of the investigation should be documented. Follow up is required with resident to resident abuse, neglect, exploitation, mystery of a resident, or misappropriation of resident property. The facility will refer the matter to the interdisciplinary team to determine the appropriate interventions.This deficiency demonstrates non-compliance investigated under Complaint Number 2567685.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Rehab and Care Ctr
68222 Commercial Drive Bridgeport, OH 43912
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, interview and policy review the facility failed to maintain accurate care plans. This affected one (Resident #51) of nine residents reviewed. The census was 52.Findings include: Record review revealed Resident #51 admitted to the facility on [DATE REDACTED] with diagnoses including respiratory failure, type two diabetes, (COPD), gastro-esophageal reflux disease (GERD) osteoarthritis, anemia, atherosclerotic heart disease, insomnia, schizophrenia hypercholesterolemia, overactive bladder, borderline personality disorder, hypothyroidism, pyoderma, hypertension, anxiety major depressive disorder, chronic kidney disease, kidney failure, and , renal dialysis dependent. Review of Resident #51 orders revealed an order for hemodialysis every Monday, Wednesday, and Friday for renal failure. Review of Resident #51 minimum data set (MDS) revealed a brief interview for mental status (BIMS) score of 15, indicating Resident #51 was cognitively intact. Review of Resident #51 care plan completed 04/11/25 revealed the resident needed hemodialysis related to renal failure. Goals included the resident will have immediate intervention should any signs or symptoms of complications from dialysis. Interventions include encouraging the resident to go for the scheduled dialysis appointments. The resident receives dialysis at (dialysis center) in St Clairsville
on Monday, Wednesday, Friday at 10:30 A.M. Monitor vital signs and notify medical doctor (MD) of significant abnormalities. Monitor, document, report as needed (PRN) for signs and symptoms of renal insufficiency such as changes in level of consciousness, changes in skin turgor, oral mucosa, and changes
in heart and lung sounds. Check AV fistula site thrill/bruit; palpate/feel to assess for thrill and auscultate for bruit as ordered. Interview on 07/30/25 at 7:30 A.M. with (name of dialysis center) of St. Clairsville revealed Resident #51 no longer came to their facility for dialysis. (Name of dialysis center) of St. Clairsville revealed Resident #51 used to receive dialysis on their campus but [NAME] for quite some time. Interview on 07/30/25 at 10:34 A.M. with (name of dialysis center) Administrative Assistant of Bridgeport confirmed Resident #51 received dialysis at their location. Interview on 07/30/25 at 4:54 P.M. with Resident #51 confirmed she did not attend dialysis in St. Clairsville, but attended dialysis at (dialysis center) of Bridgeport. Review of Rolling Hills undated policy titled Care Planning- Interdisciplinary Team revealed the facility's care planning [NAME] is responsible for the development of an individualized comprehensive care plan for each resident. The care plan is based on the resident's comprehensive assessment and is developed by Care Planning/ Interdisciplinary Team which includes but is not limited to the following personnel: the resident, attending physician, the registered nurse who has responsibility for the resident,
the social service worker, the director of nursing, and others as appropriate or necessary to meet the needs of the resident. This deficiency is an incidental finding discovered during the complaint investigation.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Rehab and Care Ctr
68222 Commercial Drive Bridgeport, OH 43912
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0835
F 0835 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
#7 regarding the incident on 07/08/25, revealed she did not gather witness statements regarding the sexually inappropriate incident between Resident #7 and Resident #54 because nothing happened. No documents of investigation were provided to the surveyor for review during the onsite investigation regarding a sexually inappropriate incident between Resident #7 and Resident #54 until 08/07/25 at 12:28 P.M. This information had been repeatedly requested since 07/31/25. Documents were provided after this surveyor confirmed with MHNP that Resident #7 was seen on 07/22/25 and after DON #7 confirmed on 08/04/25 at 10:15 A.M. and ADON #6 confirmed on 08/07/25 at 10:45 A.M. there was no other documentation regarding the incident.Review of an email sent to the state agency surveyor from MHNP #626 on 08/08/25 at 4:33 A.M. revealed the documentation for Resident #7 has been completed but the facility was now attempting to recant the information they were given on this patient. The MHNP has been contacted repeatedly by facility management and asked to change the verbiage and persons involved with Resident #7.This deficiency demonstrates non-compliance investigated under Master Complaint Number
- 2576098. Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Rehab and Care Ctr
68222 Commercial Drive Bridgeport, OH 43912
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0921
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
done about it. Anonymous staff member #483 confirmed there was a musty, damp smell throughout the building and hallways. Nothing was done after the pipes busted in relation to the water filling up the hallway carpeting and walls, and the vending machine room.p. Observation on 07/31/25 at 2:00 P.M. of Resident #32's air conditioning vent revealed an unknown black and white fuzzy substance, speckled along the vent.
This was confirmed with CNA #64 at 2:05 P.M.q. Observation on 07/31/25 at 3:05 P.M. with Facility administrator confirmed a moderate amount of a black unknown substance in the vending machine room in
the corner behind the 7 up machine. Substance is a black unknown substance behind the 7 up machine in
the corner. A green wall paper is seen peeling back revealing a moderate amount of an unknown black speckled substance.r. lnterview on 07/31/25 at 2:45 P.M. with Anonymous staff member #481 revealed the mold was the biggest concern they had. The carpet needed ripped up, there are pipes that had burst and water leaked all over the carpet Anonymous staff member #481 stated the smell was horrible from the carpet due to the water leaking. The worst area was probably the vending machine room after a pipe busted and leaked into the room for a few days. Anonymous staff member #481 was concerned the air ducts in the building were full of mold. She stated there was a smell to them and there would be black speckles along the vents. Anonymous staff member #481 stated the public bathrooms were in bad shape.
These bathrooms have water leaking under the sink, and it smells foul all the time. Anonymous staff member #481 revealed they have respiratory issues when they're in the building, then when they have a few days off in a row they feel better. Anonymous staff member #481 stated several staff members have brought up concerns of mold and resident wellbeing in the building but nothing was done about it.s.
Interview on 08/04/25 at 12:00 P.M. with Anonymous staff member #453 stated there was a mold issue across the facility. The mold was in the vents, under carpets, and behind wall paper. Anonymous staff member #453 stated in the vending machine room the odor was horrible, the whole building smelled musty and wet. There was a leak from the laundry room leading into the vending machine room and the north hallway, they didn't properly clean the carpet; the solution was throwing towels and blankets over the water until it dried. Anonymous staff member #453 stated lots of staff have been sick and believe the current state of the building is the cause because when they have a few days off they feel fine. Anonymous staff member #453 stated there are residents who are often respiratory sick and they're not checking to see if the mold is
a cause at this time.t. Observation on 08/07/25 at 11:40 A.M. revealed a strong, foul smelling sewer- rotten egg- like odor in the south side shower room. This was confirmed with CNA #11 at 11:45 A.M.This deficiency demonstrates non-compliance investigated under Master Complaint Number 2576089 and Complaint Numbers 2567685, 1282969 and 1282968.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rolling Hills Rehab and Care Ctr
68222 Commercial Drive Bridgeport, OH 43912
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0925
Federal health inspectors cited ROLLING HILLS REHAB AND CARE CTR in BRIDGEPORT, OH for a deficiency under regulatory tag F-F0925 during a complaint investigation conducted on 2025-08-11.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of ROLLING HILLS REHAB AND CARE CTR.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-17.
ROLLING HILLS REHAB AND CARE CTR in BRIDGEPORT, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 BRIDGEPORT, OH, (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 REHAB AND CARE CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.