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Health Inspection

Rolling Hills Rehab Ctr

February 20, 2025 · Sparta, WI · 14400 Cty Hwy B
Citations 2
CMS Rating 3/5
Beds 50
Provider ID 525430
Healthcare Facility
Rolling Hills Rehab Ctr
Sparta, WI  ·  View full profile →
Inspection Summary

ROLLING HILLS REHAB CTR in SPARTA, WI — inspection on February 20, 2025.

Found 2 citations. Severity: Standard violations.

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

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Inspection Findings

FF640
Minimal harm or Some Based on observation, interview and record review, the facility did not ensure residents received appropriate affected

F-F640 regulation. NHA A stated they will transmit them all from now on.

525430

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 525430 B.

Wing 02/20/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rolling Hills Rehab Ctr 14400 Cty Hwy B Sparta, WI 54656

During the survey period of 02/17/25-02/20/2025, Surveyor did not observe R25 participating in restorative services.

On 02/19/25 at 1:46 PM, Surveyor interviewed R25. R25 stated she participates in a restorative program to help strengthen her muscles. R25 reported she is supposed to receive exercises with Restorative Aide (RA) L, three times per week, but sometimes she doesn't come at all.

Example 2

R26 was admitted to the facility on [DATE] and diagnoses included muscular dystrophy. MDS assessment confirmed R26 scored 15/15 during BIMS, indicating intact cognition.

R26's MDS assessment completed on 01/22/25 indicated R25 is dependent on staff for all transfers.

R26's Restorative Aide Program documentation indicated restorative goal to prevent decline, contractures, and falls. GOAL: Participate in exercises and transfers to maintain ability to safely transfer and ambulate with staff assist. (Surveyor noted R26's restorative care plan did not include a frequency or duration).

R26's Restorative Aide Program documentation indicated R26 participated in restorative program as follows:

-10/2024, 13 of 31 days.

-11/2024, 8 of 30 days.

-12/2024, 4 of 31 days.

-01/2025, 7 of 31 days.

-02/2025, 3 of 20 days.

During the survey period of 02/17/25-02/20/2025, Surveyor did not observe R26 participating in restorative services.

On 02/17/25 at 10:40 AM, Surveyor interviewed R26. R26 stated he had not received his exercise program last week. R26 reported he usually receives exercise program once weekly, but stated twice weekly would be better for him to maintain his abilities. R26 stated he reported this to a nurse sometime this winter but had not received any updates related to frequency of his weekly exercises.

Example 3

525430

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 525430 B.

Wing 02/20/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rolling Hills Rehab Ctr 14400 Cty Hwy B Sparta, WI 54656

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 SPARTA, WI, (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 CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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