Facility profile · CCN 495151
Seven Hills Rehabilitation And Nursing
86 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $235,850.
Record summary
Federal record · Q1 202686
Total citations
54
Last 3 years
4
Actual harm+
3
Federal penalties
$235,850
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
86 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 8, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jan 8, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jun 11, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Feb 14, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Complaint |
| Feb 14, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint |
| Feb 14, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint |
| Feb 14, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Complaint |
| Feb 14, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | Complaint |
| Feb 14, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 14, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint |
| Feb 14, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Sep 27, 2023 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Complaint |
| Sep 27, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint |
| Sep 27, 2023 | F772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Complaint |
| Sep 27, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 27, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Aug 25, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 2, 2023 | F772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Complaint |
| Aug 2, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Aug 2, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | Complaint |
| Aug 2, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint |
| Aug 2, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Aug 2, 2023 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Aug 2, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 2, 2023 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Aug 2, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Aug 2, 2023 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard |
| Aug 2, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 2, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 2, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Aug 2, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 2, 2023 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Aug 2, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Aug 2, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Aug 2, 2023 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard |
| Aug 2, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 2, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Aug 2, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Aug 2, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 2, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Aug 2, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 2, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Aug 2, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Aug 2, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Aug 2, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Aug 2, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 2, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| May 16, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| May 16, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| May 16, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint |
| May 16, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| May 16, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| May 16, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| May 16, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | C | Complaint |
| Mar 24, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Mar 24, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 24, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 24, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Dec 1, 2021 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Dec 1, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 1, 2021 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Dec 1, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 1, 2021 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Dec 1, 2021 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Dec 1, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Dec 1, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 1, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Dec 1, 2021 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Dec 1, 2021 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Dec 1, 2021 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Dec 1, 2021 | F570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard |
| Feb 26, 2019 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | C | Standard |
| Feb 26, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 26, 2019 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Feb 26, 2019 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 26, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Feb 26, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 26, 2019 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Feb 26, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard |
| Feb 26, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Feb 26, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Feb 26, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Feb 26, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Feb 26, 2019 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Feb 26, 2019 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Feb 26, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $235,850 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 14, 2024 | Fine | $19,819 | — |
| Dec 26, 2023 | Fine | $3,282 | — |
| Aug 2, 2023 | Fine | $212,749 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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