Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rolling Fields, Inc during CMS and state inspections, most recent first.
The facility did not maintain its fire alarm system as required, with the fire alarm panel displaying fault and trouble indicators over multiple survey visits. The deficiencies were confirmed by the maintenance supervisor and remained uncorrected due to delays in vendor payment and scheduling.
The facility did not provide documentation for required sprinkler system inspections and allowed sprinkler heads to become covered in dust and corrosion. Staff confirmed missing inspection records and overdue maintenance, and the facility was unable to complete necessary repairs due to a payment hold with the vendor. The deficiencies remained uncorrected during follow-up surveys, resulting in a continuous fire watch.
A dry sprinkler system was found out of service because of a malfunctioning air compressor, with the backup unit also inoperable and not connected to power. No documentation was available regarding the duration or extent of the outage, and the deficiency remained uncorrected as repairs had not been completed. The facility maintained a continuous fire watch during this period.
Improper Storage of Resident Food Items: Surveyors found food items in two resident pantry refrigerators stored without names or dates, including partially eaten food, dairy items past expiration, and uncovered frozen items. Ice packs used on residents' body parts were stored next to food, and an employee lunch box was also found in a resident refrigerator; an NA confirmed the storage issues.
A resident with COPD, diabetes, and generalized anxiety disorder had PRN Vistaril ordered beyond the 14-day limit without documented clinical justification. Facility policy required prescriber documentation to continue PRN psychotropic use, and the DON confirmed the record lacked the needed rationale.
Incomplete Recapitulation of Stay in Closed Record: A resident admitted with diabetes, osteomyelitis, and hypothyroidism was discharged with an incomplete recapitulation of stay that lacked required components. The DON confirmed the closed record did not contain the required information and that a complete recapitulation should have been completed.
A resident with COPD, lung cancer, and hyperlipidemia had an order for hospice services, but the clinical record did not contain a current hospice plan of care from the hospice agency. The DON confirmed the missing hospice documentation and that it should have been in the record.
A resident with Diabetes, Hypertension, and Hemiplegia refused Insulin Lispro 111 times in September and 118 times in October. The facility's policy required notifying the physician after three refusals, but this was not done, as confirmed by the DON.
A facility failed to protect resident privacy when a medication cart was left unattended in a hallway with an open computer displaying health information. The LPN responsible confirmed the oversight, which violated the facility's policy on safeguarding resident records.
The facility inaccurately coded the MDS for two residents, leading to discrepancies in their clinical records. One resident was incorrectly marked as having an indwelling catheter, while another was wrongly recorded as receiving insulin. These errors were confirmed by the RNAC and Corporate RNAC, highlighting a failure in the facility's assessment processes.
A facility failed to update a resident's care plan after a physician ordered a Texas catheter for the resident, who had multiple sclerosis and other conditions. The care plan did not reflect this new order, as confirmed by the RN Assessment Coordinator.
A resident with diabetes did not receive Insulin Lispro as ordered by the physician, according to a sliding scale based on blood glucose levels. The MAR for September and October showed multiple instances where insulin was not administered or documented despite elevated blood glucose readings. The DON confirmed the failure to follow the physician's orders.
A resident with lung cancer and atrial fibrillation did not receive routine oxygen as ordered by a physician. The MAR showed the resident missed prescribed oxygen on every shift over two months. An LPN confirmed the oversight.
The facility did not ensure the Medical Director's attendance at a QAPI Committee meeting in September 2024, as required by their policy. A review of attendance records from April to October 2024 confirmed the absence, which was acknowledged by the Nursing Home Administrator.
The facility inaccurately submitted PBJ staffing data for the first quarter of 2024, failing to report RN hours and 24-hour Licensed Nursing Coverage on specific dates. Despite documentation showing adequate staffing, the report was confirmed inaccurate by the Scheduler.
Failure to Maintain Fire Alarm System in Accordance with NFPA Standards
Penalty
Summary
The facility failed to maintain its fire alarm system in accordance with NFPA 70 and NFPA 72 requirements. During an observation and interview, the fire alarm panel was found to display a "FAULT RSTRD" message, with both supervisory and system trouble indicator lights illuminated, indicating a malfunction of the system. The maintenance supervisor confirmed these deficiencies at the time of the survey. Subsequent document reviews and interviews during onsite revisit surveys revealed that the deficiencies with the fire alarm panel remained uncorrected over multiple visits. The facility had not completed the necessary inspection or repairs, as a vendor required payment in advance and funding had not been secured. Throughout this period, the facility continued to experience a malfunctioning fire alarm system.
Plan Of Correction
1. Absolute Fire Protection will be contacted to correct the system malfunction and restore the fire alarm panel to "normal" status by 1/30/2026. 2. The Environmental Services Director/designee will perform an audit to ensure that the fire alarm panel reads "normal" status; the audit will be conducted daily for four weeks, weekly for four weeks, and bi-weekly for five weeks. 3. The results of this audit will be reviewed at the facility's next two quarterly Quality Assurance Performance Improvement meetings to ensure compliance.
Failure to Maintain and Document Sprinkler System Inspections and Maintenance
Penalty
Summary
The facility failed to meet sprinkler system requirements for two of three systems, as evidenced by missing documentation for required quarterly inspections and overdue trip tests. Specifically, there was no documentation for the second and third quarter sprinkler inspections, the last full-flow trip test was completed over three years prior, and the last annual partial trip test was completed more than a year ago. Additionally, a quarterly inspection noted that the system compressor had parts on order, and the facility was unable to provide further documentation due to a payment hold with the sprinkler vendor. Interviews with facility staff confirmed the lack of required documentation at the time of the survey. Further deficiencies were observed, including multiple sprinkler heads covered in dust and corrosion in the corridor outside the maintenance office and in the mechanical room inside the laboratory. These conditions were confirmed by staff interviews. During subsequent revisit surveys, it was found that the deficiencies had not been corrected, as the facility was still awaiting vendor approval and funding to schedule the necessary inspections and repairs. As a result, the facility was maintaining a continuous fire watch.
Plan Of Correction
1. Absolute Fire Protection will be contacted to ensure that: a. The fourth quarter sprinkler inspection is completed. b. The three-year, full-flow trip test is completed by April 30th, once the partial trip test verifies that the dry valves are working correctly. c. The annual partial trip test is completed by the designated "substantial compliance" date of 1/30/2026. d. Any needed parts for the system compressor are ordered, received, and installed to ensure the system compressor is operational. 2. The Administrator will assist the Environmental Services Director in ensuring that Absolute Fire Protection is contacted for service and that payment will be secured for any and all necessary parts to ensure the system compressor is operational. 3. The results of these corrective actions will be reviewed at the facility's next two quarterly Quality Assurance Performance Improvement meetings to ensure compliance. K 0353
Sprinkler System Out of Service Due to Equipment Failure
Penalty
Summary
A deficiency was identified when the facility failed to maintain compliance with sprinkler system regulations for one of its two dry sprinkler systems. On observation, system #1 was found to be out of service due to a malfunctioning air compressor, and the backup air compressor was not operational or connected to a power source. There was no documentation provided regarding the extent or duration of the system being out of operation. The maintenance technician confirmed that the dry system was out of service at the time of the survey. Subsequent surveys revealed that the deficiency remained uncorrected, as the facility had not completed the necessary repairs or inspections to restore the sprinkler system to service. The facility had received a bid from a vendor but had not secured funding or payment to proceed with the repairs. During this period, the facility maintained a continuous fire watch as the sprinkler system remained nonfunctional.
Plan Of Correction
1. Absolute Fire Protection has been contacted to ensure that any and all necessary parts needed to fix the malfunctioning air compressor will be ordered and installed, so that the dry sprinkler system can be turned back on prior to the "substantial compliance" date of 1/30/2026. Documentation WAS provided to the extent and duration of the dry system being out of operation in the form of "fire walk" documentation, from the day the system went down through present day. 2. The Administrator will assist the Environmental Services Director in ensuring that Absolute Fire Protection is contacted for service and that payment will be secured for any and all necessary parts to ensure the malfunctioning air compressor is operational, which will then allow for the dry sprinkler system to be turned back on. 3. The results of these corrective actions will be reviewed at the facility's next two quarterly Quality Assurance Performance Improvement meetings to ensure compliance.
Improper Storage of Resident Food Items
Penalty
Summary
The facility failed to ensure that food was stored in accordance with food safety standards in resident pantries for two refrigerators reviewed, located in the Fig wing and Elmwood wing. In the Fig wing pantry refrigerator, surveyors observed a grocery bag containing a half-eaten sandwich, an apple, a cookie, and chips with no name or date, along with five containers of yogurt that had an expiration date of 7/17/25. In the freezer, ice packs used on resident body parts were stored next to an open container of ice cream and lemon swabs used to moisten resident mouths. A nursing assistant confirmed that the bagged food lacked a name or date, the yogurt was beyond its expiration date, and the ice packs should not have been stored with food items. In the Elmwood wing pantry refrigerator, surveyors observed a freezer containing a milkshake with no lid and no name or date, a bowl of sherbert with no lid and no name or date, a frozen meal with no name or date, and a breakfast wrap with no name or date and a best buy date of 7/17/25. Ice packs used on residents' body parts were stored next to the uncovered milkshake and sherbert, and an employee's lunch box was also in the resident refrigerator. A nursing assistant confirmed that the milkshake, sherbert, and frozen meal lacked a name and date, the breakfast wrap was beyond its expiration date, the ice packs were stored next to food items, and employees should not store lunch boxes in the resident refrigerator.
Lack of Clinical Rationale for Continued PRN Psychotropic Use
Penalty
Summary
The facility failed to provide a clinical rationale for the continued use of a PRN psychotropic medication beyond 14 days for one resident. Facility policy titled PRN Psychotropic Medication Use stated that all PRN psychotropic orders are limited to 14 days and that if continuation is required, the prescriber must document clinical justification. The resident had an admission date of 8/22/25 and diagnoses that included COPD, diabetes, and generalized anxiety disorder. Review of the MAR showed an order for Vistaril 25 mg four times a day as needed with a stop date of 9/5/25, followed by another Vistaril 25 mg four times a day as needed order with a start date of 9/9/25. The clinical record lacked evidence of a clinical rationale for continued use beyond 14 days, and the DON confirmed during interview that the Vistaril lacked the required clinical rationale for continuation.
Incomplete Recapitulation of Stay in Closed Record
Penalty
Summary
The facility failed to include required components in the recapitulation of stay for one closed record, Resident R50. The facility policy stated that all discharged residents must have a complete, accurate, and timely recapitulation of stay, and that a recapitulation of stay must be completed for all residents upon discharge. Resident R50 was admitted with diagnoses including diabetes, osteomyelitis, and hypothyroidism, and was discharged from the facility with an incomplete recapitulation of stay that lacked the required components. During interview, the DON confirmed that the closed record did not contain the required components and that a complete recapitulation of the resident's stay should have been completed.
Missing Hospice Plan of Care in Resident Record
Penalty
Summary
The facility failed to ensure that hospice documentation was maintained in the clinical record for one resident receiving hospice services. The resident was admitted on 7/15/25 with diagnoses including COPD, malignant neoplasm of the right bronchus or lung, and hyperlipidemia, and had a physician order for services from a local hospice agency dated 7/15/25. Review of the resident’s clinical record showed no evidence that the hospice agency provided the facility with a current hospice plan of care, despite the facility contract stating that hospice would furnish a copy of the hospice plan at the time of admission into the hospice program. During an interview on 9/24/25 at 2:20 p.m., the DON confirmed that the record lacked the hospice agency’s plan of care and that it should have been present.
Failure to Notify Physician of Medication Refusal
Penalty
Summary
The facility failed to notify the physician regarding a resident's refusal of medication, as required by their policy. The policy stated that the provider should be notified after a medication is refused three times. Resident R1, who was admitted with diagnoses including Diabetes, Hypertension, and Hemiplegia, had a physician's order for Insulin Lispro to be administered four times a day. However, the resident refused this medication 111 times in September 2024 and 118 times in October 2024. The Director of Nursing confirmed that the physician was not notified of these refusals, which was a deviation from the facility's policy.
Resident Privacy Breach on Medication Cart
Penalty
Summary
The facility failed to maintain the privacy and confidentiality of residents' personal and medical records as required by their policy. During an observation on Dogwood Hall, a medication cart was found unattended in the hallway with an open computer displaying resident health information. This information was visible to several visitors, residents, and staff who passed by until the nurse returned to the cart. The facility's policy mandates that access to medical records is limited to staff and consultants providing direct care, and all records must be safeguarded to ensure confidentiality. The Licensed Practical Nurse (LPN) responsible for the cart confirmed leaving the computer open and acknowledged that resident information should be covered when not in view.
Inaccurate MDS Coding for Two Residents
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for two residents, leading to discrepancies in their clinical records. Resident R29, who was admitted with multiple diagnoses including multiple sclerosis and spastic hemiplegia, had a physician's order for a Texas catheter to be used at night. However, the MDS inaccurately indicated that the resident had both an external catheter and an indwelling catheter. This error was confirmed by the Registered Nurse Assessment Coordinator (RNAC) during an interview, who acknowledged that the MDS was incorrectly coded regarding the indwelling catheter. Similarly, Resident R16, who was admitted with conditions such as Type II diabetes and dysphagia, had a physician's order for an Ozempic injection, which is not classified as insulin. Despite this, the Quarterly MDS inaccurately recorded that the resident received insulin during the seven-day look-back period. This mistake was confirmed by the Corporate RNAC, who stated that the MDS should have indicated zero days of insulin administration. These inaccuracies in the MDS coding reflect a failure in the facility's assessment processes.
Failure to Update Care Plan for Resident with New Physician's Order
Penalty
Summary
The facility failed to update the care plan for one of the residents, identified as Resident R29, following a physician's order for a Texas catheter. The resident, who was admitted with diagnoses including multiple sclerosis, benign prostatic hyperplasia, spastic hemiplegia, and weakness, had a physician's order dated 7/12/24 for a Texas catheter to be used at bedtime and removed in the morning. However, a review of the clinical records showed no evidence that the care plan was updated to include this new order. This deficiency was confirmed during an interview with the Registered Nurse Assessment Coordinator, who acknowledged that the care plan had not been revised to reflect the use of the Texas catheter.
Failure to Administer Insulin as Ordered
Penalty
Summary
The facility failed to administer medications as ordered by the physician for a resident diagnosed with diabetes, hypertension, and hemiplegia. The resident had a physician's order for Insulin Lispro to be administered four times a day based on a sliding scale determined by blood glucose results. However, a review of the Medication Administration Records (MAR) for September and October 2024 revealed multiple instances where the resident's blood glucose levels indicated the need for insulin, but the MAR lacked documentation of the insulin being administered according to the physician's order. Specifically, on several occasions, the resident's blood glucose levels were recorded at levels that required insulin administration, yet the MAR showed either no insulin was given or the amount was not documented. An interview with the Director of Nursing confirmed that the insulin was not administered in accordance with the physician's orders, acknowledging the failure to follow the prescribed treatment plan. This deficiency was identified during a review of clinical records, facility policies, and staff interviews.
Failure to Administer Routine Oxygen as Ordered
Penalty
Summary
The facility failed to administer routine oxygen as ordered for a resident, identified as Resident R31, who was admitted with diagnoses including lung cancer, atrial fibrillation, and low back pain. A physician's order dated July 31, 2024, specified that Resident R31 was to receive routine oxygen at 2 liters per minute via nasal cannula. However, a review of the Medication Administration Record (MAR) for September and October 2024 revealed that the resident did not receive the prescribed oxygen on every shift from September 1 to October 29, 2024. This deficiency was confirmed during an interview with Licensed Practical Nurse Employee E3 on October 30, 2024, who acknowledged that the routine oxygen order was not being followed as prescribed.
Medical Director's Absence from QAPI Meeting
Penalty
Summary
The facility failed to ensure the required attendance of the Medical Director at the Quality Assurance and Performance Improvement (QAPI) Committee meetings for one of the four quarterly meetings in September 2024. According to the facility's policy dated July 5, 2024, the QAPI committee is mandated to meet at least quarterly and include feedback from the Medical Director. However, a review of the QAPI Committee Attendance Records from April 2024 through October 2024 showed no evidence of the Medical Director's attendance at the September 2024 meeting. This was confirmed during an interview with the Nursing Home Administrator on October 31, 2024, who acknowledged the lack of evidence for the Medical Director's attendance at the required meeting.
Inaccurate PBJ Staffing Data Submission
Penalty
Summary
The facility failed to electronically submit accurate direct care staffing information for the first quarter of 2024, as required by Section 6106 of the Affordable Care Act (ACA). The Payroll Based Journal (PBJ) staffing data reports indicated that there were no Registered Nurse (RN) hours on specific dates in December 2023, and there was a lack of Licensed Nursing Coverage for 24 hours on several dates in December 2023. However, upon review of the staffing documentation, it was found that the facility did have RN hours and Licensed Nursing Coverage on those dates. This discrepancy indicates that the facility submitted inaccurate PBJ information. The Scheduler, identified as Employee E2, confirmed during an interview that the PBJ report for Quarter One of 2024 was submitted inaccurately.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Conneautville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Embassy Of Park Avenue | 12.2 mi | ★★★★★ | 11 | 0 |
| Crawford Care Center | 12.3 mi | ★★★★★ | 18 | 1 |
| Wesbury United Methodist Commu | 12.9 mi | ★★★★★ | 0 | 0 |
| Meadville Medical Ctr Tcu | 13.6 mi | ★★★★★ | 6 | 0 |
| Andover Village Retirement Community | 15.3 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.