Rolling Fields, INC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

19.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 38 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 181 beds and averages 44.1 residents a day — about 24% occupied, or roughly 137 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.40 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.82 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.96 hrs/resident/day on weekends vs 4.57 on weekdays — 13% thinner on weekends. RN hours go from 0.82 to 0.81 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · E2025-11-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of a facility policy, observations, and staff interviews, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety in a resident pantry for two of two refrigerators reviewed (Fig and Elmwood).Findings include: Review of facility policy entitled Cleaning Pantry Refrigerator dated 9/17/25, indicated Check all items for expiration dates and discard any items that are out of date and ensure all items belonging to Elders are labeled with Elders name and date.Observations on 9/22/25, at 2:22 p.m. of a refrigerator in the Fig wing pantry used for residents revealed a grocery bag with a half-eaten sandwich, an apple, a cookie and a bag of chips with no name or date and five containers of yogurt with an expiration date of 7/17/25. Observations of the freezer revealed ice packs used on resident body parts sitting next to an open container of ice cream and lemon swabs used to moisten resident mouths. Interview at the time of observations Nursing Assistant Employee E1 confirmed that the grocery bag with a half-eaten…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-18 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to provide a clinical rationale for the continued use of a PRN (as needed) psychotropic (affecting the mind) medication beyond 14-days for one of five residents reviewed (Resident R2).Findings include: Review of facility policy entitled PRN Psychotropic Medication Use dated 9/17/25, indicated All PRN psychotropic orders are limited to 14 days. If continuation is required: The prescriber must document clinical justification.Review of Resident R2's clinical record revealed an admission date of 8/22/25, with diagnoses that included chronic obstructive pulmonary disease (when your lungs do not have adequate air flow), diabetes (a health condition that is caused by the body's inability to produce enough insulin) and generalized anxiety disorder (a condition that causes a person to be nervous, uneasy, or worried about something or someone).Review of Resident R2's medication administration record revealed an order for Vistaril (mediction to treat anxiety) 25 milligrams (mg)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-18 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy and clinical record, and staff interview, it was determined that the facility failed to include required components of recapitulation of stay (summary of resident's stay and course of treatment in the facility) for one of four closed records reviewed (Resident R50).Findings include: Review of facility policy entitled Recapitulation of Resident Stay dated 9/17/25, indicated that all residents discharged . have a complete, accurate and timely recapitulation of stay . and The facility shall complete a recapitulation of stay for all residents upon discharge .Review of Resident R50's clinical record revealed an admission date of 8/14/25, with diagnoses that included diabetes (a health condition that is caused by the body's inability to produce enough insulin), osteomyelitis (a bone infection), and hypothyroidism (a condition when the thyroid produces low amounts of thyroid hormones)Review of clinical record revealed that Resident R50 was discharged on 8/29/25.Review of Resident R50's clinical record revealed an incomplete recapitulation of Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-18 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of hospice contract, clinical records, and staff interview, it was determined that the facility failed to make certain that hospice documentation was maintained in the clinical record for one of one residents reviewed for hospice services (Resident R1).Findings include: Review of a facility contract with a local hospice services agency dated 4/2/25, indicated that .Hospice plan of care (referred to as hospice plan), hospice shall furnish a copy of the hospice plan . at the time of the resident's admission into the hospice program.Review of Resident R1's clinical record revealed an admission date of 7/15/25, with diagnoses that included chronic obstructive pulmonary disease (when your lungs do not have adequate air flow), malignant neoplasm of unspecified part of right bronchus or lung (lung cancer), and hyperlipidemia (high cholesterol). Review of Resident R1's physician orders revealed an order for a local hospice agency services dated 7/15/25.Resident R1's clinical record lacked evidence that the hospice agency provided the facility with a current hospice plan of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-31 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of clinical records and facility policy and staff interviews, it was determined that the facility failed to notify the physician regarding refusal of medication for one of 18 residents reviewed (Resident R1). Findings include: Review of facility policy entitled Medication Administration dated 7/5/24, indicated Notify provider of any medication refused three times so that a determination can be made as to how to proceed . Review of Resident R1's clinical record revealed an admission date of 4/9/24, with diagnoses that included Diabetes (a health condition that caused by the body's inability to produce enough insulin), Hypertension (high blood pressure), and Hemiplegia (a condition where a person is paralyzed and unable to move one side of their body). Review of Resident R1's physician's orders revealed an order dated 4/9/24, for Insulin Lispro four times a day to treat diabetes. Review of Resident R1's September 2024, Medication Administration Record (MAR) revealed Resident R1 refused his/her Insulin Lispro 111 times, and review of Resident R1's October 2024, MAR…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-31 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, review of facility policy, and staff interview, it was determined that the facility failed to provide resident privacy on one of two medication carts (Dogwood Medication cart). Findings include: Review of facility policy entitled Resident Rights Privacy & Confidentiality dated 7/5/24, indicated The facility limits access to any medical records to staff and consultants who provide direct care to the resident. And All records - medical, personal, financial or social service - will be safe-guarded at all times to insure confidentiality. Observation on Dogwood Hall on 10/29/24, at 11:13 a.m. revealed a medication cart sitting in the hallway against the wall with an open computer on top of the medication cart and resident health information visibly facing into the hallway. Continued observations revealed several visitors, residents and staff who walked past the visible health record information until the nurse returned to the medication cart at 11:25 a.m. During an interview on 10/29/24, at 11:25 a.m. Licensed Practical Nurse (LPN) Employee E1 confirmed that he/she…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-31 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records and staff interviews, it was determined that the facility failed to accurately code the Minimum Data Set (MDS-periodic assessment of resident care needs) for two of 18 residents reviewed (Resident R29 and R16 ). Findings include: Review of Resident R29's clinical record revealed an admission date of 3/15/22, with diagnoses that included multiple sclerosis (a disease resulting in nerve damage that disrupts communication between the brain and the body), benign prostatic hyperplasia (type of prostate enlargement resulting in slow or backflow of urine), spastic hemiplegia(condition that causes tightness and involuntary contractions in the limbs and extremities on one side of the body) and weakness. Review of Resident R29's clinical record revealed a physician's order dated 7/12/24, for a Texas catheter (type of external condom catheter to collect urine) to be placed on at bedtime and remove in morning. Review of the MDS dated [DATE], Bowel and Bladder Section H0100 Appliances…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-31 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to update a care plan for one of 18 residents reviewed (Resident R29). Findings include: Review of a facility policy entitled Formation of the Resident Care Plan dated 7/5/24, indicated that, care plans are periodically reviewed and revised by a team of qualified persons after each assessment. Review of Resident R29's clinical record revealed an admission date of 3/15/22, with diagnoses that included multiple sclerosis (a disease resulting in nerve damage that disrupts communication between the brain and the body), benign prostatic hyperplasia (type of prostate enlargement resulting in slow or backflow of urine), spastic hemiplegia(condition that causes tightness and involuntary contractions in the limbs and extremities on one side of the body) and weakness. Review of Resident R29's clinical record revealed a physician's order dated 7/12/24, for a Texas catheter (type of external condom catheter to collect urine) to be placed on at bedtime and removed in morning.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-31 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of clinical records and facility policies, facility documentation, and staff interview, it was determined that the facility failed to administer medications as ordered by the physician for one of 18 residents reviewed (Resident R1). Findings include: Review of facility policy entitled Medication Administration dated 7/5/24, indicated All nurses must possess an awareness of responsibility to follow physician's orders precisely . Review of facility policy entitled Sliding Scale Insulin Coverage dated 7/5/24, indicated Nurse verifies type and amount of insulin to be given, and administers it. and Nurse will record in the EMAR the date, time, fingerstick blood sugar level and the amount of insulin administered. Review of Resident R1's clinical record revealed an admission date of 4/9/24, with diagnoses that included Diabetes (a health condition that caused by the body's inability to produce enough insulin), Hypertension (high blood pressure), and Hemiplegia (a condition where a person is paralyzed and unable to move one side of their body). Review of Resident R1's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-31 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to administer routine oxygen as ordered for one of 18 residents reviewed (Resident R31). Findings include: Review of facility policy entitled Medication Administration dated 7/5/24, indicated All nurses must possess an awareness of responsibility to follow physician's orders precisely . Review of Resident R31's clinical record revealed an initial admission date of 7/5/24, with diagnoses that included malignant neoplasm of the right bronchus or lung (lung cancer), atrial fibrillation (irregular heartbeat), and low back pain. Resident R31's clinical record revealed a physician's order dated 7/31/24, indicating Resident R31 was to be on routine oxygen set at 2 liters per minute via nasal canula. Resident R31's Medication Administration Record (MAR) for September 2024 and October 2024 revealed that he/she did not have his/her routine oxygen in place as ordered by the physician on every shift on 9/1/24, 9/2/24, 9/3/24, 9/4/24, 9/5/24, 9/6/24, 9/7/24, 9/8/24, 9/9/24,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$28,242 in federal fines across 5 penalties.

• $12,534 — penalty dated 2024-01-22
• $3,418 — penalty dated 2024-01-08
• $2,823 — penalty dated 2024-01-02
• $6,293 — penalty dated 2023-12-11
• $3,174 — penalty dated 2023-11-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to HERITAGE MINISTRIES — 3 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.1M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in PA