Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ROLLING HILLS HEALTHCARE CENTER

NEW ALBANY, IN · 115 certified beds · Last Life Safety survey May 8, 2025

CMS Certification Number 155488 · first certified June 1993

Ownership

Operated by COMMUNICARE HEALTH · Non profit - Corporation

  • Ownership changed December 1, 2023 (change of ownership)from COLUMBUS REGIONAL HOSPITAL
46
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
12
Tags cited more than once
Across separate surveys
19
Inspection & testing records
Of the citations on file

Position within IN

46 citations — more than 99% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 16 citations; the earlier surveys in the window averaged 15. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten IN facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 46 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 46 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility46IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility46
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
132023-03172024-05162025-05
Citations at each Life Safety survey
Survey dateCitations
March 3, 202313
May 16, 202417
May 8, 202516

Most-cited tags

Most-cited tags at this facility
K-03533K-02223K-09182K-07122E-00412K-07612K-03632K-03742
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-05-08
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.32025-05-08
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-05-08
K-0712Have simulated fire drills held at unexpected times.22024-05-16
E-0041Implement emergency and standby power systems.22025-05-08
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22024-05-16
K-0363Install corridor and hallway doors that block smoke.22024-05-16
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22025-05-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Egress Deficiencies 10
  • Miscellaneous Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Egress Deficiencies10
Miscellaneous Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies6
Emergency Preparedness Deficiencies4
Services Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 8, 2025 — 16 citations

Citations issued on May 8, 2025
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 21, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (June 30, 2025)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (June 30, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 21, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 21, 2025)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (June 30, 2025)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (June 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 30, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (June 30, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 21, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (August 21, 2025)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (June 30, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 21, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 21, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 21, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 30, 2025)

May 16, 2024 — 17 citations

Citations issued on May 16, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 5, 2024)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (August 5, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 5, 2024)
K-0100Meet other general requirements.Deficient, Provider has date of correction (August 5, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 22, 2024)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (August 5, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 5, 2024)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (August 5, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 5, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 5, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 5, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 5, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 5, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 5, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 5, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 5, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 5, 2024)

March 3, 2023 — 13 citations

Citations issued on March 3, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 14, 2023)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 14, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 14, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 14, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 14, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 14, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 30, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 14, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 14, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 30, 2023)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (April 14, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 14, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 14, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.