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Rolling Hills Care Center

Open-data reference.

Rolling Hills Care Center is a for profit - limited liability company facility in SELMA, CA with 34 certified beds and a 4-star overall CMS rating. The facility has 29 deficiency records on file.

2108 STILLMAN, SELMA, CA 93662

Phone: 5598964990

Overall Rating

4/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
555892
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
34
Residents
30
In Hospital
No
County
Fresno
Last Inspection
Nov 25, 2024

Staffing Data

RN Hours
0.49 (nat'l avg: 0.68)
LPN Hours
1.02
CNA Hours
2.78
Total Nursing Hours
4.29 (nat'l avg: 3.89)
PT Hours
0.12
Nursing Turnover
55.6%
RN Turnover
40.0%

What the CMS Record Reveals About Rolling Hills Care Center

Rolling Hills Care Center operates 34 certified beds in SELMA, CA with approximately 30 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 29 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.29 total nursing hours per resident day (national average 3.89), with RN coverage at 0.49 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Rolling Hills Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 55.6%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (29 most recent)

F — Widespread - Minimal harm Nov 25, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Dec 31, 2024

F — Widespread - Minimal harm Nov 25, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Dec 31, 2024

E — Pattern - Minimal harm Nov 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 31, 2024

F — Widespread - Minimal harm Nov 25, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 31, 2024

F — Widespread - Minimal harm Nov 25, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 31, 2024

E — Pattern - Minimal harm Nov 25, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 31, 2024

D — Isolated - Minimal harm Nov 25, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 31, 2024

E — Pattern - Minimal harm Nov 25, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 31, 2024

E — Pattern - Minimal harm Nov 25, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 31, 2024

D — Isolated - Minimal harm Nov 25, 2024 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Dec 31, 2024

D — Isolated - Minimal harm Sep 20, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 30, 2024

G — Isolated - Actual harm May 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2024

D — Isolated - Minimal harm Jan 14, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Feb 24, 2024

C — Widespread - No harm Jan 14, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Feb 24, 2024

D — Isolated - Minimal harm Jan 14, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Feb 24, 2024

E — Pattern - Minimal harm Jan 14, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 24, 2024

F — Widespread - Minimal harm Jan 14, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 24, 2024

D — Isolated - Minimal harm Jan 14, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 24, 2024

D — Isolated - Minimal harm Jan 14, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 24, 2024

D — Isolated - Minimal harm Jan 14, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 24, 2024

C — Widespread - No harm Jun 10, 2022 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Jul 25, 2022

E — Pattern - Minimal harm Jun 10, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 25, 2022

E — Pattern - Minimal harm Jun 10, 2022 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 25, 2022

E — Pattern - Minimal harm Jun 10, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 25, 2022

D — Isolated - Minimal harm Jun 10, 2022 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 25, 2022

E — Pattern - Minimal harm Jun 10, 2022 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 25, 2022

D — Isolated - Minimal harm Jun 10, 2022 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 25, 2022

D — Isolated - Minimal harm Jun 10, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 25, 2022

D — Isolated - Minimal harm Jun 10, 2022 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jul 25, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 2.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 22.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 0.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 8.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 0.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Rolling Hills Care Center?
Rolling Hills Care Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at Rolling Hills Care Center?
Rolling Hills Care Center reports 4.29 total nursing hours per resident day (national average: 3.89). RN hours are 0.49 per resident day (national average: 0.68). Nursing staff turnover is 55.6%.
How many beds does Rolling Hills Care Center have?
Rolling Hills Care Center has 34 certified beds with approximately 30 residents. The facility is located at 2108 STILLMAN, SELMA, CA 93662.
Does Rolling Hills Care Center have any deficiencies on record?
Yes, Rolling Hills Care Center has 29 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Rolling Hills Care Center received any fines or penalties?
No, Rolling Hills Care Center has no fines or penalties on record.
Who owns Rolling Hills Care Center?
Rolling Hills Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Rolling Hills Care Center last inspected?
The most recent health inspection for Rolling Hills Care Center was on Nov 25, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Rolling Hills Care Center?
Rolling Hills Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial