Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Seven Hills Health & Rehabilitation Center during CMS and state inspections, most recent first.
A resident who was independently mobile via wheelchair was found to be using a wheelchair with a torn back, exposed screws, and a seat cushion that was too small, leaving metal rods exposed at the front of the seat. The resident reported leg pain from feeling the metal against the thighs despite a cushion having been placed by therapy for comfort. Review of therapy and care plan documentation showed the resident had previously been fitted with a cushion and had a goal of no discomfort, but the OT later acknowledged that an appropriately sized cushion matching the wheelchair’s seat depth had not been available when the cushion was replaced.
The facility failed to ensure proper documentation and adherence to physician orders for wound care in three residents, resulting in missing or inconsistent entries in the treatment administration record, discrepancies between treatment plans and orders, and unperformed or undocumented wound care. Nursing staff and the DON acknowledged errors in order entry and documentation, and facility policies requiring accurate clinical documentation were not consistently followed.
The facility failed to provide a clean and homelike environment, with observations of cluttered hallways, dirty floors, and maintenance issues such as broken tiles and peeling paint. A resident experienced a persistent odor due to a clogging toilet and a malfunctioning air conditioning unit, highlighting lapses in maintenance and communication.
A resident with a PICC line was found with an overdue dressing change, contrary to physician's orders and facility policy. The dressing was dated over two weeks prior, appeared loose, and had a gauze underneath saturated with dried blood. The resident, admitted for orthopedic surgery aftercare with a significant medical history, could not recall the last dressing change. An LPN confirmed the dressing was overdue, highlighting a failure to adhere to professional standards of quality in central line care.
A facility failed to ensure physician orders for catheter care were in place for a resident with an indwelling catheter due to obstructive uropathy. The resident's care plan required catheter care, but no current orders were found in the MAR or TAR. Nursing staff were unaware of the lack of orders, and the oversight was acknowledged by the DON. The facility's policy required verification of physician's orders before performing catheter care, which was not followed.
The facility failed to ensure proper medication storage for two residents and in three medication carts. A resident had a medication cup with tablets on the bedside table without evaluation for self-administration safety, and another had unauthorized medications in the room. An unlocked medication cart and loose tablets in carts were also observed, violating the facility's storage policy.
A nurse failed to follow infection control protocols during glucometer use for three residents, not cleaning the device or performing hand hygiene between uses. This was against the facility's policy, which mandates cleaning and disinfecting the glucometer between each resident and handwashing before and after resident contact.
Failure to Maintain Safe and Properly Fitted Wheelchair Cushion
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and well-maintained wheelchair for a resident who was independently mobile via wheelchair. During observation, the resident’s wheelchair was noted to have tears on the back, a seat cushion that was smaller than the full depth of the seat, exposed metal rods on both sides at the front of the seat structure, and exposed screws bilaterally. Photographic evidence of these conditions was obtained. At the time of one observation, the resident was in bed with eyes closed while the deficient wheelchair condition was present. In an interview, the resident reported that a therapist had placed a cushion on the wheelchair because he was not comfortable, but the cushion was too small and caused leg pain because he could feel the metal against his thighs. Review of the care plan showed the resident was independent with wheelchair positioning, though he sometimes did not position himself appropriately. Occupational therapy documentation indicated services had been provided previously, with discharge notes stating the wheelchair had been fitted with a cushion and that the resident had achieved a goal of no discomfort for more than two hours. In a subsequent interview, the OT acknowledged that when the cushion was replaced, an appropriately sized cushion matching the approximately 18-inch seat depth was not available and confirmed that the cushion in use was not the proper size for the wheelchair.
Failure to Document and Follow Physician Orders for Wound Care
Penalty
Summary
The facility failed to meet professional standards of care for wound management in three out of four residents reviewed. For one resident with a stage 4 sacral pressure ulcer and a non-pressure ulcer on the left third toe, there were discrepancies between the physician's treatment plan and the active orders in the medical record. The treatment administration record (TAR) did not include wound care for the left third toe, and documentation for coccyx wound care was missing on a specific date. The wound care nurse acknowledged that wound care was performed but not documented, attributing it to an oversight. Another resident with dementia and anxiety had an active physician order for coccyx wound care, but this order was not reflected in the TAR due to incorrect entry by nursing staff. The order was placed under the wrong section, resulting in the absence of documentation for wound care. The director of nursing confirmed that the order should have been discontinued as the resident no longer had a wound, but the lack of proper documentation and order management was evident. A third resident reported inconsistent wound care, stating that treatments were not performed as ordered. Review of the TAR showed missing documentation for wound care on multiple days, and the treatment frequencies entered did not match the physician's orders. The wound care nurse and DON acknowledged errors in order entry and documentation, with wound care not being documented or performed according to the prescribed schedule. Facility policies required accurate and timely documentation of wound care, which was not consistently followed in these cases.
Environmental and Maintenance Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain a clean and homelike environment, as evidenced by several observations during a survey. Numerous chairs and wheelchairs were found lining the hallways, creating potential tripping or entrapment hazards. In one room, the floor was visibly dirty, and the resident expressed discomfort with the condition. Another room had a bedside table missing a wheel and a wall corner in disrepair. Additionally, a resident reported that her wheelchair was missing and had not been returned promptly, despite staff being aware of the issue. Several rooms were noted to have broken tiles, peeling paint, and rust-like substances, indicating a lack of maintenance. In another instance, a persistent odor of feces was noted in a resident's room and the hallway, attributed to a repeatedly clogging toilet. The resident, who was independent in toileting, expressed embarrassment over the situation and had attempted to unclog the toilet himself. The air conditioning unit in the same room was not functioning properly, with the room temperature significantly higher than the set temperature. The Maintenance Director was aware of the toilet issue but not the air conditioning problem, indicating a lapse in communication and timely maintenance response.
Failure to Follow Physician's Orders for Central Line Care
Penalty
Summary
The facility failed to adhere to professional standards of quality by not following physician's orders for central line care for a resident with a PICC line. During a facility tour, it was observed that the dressing on the resident's PICC line was dated over two weeks prior and appeared loose, with a gauze underneath that was saturated with dried blood. The resident could not recall when the dressing was last changed. The physician's orders specified that the PICC line dressing should be changed every 7 days during the day shift and as needed if soiled or dislodged. The resident, who was admitted for orthopedic surgery aftercare, had a significant medical history including diabetes, paraplegia, left leg amputation, anemia, and depression. An interview with an LPN confirmed that the dressing change was overdue according to the physician's orders. The facility's policy required central line dressings to be changed at established intervals and immediately if compromised, with gauze dressings to be changed every 2 days and transparent dressings every 5-7 days.
Failure to Ensure Physician Orders for Catheter Care
Penalty
Summary
The facility failed to ensure that physician orders for catheter care were provided in accordance with the care plan for a resident with an indwelling catheter. The resident, who had an indwelling catheter due to obstructive uropathy, was observed with a catheter drainage bag attached to his wheelchair. Upon review, it was found that there were no current physician orders for catheter care in the Medication Administration Record (MAR) and Treatment Administration Record (TAR). The last orders for catheter care and catheter change had been discontinued several months prior. Interviews with nursing staff revealed that there was confusion regarding the frequency of catheter care for the resident, and no active orders were located. It was suggested that the oversight might have occurred when the resident was discharged from hospice services, and the orders were not rewritten. The Director of Nursing acknowledged the oversight when informed of the issue. The facility's policy required nurses to verify physician's orders for catheter care before performing the procedure, which was not adhered to in this case.
Medication Storage Deficiencies
Penalty
Summary
The facility failed to ensure proper storage of medications for two residents and in three medication carts. For one resident, a medication cup containing four tablets was found on the bedside table, and the resident was not evaluated for medication self-administration safety. The resident had a significant medical history, including falls, diabetes, hypertension, anxiety, bipolar disorder, and depression. The staff member responsible for administering medications to this resident stated that she did not leave medications at the bedside and confirmed that the resident was not safe to self-administer medications. Another resident was found to have a bottle of Pepto Bismol and a tube of Hydrocortisone cream on the dresser, without physician orders for these medications and without an evaluation for self-administration safety. Additionally, an unlocked medication cart was observed in the hallway, and loose tablets were found in three different medication carts. The facility's policy requires drugs to be securely stored in locked cabinets or carts, and bedside drugs require a physician order and must be stored securely within the resident's room.
Infection Control Deficiency During Glucometer Use
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during the medication pass involving glucometer use for three residents. Nurse A, a Registered Nurse, was observed using the same glucometer for multiple residents without cleaning or disinfecting it between uses. Specifically, during the procedures for Residents #337, #40, and #187, Nurse A did not clean or disinfect the glucometer before or after use, nor did she wash or sanitize her hands before or after performing the procedures. This was contrary to the facility's policy, which requires cleaning and disinfecting the glucometer between each resident use and performing hand hygiene before and after resident contact. The facility's policy for Capillary Blood Sampling and Handwashing, both dated 2001, clearly outline the necessary steps for infection control, including washing hands, using gloves, placing the glucometer on a clean field, and cleaning and disinfecting the equipment after each use. Despite these guidelines, Nurse A did not adhere to these protocols during the observed medication pass. The Director of Nursing was informed of these infection control concerns, and it was noted that training had been conducted with Nurse A regarding the proper procedures.
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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 Tallahassee
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At Tallahassee | 0.3 mi | — | 24 | 0 |
| Centre Pointe Health And Rehab Center | 0.9 mi | — | 10 | 0 |
| Westminster Oaks | 1.2 mi | — | 0 | 0 |
| Aviata At The Gardens - Tallahassee | 1.5 mi | — | 10 | 0 |
| Tallahassee Memorial Hospital Extended Care | 2.4 mi | — | 0 | 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 August 2026) and official state health department websites.