Inspection·September 14, 2023

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Based on observation, interview, and record review, the facility failed to ensure an environment free of potential hazards. The facility failed to provide assistive devices that prevent avoidable accidents for 1 of 2 residents sampled for safety. (Resident #117) The findings include: On 9/11/23 at approximately 11:00 AM, an interview was conducted with Resident # 117. She explained that she needed a new commode chair. She stated that asked the nurses for a bariatric chair about 2 weeks ago but had not received one yet. About 2 weeks ago, the regular sized commode chair she used rusted through and broke while she was seated on it. She received a minor scratch to her thigh as a result. She told the surveyor that the replacement regular sized chair that she is currently using might break because it also has rust on it. She verbalized concerns about injuring herself. The resident explained that she really needs a bariatric commode chair because she takes a blood thinner medication and bruises easily. The resident showed pictures of the regular sized commode chair that broke while she was on it two weeks ago. The surveyor noted that Resident #117 had a wide shower chair, a wide wheelchair, and a wide rollator in the room at the time of the interview. The surveyor went to look at the commode chair that was currently placed over the toilet. The commode was a standard size. The chair had a large amount of rust intrusion under the toilet seat. The rusted areas were located at bolts that hold the chair supports in the front of the chair. There was also significant rust on the back of the chair under the toilet seat. (Photographic evidence obtained) On 9/14/23 at approximately 9:00 AM, a second interview was conducted with Resident #117. She said that, on 9/13/23, she asked Nurse A, a Licensed Practical Nurse (LPN), when she would get the bariatric bed side commode. Despite making staff aware of this issue, she still had not received one at the time of this interview. The surveyor looked and the same rusted commode chair was in the bathroom. On 9/14/23 at approximately 9:20 AM, an interview was conducted with Nurse A. She explained that a bariatric chair had been ordered for Resident #117 . Nurse A was asked about the injury Resident #117 received from the commode 2 weeks ago. She explained that the resident received a superficial scratch after the chair broke. The surveyor showed Nurse A the photographs of the chair that is currently in use. She was asked if that chair looked safe for use by Resident #117. She explained that it might be better to get a different chair. She explained that a bariatric chair had been ordered. A bariatric chair had just become available and she would get it for the Resident to use. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 105364 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105364 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Seven Hills Health & Rehabilitation Center 3333 Capital Medical Blvd Tallahassee, FL 32308 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)