What is Rolling Fields, Inc's Medicare star rating?

CMS rates Rolling Fields, Inc 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Rolling Fields, Inc get at its last inspection?

4 health deficiencies at the standard inspection on November 18, 2025. The Pennsylvania average is 10.

Does Rolling Fields, Inc accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Rolling Fields, Inc?

CMS lists 12 owners and managers, and links the home to Heritage Ministries. Legal business name: ROLLING FIELDS INC.

Rolling Fields, Inc: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on November 18, 2025, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 18 health citations since November 2023 was rated as actual harm or immediate jeopardy.

CMS lists 5 fines totaling $28,242 in the last three years; the largest was $12,534, and the latest is dated January 22, 2024.

Nurses and nurse aides worked 4.40 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.

30.5% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Heritage Ministries, an affiliated group of 3 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

611/23

810/24

411/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

13D

Potential for minimal harm

November 18, 2025Standard inspection · 4 citations

E

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 9, 2026

Inspectors wroteBased 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).
D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 17, 2026

Inspectors wroteBased 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).
D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 17, 2026

Inspectors wroteBased 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).
D

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.

F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 17, 2026

Inspectors wroteBased 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).

October 31, 2024Standard inspection · 8 citations

D

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

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased 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).
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased 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).
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased 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 ).
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased 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).
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased 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).
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased 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).
D

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

F868 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased on review of facility records and staff interview, it was determined that the facility failed to assure required attendance of the Medical Director to Quality Assurance and Performance Improvement (QAPI) Committee meetings for one of four quarterly QAPI Committee meetings (September 2024).
B

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F851 · Administration · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased on facility requirements according to the Affordable Care Act (ACA), review of Payroll Based Journal (PBJ) Staffing Data Reports, and staff interview, it was determined that the facility failed to electronically submit accurate direct care staffing information for one of the last four quarters (Quarter One of 2024).

November 2, 2023Standard inspection, Complaint inspection · 6 citations

F

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 29, 2023

Inspectors wroteBased on review of facility employee in-service training records and staff interview, it was determined that the facility failed to assure staff completed all required mandatory trainings for the yearly Nurse Aide (NA) 12-hour mandatory trainings for the past year from December 2022 through November 2023.
E

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 29, 2023

Inspectors wroteBased on review of facility policy, observations and staff interviews, it was determined that the facility failed to provide a homelike dining experience by not having the dining room open for all residents to use for breakfast, lunch and dinner.
E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 29, 2023

Inspectors wroteBased on review of facility records, observations, and resident, family member, and staff interviews, and review of the Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual 2019 (RAI-assessment guide used to plan the provision of care for residents), it was determined that the facility failed to ensure sufficient nursing staff to assure residents attain or maintain the highest practicable physical, mental, and psychosocial well-being for six of 21 residents reviewed (Residents R9, R36, R40, R44, R47, and R53).
D

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2023

Inspectors wroteBased on clinical record review, observations, and resident and staff interviews, it was determined that the facility failed to provide urostomy (an opening in the belly made during surgery to re-direct urine away from the damaged bladder) care and services consistent with professional standards of practice for one of one residents with a urostomy (Resident 57).
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2023

Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to properly label multi-use pens of insulin with an opened and/or use by dates for one of three medication storage carts reviewed (Birch Street).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2023

Inspectors wroteBased on review of infection control records, facility policy, and staff interviews, it was determined that the facility failed to provide proof that a system to monitor and prevent legionella in the facility water was established.

Fire safety inspections

37 fire safety citations on file: 12 on November 18, 2025, 1 on January 8, 2025, 11 on October 31, 2024, 1 on September 20, 2024, 4 on September 19, 2024, 8 on November 2, 2023.

Every fire safety citation37 citations

F
Add 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.

K 222 · November 18, 2025 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · November 18, 2025 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · November 18, 2025 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · November 18, 2025 · Corrected (the home has a date of correction)
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · November 18, 2025 · Corrected (the home has a date of correction)
E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K 354 · November 18, 2025 · Corrected (the home has a date of correction)
E
Meet requirements for the installation and maintenance of electrical systems.

K 911 · November 18, 2025 · Corrected (the home has a date of correction)
C
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · November 18, 2025 · Corrected (the home has a date of correction)
B
Have properly installed hallway dispensers for alcohol-based hand rub.

K 325 · November 18, 2025 · Corrected (the home has a date of correction)
B
Have simulated fire drills held at unexpected times.

K 712 · November 18, 2025 · Corrected (the home has a date of correction)
B
Have power receptacles that are properly grounded.

K 912 · November 18, 2025 · Corrected (the home has a date of correction)
B
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · November 18, 2025 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · January 8, 2025 · Corrected (the home has a date of correction)
F
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · October 31, 2024 · Corrected (the home has a date of correction)
F
Have restrictions on the use of highly flammable decorations.

K 753 · October 31, 2024 · Corrected (the home has a date of correction)
D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · October 31, 2024 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · October 31, 2024 · Corrected (the home has a date of correction)
D
Have power receptacles that are properly grounded.

K 912 · October 31, 2024 · Corrected (the home has a date of correction)
C
Conduct testing and exercise requirements.

E 39 · October 31, 2024 · Corrected (the home has a date of correction)
C
Provide properly protected cooking facilities.

K 324 · October 31, 2024 · Corrected (the home has a date of correction)
B
Have properly located and lighted "Exit" signs.

K 293 · October 31, 2024 · Corrected (the home has a date of correction)
B
Have properly installed hallway dispensers for alcohol-based hand rub.

K 325 · October 31, 2024 · Corrected (the home has a date of correction)
B
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 31, 2024 · Corrected (the home has a date of correction)
B
Meet requirements for the installation and maintenance of electrical systems.

K 911 · October 31, 2024 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · September 20, 2024 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · September 19, 2024 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · September 19, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 19, 2024 · Corrected (the home has a date of correction)
C
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · September 19, 2024 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · November 2, 2023 · Corrected (the home has a date of correction)
D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

K 111 · November 2, 2023 · Corrected (the home has a date of correction)
D
Use approved construction type or materials.

K 161 · November 2, 2023 · Corrected (the home has a date of correction)
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · November 2, 2023 · Corrected (the home has a date of correction)
D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · November 2, 2023 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · November 2, 2023 · Corrected (the home has a date of correction)
D
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · November 2, 2023 · Corrected (the home has a date of correction)
C
Meet requirements for the installation and maintenance of electrical systems.

K 911 · November 2, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
January 22, 2024	Fine	$12,534
January 8, 2024	Fine	$3,418
January 2, 2024	Fine	$2,823
December 11, 2023	Fine	$6,293
November 6, 2023	Fine	$3,174

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Pennsylvania	United States
All nursing staff (RN, LPN and aides)	4.40	3.89	3.86
Registered nurses	0.82	0.79	0.69
All nursing staff on weekends	3.96	3.53	3.42
Nurse aides	2.48
Licensed practical nurses	1.10
Nursing staff turnover (share who left in a year)	30.5%	44.5%	45.8%
Registered nurse turnover	33.3%	39.9%	42.9%
Administrators who left	not reported

CMS expects 3.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.57 on weekdays and 3.96 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.06 in April to June 2025 to 4.40 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.40	0.82	4.57	3.96	0.0%	0 of 90	44
Oct to Dec 2025	4.37	0.79	4.48	4.10	0.0%	0 of 92	46
Jul to Sep 2025	4.22	0.87	4.37	3.86	0.0%	0 of 92	48
Apr to Jun 2025	4.06	0.84	4.25	3.57	0.0%	0 of 91	52
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Pennsylvania, Jan to Mar 2026	3.69	0.65	3.82	3.34	11.3%	0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Pennsylvania

Job	Median	Middle half	Employed
Pennsylvania, all employers
CNAs (nursing assistants)	$21.44	$18.88 to $22.52	67,740
LPNs and LVNs	$30.74	$29.02 to $35.01	38,260
Registered nurses	$46.36	$38.75 to $50.35	146,520
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Pennsylvania	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	17.4	16.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.4	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.5	1.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	6.4	3.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	14.8	17.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.5	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	11.3	17.7	15.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Rolling Fields, Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (19.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

19.0% this home

Worse than the national rate

US median of homes 51.5% · Pennsylvania: 100 better, 108 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 38 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Pennsylvania: 3 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 38 eligible stays.