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Deficiency Records for Holly Heights Care and Rehabilitation

A list of the most recent deficiencies for Holly Heights Care and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Holly Heights Care and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide activities to meet all resident's needs. Health 2024-06-13 2024-07-21 Y
Have proper medical gas storage and administration areas. Fire Safety 2024-01-26 2024-04-04 N
Dispose of garbage and refuse properly. Health 2024-01-09 2024-02-19 Y
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. Health 2024-01-09 2024-02-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-09 2024-02-14 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-09 2024-02-10 Y
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-01-26 2024-02-08 N
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2024-01-09 2024-02-05 Y
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-26 2024-01-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-15 2023-06-17 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-10-05 2022-10-21 N
Provide properly protected cooking facilities. Fire Safety 2022-10-05 2022-10-19 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-10-05 2022-10-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-05 2022-10-11 N
Provide enough food/fluids to maintain a resident's health. Health 2022-09-14 2022-10-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-14 2022-10-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-10-05 2022-10-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-10-05 2022-10-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-11-06 2019-12-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-06 2019-12-15 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-10-10 2019-11-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-10-10 2019-11-04 N

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