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Deficiency Records for Hilltop Park Post Acute
A list of the most recent deficiencies for Hilltop Park Post Acute. 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 Hilltop Park Post Acute. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-29 | 2024-09-06 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-07-29 | 2024-09-06 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-07-29 | 2024-09-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-29 | 2024-09-06 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-07-29 | 2024-09-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-07-29 | 2024-09-06 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-07-29 | 2024-09-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-29 | 2024-09-06 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-29 | 2024-09-06 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2024-07-29 | 2024-09-06 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-07-29 | 2024-09-06 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-07-29 | 2024-09-06 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-26 | 2024-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-26 | 2024-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-07 | 2024-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-07 | 2024-03-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-07 | 2024-03-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-07 | 2024-03-30 | N |
| 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 | 2024-03-07 | 2024-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-03-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-07 | 2024-03-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-07 | 2024-03-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-28 | 2023-11-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-25 | 2023-11-11 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-04 | 2023-04-03 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-03-01 | 2023-03-24 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-03-01 | 2023-03-24 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-04 | 2023-03-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-15 | 2023-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-02-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-15 | 2023-02-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-15 | 2023-02-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-04 | 2023-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-01-04 | 2023-01-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-04 | 2023-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-20 | 2022-10-20 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-05-26 | 2022-07-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-07-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-24 | 2022-03-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-24 | 2022-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-24 | 2022-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-03-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-21 | 2021-12-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-26 | 2021-09-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-26 | 2021-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-26 | 2021-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-26 | 2021-09-30 | N |
| 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. | Health | 2021-08-26 | 2021-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-09-17 | N |
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