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Deficiency Records for Hillsboro Rehab and Hcc
A list of the most recent deficiencies for Hillsboro Rehab and Hcc. 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 Hillsboro Rehab and Hcc. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-09 | 2024-11-06 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-26 | 2024-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-26 | 2024-10-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-26 | 2024-10-17 | N |
| 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 | 2024-09-26 | 2024-10-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-09-26 | 2024-10-17 | 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 | 2024-09-26 | 2024-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-26 | 2024-10-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-26 | 2024-10-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-26 | 2024-10-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-26 | 2024-10-17 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-09-26 | 2024-10-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-26 | 2024-10-17 | 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 | 2024-09-26 | 2024-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-26 | 2024-10-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-26 | 2024-10-17 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-09-26 | 2024-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-09 | 2024-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-09 | 2024-10-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-31 | 2024-02-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-29 | 2023-12-18 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-08-24 | 2023-11-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-18 | 2023-09-20 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-24 | 2023-09-15 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-08-24 | 2023-09-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-01 | 2023-09-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-01 | 2023-09-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-21 | 2023-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-08 | 2023-09-04 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-08 | 2023-09-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-21 | 2023-09-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-09-04 | N |
| 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 | 2023-08-21 | 2023-09-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-21 | 2023-09-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-21 | 2023-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-05 | 2023-07-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-07 | 2023-06-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-07 | 2023-06-26 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-26 | 2023-06-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-26 | 2023-06-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-26 | 2023-06-26 | 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 | 2023-05-26 | 2023-06-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-26 | 2023-06-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-26 | 2023-06-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-26 | 2023-06-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-26 | 2023-06-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-12 | 2023-05-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-12 | 2023-05-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-22 | 2023-05-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-22 | 2023-04-07 | 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 | 2023-03-22 | 2023-04-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-06 | 2022-12-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-06 | 2022-12-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-07 | 2022-09-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-31 | 2022-08-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-07 | 2022-08-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-07 | 2022-08-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-07 | 2022-08-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-07-07 | 2022-08-04 | 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 | 2022-07-07 | 2022-08-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-07 | 2022-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-07 | 2022-08-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-07 | 2022-08-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-07 | 2022-08-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-07 | 2022-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-07 | 2022-08-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-07 | 2022-08-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-07 | 2022-08-04 | 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 | 2022-07-07 | 2022-08-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-07 | 2022-08-04 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-07 | 2022-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-07 | 2022-08-04 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-07 | 2022-08-04 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-30 | 2022-08-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-30 | 2022-08-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-30 | 2022-08-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-31 | 2022-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-13 | 2022-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-13 | 2022-02-07 | 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 | 2022-01-13 | 2022-02-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-13 | 2022-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2021-12-13 | 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 | 2021-12-03 | 2021-12-13 | Y |
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