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Deficiency Records for Hillcrest Home
A list of the most recent deficiencies for Hillcrest Home. 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 Hillcrest Home. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-24 | 2024-07-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-31 | 2024-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-06-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-31 | 2024-06-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-31 | 2024-06-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-31 | 2024-06-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| 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. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-22 | 2024-06-17 | 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 | 2024-05-22 | 2024-06-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-22 | 2024-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-23 | 2024-05-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-07 | 2024-02-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-12-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-04-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-06 | 2023-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-04-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-02-18 | 2022-03-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-18 | 2022-03-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-18 | 2022-03-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-18 | 2022-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-18 | 2022-03-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-17 | 2022-03-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-17 | 2022-03-02 | N |
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