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Deficiency Records for Hilltop Lodge Health and Rehabilitation Center

A list of the most recent deficiencies for Hilltop Lodge Health and Rehabilitation Center. 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 Lodge Health and Rehabilitation Center. 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?
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 2024-04-02 2024-05-01 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-04-02 2024-04-26 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 2024-04-02 2024-04-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-02 2024-04-19 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-04-02 2024-04-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-04-02 2024-04-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-02 2024-04-15 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-04-02 2024-04-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-02 2024-04-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-04-02 2024-04-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-29 2024-04-03 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 2024-02-29 2024-04-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-29 2024-04-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-29 2024-04-03 N
Respond appropriately to all alleged violations. Health 2024-02-29 2024-04-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-29 2024-04-03 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 2024-02-29 2024-04-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-29 2024-04-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-29 2024-04-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-29 2024-04-03 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 2024-02-29 2024-04-03 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 2024-02-29 2024-04-03 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-29 2024-04-03 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2024-02-29 2024-04-03 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-02-29 2024-04-03 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-02-29 2024-04-03 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 2024-02-29 2024-04-03 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-02-29 2024-04-03 N
Provide and implement an infection prevention and control program. Health 2024-02-29 2024-04-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-09 2024-01-29 Y
Respond appropriately to all alleged violations. Health 2024-01-09 2024-01-29 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-01-09 2024-01-29 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-11-20 2023-11-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-01 2023-05-31 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-01 2023-05-31 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-04-18 2023-04-21 Y
Keep residents' personal and medical records private and confidential. Health 2023-02-16 2023-02-16 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 2022-11-21 2022-11-28 Y
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-08-02 2022-08-30 N
Establish staff and initial training requirements. Fire Safety 2022-08-02 2022-08-30 N
Use approved construction type or materials. Fire Safety 2022-08-02 2022-08-30 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 2022-08-02 2022-08-30 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 2022-08-02 2022-08-30 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-08-02 2022-08-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-08-02 2022-08-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-02 2022-08-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-06-16 2022-07-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-16 2022-07-20 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 2022-06-16 2022-07-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-16 2022-07-20 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 2022-06-16 2022-07-20 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-06-16 2022-07-20 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 2022-06-16 2022-07-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-16 2022-07-20 N
Provide and implement an infection prevention and control program. Health 2022-06-16 2022-07-20 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-06-16 2022-07-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-14 2021-09-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-12-09 2021-01-15 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2020-12-09 2021-01-15 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 2020-12-09 2021-01-15 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 2020-12-09 2021-01-15 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2020-12-09 2021-01-15 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2020-12-09 2021-01-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-12-09 2021-01-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-12-09 2021-01-15 N
Provide enough food/fluids to maintain a resident's health. Health 2020-12-09 2021-01-15 N
Observe each nurse aide's job performance and give regular training. Health 2020-12-09 2021-01-15 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2020-12-09 2021-01-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-12-09 2021-01-15 N
Provide and implement an infection prevention and control program. Health 2020-12-09 2021-01-15 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2020-12-09 2021-01-04 N
Address subsistence needs for staff and patients. Fire Safety 2020-12-09 2021-01-04 N
Establish emergency prep training and testing. Fire Safety 2020-12-09 2021-01-04 N
Conduct testing and exercise requirements. Fire Safety 2020-12-09 2021-01-04 N
Implement emergency and standby power systems. Fire Safety 2020-12-09 2021-01-04 N
Use approved construction type or materials. Fire Safety 2020-12-09 2021-01-04 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2020-12-09 2021-01-04 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 2020-12-09 2021-01-04 N
Provide properly protected cooking facilities. Fire Safety 2020-12-09 2021-01-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-12-09 2021-01-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-12-09 2021-01-04 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2020-12-09 2021-01-04 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2020-12-09 2021-01-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-12-09 2021-01-04 N
Provide a written emergency evacuation plan. Fire Safety 2020-12-09 2021-01-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-12-09 2021-01-04 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2020-12-09 2021-01-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-12-09 2021-01-04 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2020-12-09 2021-01-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-12-09 2021-01-04 N

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