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Deficiency Records for Holly Hill House
A list of the most recent deficiencies for Holly Hill House. 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 Hill House. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-05 | 2024-10-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-05 | 2024-10-11 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-09-05 | 2024-10-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-05 | 2024-10-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-10 | 2024-07-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-10 | 2024-07-05 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-09 | 2024-05-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-09 | 2024-05-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-09 | 2024-05-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-09 | 2024-05-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-24 | 2024-05-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-24 | 2024-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-24 | 2024-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-24 | 2024-05-03 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-24 | 2024-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-26 | 2024-04-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-26 | 2024-04-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-30 | 2024-02-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-30 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-30 | 2024-02-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-28 | 2024-01-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-25 | 2023-10-30 | 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 | 2023-09-25 | 2023-10-30 | 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 | 2023-09-25 | 2023-10-30 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-09-25 | 2023-10-30 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-04-10 | 2023-04-26 | Y |
| 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 | 2023-03-01 | 2023-04-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-01 | 2023-04-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-01 | 2023-04-26 | 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 | 2023-03-01 | 2023-04-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-01 | 2023-04-26 | 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 | 2022-11-01 | 2022-11-30 | 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 | 2022-11-01 | 2022-11-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-01 | 2022-11-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-20 | 2022-02-25 | N |
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