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Deficiency Records for Medilodge of Hillman
A list of the most recent deficiencies for Medilodge of Hillman. 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 Medilodge of Hillman. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-29 | 2024-03-21 | 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 | 2024-02-29 | 2024-03-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-29 | 2024-03-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-19 | 2023-11-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-11-20 | 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 | 2023-10-19 | 2023-11-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-19 | 2023-11-20 | 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 | 2023-10-19 | 2023-11-20 | 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 | 2023-10-19 | 2023-11-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-19 | 2023-11-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-09 | 2023-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-12 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-17 | 2022-12-26 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-11-17 | 2022-12-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2022-12-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-17 | 2022-12-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-17 | 2022-12-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-26 | 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 | 2022-11-17 | 2022-12-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-17 | 2022-12-26 | 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 | 2022-11-17 | 2022-12-26 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-11-22 | 2022-12-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-22 | 2022-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-22 | 2022-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-22 | 2022-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-22 | 2022-12-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-22 | 2022-12-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-09-10 | 2021-10-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-10 | 2021-10-19 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-10 | 2021-10-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-10 | 2021-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-10 | 2021-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-10 | 2021-10-19 | 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 | 2021-09-10 | 2021-10-19 | 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 | 2021-09-10 | 2021-10-19 | 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 | 2021-09-10 | 2021-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | 2021-10-19 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-09-10 | 2021-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-09-08 | 2021-10-19 | N |
| Develop a communication plan. | Fire Safety | 2021-09-08 | 2021-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-08 | 2021-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-08 | 2021-10-19 | N |
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