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Deficiency Records for Hillsdale Hospital Mcguire and Macritchie Ltcu
A list of the most recent deficiencies for Hillsdale Hospital Mcguire and Macritchie Ltcu. 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 Hillsdale Hospital Mcguire and Macritchie Ltcu. 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 | 2024-10-04 | 2024-11-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-04 | 2024-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-04 | 2024-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-04 | 2024-11-01 | N |
| 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 | 2024-10-04 | 2024-11-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-10 | 2024-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-10 | 2024-10-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-09 | 2023-11-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-04 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-15 | 2022-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-15 | 2022-09-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-16 | 2022-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-16 | 2022-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-16 | 2022-09-13 | 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 | 2022-08-16 | 2022-09-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-16 | 2022-09-13 | 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 | 2022-08-16 | 2022-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-15 | 2022-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-15 | 2022-08-22 | N |
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