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Deficiency Records for Hillcrest Care Center
A list of the most recent deficiencies for Hillcrest Care 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 Hillcrest Care 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-02 | 2024-06-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-05-02 | 2024-06-03 | 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 | 2024-05-02 | 2024-06-03 | 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 | 2024-05-02 | 2024-06-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-02 | 2024-06-03 | Y |
| 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 | 2024-05-02 | 2024-06-03 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-05-02 | 2024-06-03 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-27 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-27 | 2023-04-27 | 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 | 2023-03-27 | 2023-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-27 | 2023-04-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-28 | 2023-04-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-28 | 2023-04-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-28 | 2023-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-28 | 2023-04-20 | 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 | 2023-03-28 | 2023-04-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-29 | 2022-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-29 | 2022-02-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-29 | 2022-02-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-29 | 2022-02-12 | N |
| Post nurse staffing information every day. | Health | 2021-12-29 | 2022-02-12 | 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 | 2021-12-29 | 2022-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-02-12 | 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 | 2021-12-28 | 2022-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
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