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Deficiency Records for Hillcrest Country Estates-Cottages
A list of the most recent deficiencies for Hillcrest Country Estates-Cottages. 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 Country Estates-Cottages. 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-24 | 2024-05-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-24 | 2024-05-30 | Y |
| 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 | 2024-04-24 | 2024-05-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-29 | 2024-04-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-29 | 2024-04-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-04-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-04-10 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-27 | 2024-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-27 | 2024-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-27 | 2024-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-27 | 2024-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-27 | 2024-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-27 | 2024-04-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-27 | 2024-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-12-06 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-20 | 2023-06-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-21 | 2023-05-03 | Y |
| 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 | 2023-03-21 | 2023-05-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-21 | 2023-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-05-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-09 | 2022-09-07 | 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 | 2022-08-09 | 2022-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-09 | 2022-09-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-27 | 2022-08-01 | Y |
| 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 | 2021-11-04 | 2021-11-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-04 | 2021-11-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-04 | 2021-11-26 | 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 | 2021-11-04 | 2021-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-11-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-02 | 2021-11-26 | 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 | 2021-11-02 | 2021-11-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-02 | 2021-11-26 | 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 | 2021-11-02 | 2021-11-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
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