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Deficiency Records for Village at Hillside

A list of the most recent deficiencies for Village at Hillside. 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 Village at Hillside. 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 that residents are fully informed and understand their health status, care and treatments. Health 2024-07-19 2024-08-30 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-07-19 2024-08-30 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-07-19 2024-08-30 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-07-19 2024-08-30 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-07-19 2024-08-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-19 2024-08-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-24 2024-08-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-24 2024-08-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-24 2024-08-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-24 2024-07-26 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 2023-03-24 2023-04-21 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-03-24 2023-04-21 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-03-24 2023-04-21 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-03-24 2023-04-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-03-24 2023-04-21 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 2023-03-24 2023-04-21 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-24 2023-04-21 N
Provide activities to meet all resident's needs. Health 2023-03-24 2023-04-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-24 2023-04-21 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 2023-03-24 2023-04-21 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-03-24 2023-04-21 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-03-24 2023-04-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-24 2023-04-21 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 2023-03-24 2023-04-21 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-03-24 2023-04-21 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-24 2023-04-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-24 2023-04-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-30 2019-07-26 N
Address subsistence needs for staff and patients. Fire Safety 2019-05-30 2019-07-22 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 2019-06-04 2019-07-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-06-04 2019-07-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-06-04 2019-07-16 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2019-05-30 2019-06-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-05-30 2019-06-21 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-05-30 2019-06-21 N

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