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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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