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Deficiency Records for Hilltop Heights Health and Rehab Center

A list of the most recent deficiencies for Hilltop Heights Health and Rehab 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 Hilltop Heights Health and Rehab 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-06-19 2024-07-10 Y
Implement emergency and standby power systems. Fire Safety 2024-01-24 2024-03-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-24 2024-03-19 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-01-24 2024-03-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-24 2024-03-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-23 2024-03-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-23 2024-03-18 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-01-24 2024-02-26 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 2024-01-24 2024-02-26 N
Provide properly protected cooking facilities. Fire Safety 2024-01-24 2024-02-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-24 2024-02-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-24 2024-02-26 N
Have power receptacles that are properly grounded. Fire Safety 2024-01-24 2024-02-26 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-24 2024-02-26 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-01-24 2024-02-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-24 2024-02-26 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 2024-01-18 2024-02-20 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-01-18 2024-02-20 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-01-18 2024-02-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-18 2024-02-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-18 2024-02-20 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 2024-01-18 2024-02-20 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 2024-01-18 2024-02-20 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-01-18 2024-02-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-18 2024-02-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-19 2023-10-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-08 2023-09-12 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-08-08 2023-09-12 Y
Keep residents' personal and medical records private and confidential. Health 2023-05-04 2023-06-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-04 2023-05-04 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-03-15 2023-04-06 Y
Provide and implement an infection prevention and control program. Health 2023-03-15 2023-04-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-03 2023-04-05 Y
Respond appropriately to all alleged violations. Health 2023-03-03 2023-04-05 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-02-02 2023-03-22 N
Ensure each resident receives an accurate assessment. Health 2023-02-02 2023-03-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-02-02 2023-03-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-02 2023-03-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-02 2023-03-22 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-02 2023-03-22 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 2023-02-02 2023-03-22 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-02-02 2023-03-22 N
Ensure that residents are free from significant medication errors. Health 2023-02-02 2023-03-22 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-02-02 2023-03-22 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-02-02 2023-03-22 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-02-02 2023-03-22 N
Provide and implement an infection prevention and control program. Health 2023-02-02 2023-03-22 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-02-02 2023-03-22 N
Address subsistence needs for staff and patients. Fire Safety 2023-02-02 2023-03-15 N
Implement emergency and standby power systems. Fire Safety 2023-02-02 2023-03-15 N
Install a two-hour-resistant firewall separation. Fire Safety 2023-02-02 2023-03-15 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-02-02 2023-03-15 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 2023-02-02 2023-03-15 N
Provide properly protected cooking facilities. Fire Safety 2023-02-02 2023-03-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-02 2023-03-15 N
Have restrictions on the use of flammable curtains. Fire Safety 2023-02-02 2023-03-15 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-02-02 2023-03-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-02 2023-03-15 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-02-02 2023-03-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-08-31 2022-09-24 Y
Ensure each resident receives an accurate assessment. Health 2022-03-03 2022-04-27 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 2022-03-03 2022-04-27 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-03-03 2022-04-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-03 2022-04-27 N
Ensure that residents are free from significant medication errors. Health 2022-03-03 2022-04-27 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 2022-03-03 2022-04-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-03 2022-04-27 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-03-03 2022-04-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-11-10 2021-12-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-27 Not Fixed Y

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