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Deficiency Records for Hillside Manor
A list of the most recent deficiencies for Hillside Manor. 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 Hillside Manor. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-11-14 | 2024-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-14 | 2024-12-31 | 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 | 2024-11-14 | 2024-12-31 | 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 | 2024-11-14 | 2024-12-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-14 | 2024-12-31 | 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 | 2024-11-14 | 2024-12-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-14 | 2024-12-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-11-14 | 2024-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-14 | 2024-12-31 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-11-14 | 2024-12-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-14 | 2024-12-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-14 | 2024-12-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-11-18 | 2024-12-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-18 | 2024-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-18 | 2024-12-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-11-18 | 2024-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-06 | 2023-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-07 | 2023-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-06 | 2023-09-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-07 | 2023-09-19 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-09-06 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-08-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-28 | 2022-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-21 | 2022-07-19 | 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 | 2022-06-21 | 2022-06-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-21 | 2022-06-23 | N |
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