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Deficiency Records for The Hills Post Acute

A list of the most recent deficiencies for The Hills Post Acute. 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 The Hills Post Acute. 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-17 2024-07-26 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-25 2024-07-08 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-03 2024-05-30 Y
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 2024-02-08 2024-03-09 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-02-08 2024-03-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-08 2024-03-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-08 2024-03-09 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-08 2024-03-09 N
Have power receptacles that are properly grounded. Fire Safety 2024-02-08 2024-03-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-08 2024-03-09 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-02-08 2024-02-29 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-08 2024-02-29 N
Keep residents' personal and medical records private and confidential. Health 2024-02-08 2024-02-29 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 2024-02-08 2024-02-29 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-02-08 2024-02-29 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-02-08 2024-02-29 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-08 2024-02-29 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 2024-02-08 2024-02-29 N
Provide activities to meet all resident's needs. Health 2024-02-08 2024-02-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-08 2024-02-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-08 2024-02-29 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-08 2024-02-29 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 2024-02-08 2024-02-29 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-02-08 2024-02-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-08 2024-02-29 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-02-08 2024-02-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-08 2024-02-29 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 2024-02-08 2024-02-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-08 2024-02-29 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 2024-02-08 2024-02-29 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-02-08 2024-02-29 N
Ensure medication error rates are not 5 percent or greater. Health 2024-02-08 2024-02-29 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-02-08 2024-02-29 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-02-08 2024-02-29 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2024-02-08 2024-02-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-08 2024-02-29 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-08 2024-02-29 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-02-08 2024-02-29 N
Provide and implement an infection prevention and control program. Health 2024-02-08 2024-02-29 N
Implement a program that monitors antibiotic use. Health 2024-02-08 2024-02-29 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2024-02-08 2024-02-29 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-02-08 2024-02-29 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 2024-02-08 2024-02-29 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-08 2024-02-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-08 2024-02-29 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 2024-02-08 2024-02-29 Y
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 2024-02-08 2024-02-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-23 2024-02-22 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-01-23 2024-02-22 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 2024-01-23 2024-02-22 Y
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 2024-01-23 2024-02-22 Y
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 2024-01-23 2024-02-22 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-23 2024-02-22 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2024-01-23 2024-02-22 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-01-23 2024-02-22 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-01-23 2024-02-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-23 2024-02-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-23 2024-02-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-23 2024-02-22 Y
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 2024-01-23 2024-02-22 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-23 2024-02-22 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 2024-01-23 2024-02-22 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-23 2024-02-22 Y
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 2024-01-23 2024-02-22 Y
Ensure that residents are free from significant medication errors. Health 2024-01-23 2024-02-22 Y
Dispose of garbage and refuse properly. Health 2024-01-23 2024-02-22 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-12-28 2024-01-27 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-12-28 2024-01-27 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-28 2024-01-27 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-12-28 2024-01-27 Y
Provide and implement an infection prevention and control program. Health 2023-12-28 2024-01-27 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-11-30 2023-12-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-30 2023-12-15 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-10-18 2023-11-09 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 2023-10-18 2023-11-09 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-18 2023-11-09 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-10-18 2023-11-09 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-13 2023-10-08 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-13 2023-10-08 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-09-13 2023-10-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-16 2023-09-08 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-08-16 2023-09-08 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-16 2023-09-08 Y
Ensure that residents are free from significant medication errors. Health 2023-08-16 2023-09-08 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-15 2023-07-14 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-14 2023-07-14 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-06-14 2023-07-14 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-05-03 2023-06-01 Y
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 2023-05-03 2023-06-01 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-04-13 2023-05-12 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-04-14 2023-05-05 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 2023-04-14 2023-05-05 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-02-09 2023-03-07 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-02 2023-03-01 Y
Provide and implement an infection prevention and control program. Health 2022-12-30 2023-01-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-30 2023-01-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-30 2023-01-13 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-01 2022-12-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-22 2022-12-15 Y
Provide activities to meet all resident's needs. Health 2022-11-18 2022-12-11 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-10-10 2022-11-04 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-10 2022-11-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-26 2022-10-26 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-22 2022-10-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-30 2022-09-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-25 2022-09-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-25 2022-09-25 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 2022-03-01 2022-03-18 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-03-01 2022-03-18 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-01-31 2022-02-12 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-01-31 2022-02-12 Y
Ensure each resident receives an accurate assessment. Health 2021-10-18 2021-11-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-18 2021-11-10 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 2021-10-18 2021-11-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-18 2021-11-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-10-18 2021-11-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-10-18 2021-11-10 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-10-18 2021-11-10 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2021-10-18 2021-11-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-18 2021-11-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-18 2021-11-10 N
Address patient/client population and determine types of services needed. Fire Safety 2021-10-18 2021-11-02 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-10-18 2021-11-02 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-10-18 2021-11-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-18 2021-11-02 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-10-18 2021-11-02 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-10-18 2021-11-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-13 2021-05-13 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-04-13 2021-05-13 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-04-13 2021-05-13 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 2021-04-13 2021-05-13 N
Keep residents' personal and medical records private and confidential. Health 2021-04-13 2021-05-13 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 2021-04-13 2021-05-13 N
Respond appropriately to all alleged violations. Health 2021-04-13 2021-05-13 N
Ensure each resident receives an accurate assessment. Health 2021-04-13 2021-05-13 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 2021-04-13 2021-05-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-13 2021-05-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-13 2021-05-13 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-13 2021-05-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-13 2021-05-13 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 2021-04-13 2021-05-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-13 2021-05-13 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-04-13 2021-05-13 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 2021-04-13 2021-05-13 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-04-13 2021-05-13 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-04-13 2021-05-13 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 2021-04-13 2021-05-13 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 2021-04-13 2021-05-13 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-04-13 2021-05-13 N
Provide and implement an infection prevention and control program. Health 2021-04-13 2021-05-13 N
Address patient/client population and determine types of services needed. Fire Safety 2021-04-13 2021-04-26 N
Address subsistence needs for staff and patients. Fire Safety 2021-04-13 2021-04-26 N
Establish policies and procedures for medical documentation. Fire Safety 2021-04-13 2021-04-26 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-04-13 2021-04-26 N
List the names and contact information of those in the facility. Fire Safety 2021-04-13 2021-04-26 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-04-13 2021-04-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-04-13 2021-04-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-13 2021-04-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-04-13 2021-04-26 N

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