Deficiency Records for North Hill Nursing and Rehabilitation Ctr, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for North Hill Nursing and Rehabilitation Ctr, LLC. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-03-07 | 2024-04-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-07 | 2024-04-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-07 | 2024-04-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-07 | 2024-04-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-07 | 2024-04-11 | 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 | 2024-03-07 | 2024-04-11 | 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 | 2024-03-07 | 2024-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-07 | 2024-04-11 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-07 | 2024-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-13 | 2024-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-13 | 2024-04-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-09 | 2022-10-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-09 | 2022-10-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-09 | 2022-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-17 | 2021-09-20 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-07-29 | 2021-08-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-19 | 2021-06-20 | 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 | 2021-05-19 | 2021-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-14 | 2019-03-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-14 | 2019-03-18 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-02-14 | 2019-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-03-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-20 | 2019-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-20 | 2019-03-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-02-20 | 2019-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-20 | 2019-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-20 | 2019-03-17 | N |
