A list of the most recent deficiencies for Hillview Terrace. 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? |
|---|---|---|---|---|
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-03-09 | 2020-04-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-09 | 2020-04-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-09 | 2020-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-09 | 2020-04-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-05 | 2020-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-02 | 2019-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-02 | 2019-02-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-02 | 2019-02-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-20 | 2019-01-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-20 | 2019-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-20 | 2019-01-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-07 | 2018-03-14 | 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 | 2018-02-07 | 2018-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-07 | 2018-03-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-07 | 2018-03-14 | 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 | 2018-02-05 | 2018-03-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-05 | 2018-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-05 | 2018-03-12 | 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 | 2018-02-05 | 2018-03-12 | 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 | 2018-02-05 | 2018-03-12 | 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 | 2018-02-05 | 2018-03-12 | 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 | 2018-02-05 | 2018-03-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-05 | 2018-03-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-02-05 | 2018-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-05 | 2018-03-12 | N |
