A list of the most recent deficiencies for North Hills Life Care and Rehab. 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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-06-02 | 2023-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-02 | 2023-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-02 | 2023-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-02 | 2023-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-02 | 2023-07-01 | 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 | 2023-05-30 | 2023-07-01 | 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 | 2023-05-30 | 2023-07-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-30 | 2023-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-30 | 2023-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-30 | 2023-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-18 | 2022-04-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-03-18 | 2022-04-17 | 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 | 2022-03-18 | 2022-04-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-18 | 2022-04-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-18 | 2022-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-18 | 2022-04-17 | N |
| Provide appropriate foot care. | Health | 2022-03-18 | 2022-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-04-17 | 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 | 2022-03-18 | 2022-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-18 | 2022-04-17 | 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 | 2022-03-18 | 2022-04-17 | 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 | 2022-03-18 | 2022-04-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-03-15 | 2022-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-15 | 2022-04-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-11 | 2021-01-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-12-11 | 2021-01-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-12-11 | 2021-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-12-11 | 2021-01-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-12-11 | 2021-01-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-11 | 2021-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-11 | 2021-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-12-11 | 2021-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-12-11 | 2021-01-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-12-11 | 2021-01-10 | 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 | 2020-12-11 | 2021-01-10 | 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 | 2020-12-07 | 2021-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-12-07 | 2021-01-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-12-11 | 2020-12-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-12-11 | 2020-12-11 | N |
