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Deficiency Records for Hillcrest Manor Sanitarium
View the most recent health deficiencies and inspection results for Hillcrest Manor Sanitarium. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hillcrest Manor Sanitarium. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-15 | 2025-10-11 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-11-21 | 2024-12-19 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-11-21 | 2024-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2024-12-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-21 | 2024-12-19 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-11-21 | 2024-12-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-11-21 | 2024-12-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-11-21 | 2024-12-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-11-21 | 2024-12-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-11-21 | 2024-12-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-21 | 2024-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-21 | 2024-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-21 | 2024-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-03-04 | 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 | 2023-10-12 | 2023-11-30 | 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 | 2023-10-12 | 2023-11-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-12 | 2023-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-12 | 2023-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-11-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-12 | 2023-11-30 | 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 | 2023-10-12 | 2023-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-12 | 2023-11-30 | 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 | 2023-10-12 | 2023-11-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-10-12 | 2023-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-30 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-10-12 | 2023-11-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-10-12 | 2023-11-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-10-12 | 2023-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-23 | 2022-10-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-09-23 | 2022-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-23 | 2022-10-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-23 | 2022-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-23 | 2022-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-23 | 2022-09-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-23 | 2022-09-30 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2022-09-23 | 2022-09-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-09-23 | 2022-09-30 | N |