Deficiency Records for Hillcrest Manor Sanitarium
Updated as of October 01, 2016
This is not the most recent data for Hillcrest Manor Sanitarium. For the most recent information, click here.
A list of the most recent deficiencies for Hillcrest Manor Sanitarium. 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? |
|---|---|---|---|---|
| Proper backup exit lighting. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Proper backup exit lighting. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-27 | 2016-03-09 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2016-01-21 | 2016-02-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-01-21 | 2016-02-17 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2016-01-21 | 2016-02-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-01-21 | 2016-02-17 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-01-21 | 2016-02-17 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2016-01-21 | 2016-02-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-01-21 | 2016-02-17 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2016-01-21 | 2016-02-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-01-21 | 2016-02-17 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-01-21 | 2016-02-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-21 | 2016-02-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-21 | 2016-02-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-21 | 2016-02-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-21 | 2016-02-12 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-01-21 | 2016-02-10 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-01-21 | 2016-02-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-21 | 2016-02-05 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-21 | 2016-02-05 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-01-21 | 2016-02-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-21 | 2016-02-03 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-01-21 | 2016-02-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-21 | 2016-02-03 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-01-21 | 2016-02-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-01-21 | 2016-02-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-11-20 | 2014-12-29 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2014-11-18 | 2014-12-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-11-18 | 2014-12-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-11-18 | 2014-12-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-11-18 | 2014-12-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-11-18 | 2014-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-11-18 | 2014-12-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-11-18 | 2014-12-15 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2014-11-18 | 2014-12-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-11-18 | 2014-12-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-11-18 | 2014-12-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-11-18 | 2014-12-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-11-18 | 2014-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-11-18 | 2014-12-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-11-18 | 2014-12-15 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-11-05 | 2014-04-16 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-11-05 | 2014-04-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-12-12 | 2013-12-31 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-12-12 | 2013-12-31 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-12-12 | 2013-12-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-12-12 | 2013-12-13 | Y |
| A written emergency evacuation plan. | Fire Safety | 2013-11-05 | 2013-12-05 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-11-05 | 2013-12-05 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-11-05 | 2013-12-04 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2013-11-05 | 2013-12-04 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-11-05 | 2013-12-04 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2013-11-05 | 2013-12-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-11-01 | 2013-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-11-01 | 2013-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-01 | 2013-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-11-01 | 2013-11-30 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2013-11-01 | 2013-11-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-11-01 | 2013-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-11-01 | 2013-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-01 | 2013-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-11-01 | 2013-11-30 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2013-11-01 | 2013-11-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-11-01 | 2013-11-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-11-01 | 2013-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-02 | 2013-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-02 | 2013-10-31 | Y |
