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Deficiency Records for Holly Heights Care and Rehabilitation
View the most recent health deficiencies and inspection results for Holly Heights Care and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Holly Heights Care and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-21 | 2026-04-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-21 | 2026-04-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-01-21 | 2026-02-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-12-04 | 2025-12-26 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-08-21 | 2025-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-21 | 2025-10-18 | 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 | 2025-08-21 | 2025-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-21 | 2025-10-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-21 | 2025-09-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-21 | 2025-09-19 | Y |
| 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 | 2025-08-21 | 2025-09-19 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-08-21 | 2025-09-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-21 | 2025-09-19 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-08-21 | 2025-09-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-08-21 | 2025-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-21 | 2025-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-21 | 2025-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-21 | 2025-09-19 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-21 | 2025-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-11 | 2025-04-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-28 | 2024-11-17 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-06-13 | 2024-07-21 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-09 | 2024-04-04 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-09 | 2024-02-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-02-14 | Y |
| 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 | 2024-01-09 | 2024-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-09 | 2024-02-10 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-01-09 | 2024-02-08 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-01-09 | 2024-02-05 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-09 | 2024-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-06-17 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-14 | 2022-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-14 | 2022-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-14 | 2022-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-10-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-14 | 2022-10-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-14 | 2022-10-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-14 | 2022-10-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-14 | 2022-10-05 | N |