Deficiency Records for Holly Heights Care Center
Updated as of September 01, 2022
This is not the most recent data for Holly Heights Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Holly Heights Care Center. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-06 | 2019-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-12-15 | 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 | 2019-10-10 | 2019-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-10 | 2019-11-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-02 | 2018-10-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-02 | 2018-10-05 | 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 | 2018-10-02 | 2018-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-02 | 2018-10-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-02 | 2018-10-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-06 | 2017-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-06 | 2017-07-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-06 | 2017-07-03 | 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 | 2017-06-06 | 2017-07-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-06-06 | 2017-07-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-06 | 2017-07-03 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2017-06-06 | 2017-07-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-06 | 2017-07-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-17 | 2017-06-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-17 | 2017-06-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-17 | 2017-06-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-17 | 2017-06-03 | N |
| Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. | Health | 2017-05-17 | 2017-05-31 | N |
