A list of the most recent deficiencies for Hilltop Park Post Acute. 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? |
---|---|---|---|---|
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-28 | 2023-11-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-25 | 2023-11-11 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2023-01-04 | 2023-04-03 | N |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-03-01 | 2023-03-24 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-03-01 | 2023-03-24 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-04 | 2023-03-02 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-15 | 2023-02-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-02-24 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-15 | 2023-02-24 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-15 | 2023-02-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-04 | 2023-02-07 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
Construct fire resistant interior walls. | Fire Safety | 2023-01-04 | 2023-01-27 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-04 | 2023-01-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-01-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-10 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-20 | 2022-10-20 | Y |
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 | 2022-05-26 | 2022-07-09 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-07-09 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-24 | 2022-03-23 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-24 | 2022-03-23 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-24 | 2022-03-23 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-03-23 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-21 | 2021-12-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
Have exits that are accessible at all times. | Fire Safety | 2021-09-21 | 2021-12-06 | 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 | 2021-09-21 | 2021-12-06 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-21 | 2021-12-06 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-26 | 2021-09-30 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-26 | 2021-09-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-26 | 2021-09-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-09-30 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-26 | 2021-09-30 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-08-26 | 2021-09-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-09-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-07 | 2021-05-01 | Y |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-03 | 2020-12-21 | N |
Have exits that are accessible at all times. | Fire Safety | 2020-09-03 | 2020-12-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-03 | 2020-12-17 | 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 | 2020-09-03 | 2020-12-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-03 | 2020-12-16 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-09-03 | 2020-10-16 | 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 | 2020-09-03 | 2020-10-14 | N |
Install resident room doors of proper design and width. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Install proper backup exit lighting. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Construct fire resistant interior walls. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Ensure proper storage of liquid oxygen. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-06-09 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-06-09 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-05 | 2020-06-09 | N |
Keep residents' personal and medical records private and confidential. | Health | 2020-03-05 | 2020-06-09 | 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 | 2020-03-05 | 2020-06-09 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-05 | 2020-06-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-05 | 2020-06-09 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-05 | 2020-06-09 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-03-05 | 2020-06-09 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-05 | 2020-06-09 | N |
Provide activities to meet all resident's needs. | Health | 2020-03-05 | 2020-06-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-05 | 2020-06-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-06-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-06-09 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-03-05 | 2020-06-09 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-03-05 | 2020-06-09 | 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 | 2020-03-05 | 2020-06-09 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-03-05 | 2020-06-09 | 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 | 2020-03-05 | 2020-06-09 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-03-05 | 2020-06-09 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-05 | 2020-06-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-06-09 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-03-05 | 2020-06-09 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-03-05 | 2020-06-09 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-06-09 | N |