A list of the most recent deficiencies for Chulio Hills Health and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-26 | 2022-07-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-26 | 2022-07-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-26 | 2022-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-25 | 2022-07-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-25 | 2022-07-10 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-05-25 | 2022-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-11 | 2021-12-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-11 | 2021-12-27 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-11-11 | 2021-12-27 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-11 | 2021-12-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-11 | 2021-12-27 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-11 | 2021-12-27 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-11 | 2021-12-27 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-02 | 2018-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-02 | 2018-09-16 | 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 | 2018-08-02 | 2018-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-02 | 2018-09-16 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-08-02 | 2018-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-30 | 2018-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-30 | 2018-09-16 | N |
