A list of the most recent deficiencies for Hill Haven Nursing Home. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-22 | 2024-01-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-22 | 2024-01-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2022-12-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-15 | 2022-11-28 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-15 | 2022-11-28 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-10-15 | 2022-11-28 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-10-15 | 2022-11-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-15 | 2022-11-28 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-10-15 | 2022-11-28 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-02-13 | 2020-03-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-11 | 2020-03-29 | 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 | 2018-08-22 | 2018-10-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-22 | 2018-10-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-08-22 | 2018-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-22 | 2018-10-07 | N |
