A list of the most recent deficiencies for Hillcrest Retirement Village. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-20 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-20 | 2024-03-08 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-30 | 2023-08-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-30 | 2023-08-31 | 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 | 2023-08-30 | 2023-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-08-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-30 | 2023-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-10 | 2023-08-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-10 | 2023-08-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-10 | 2023-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-10 | 2023-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-10 | 2023-08-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-05 | 2022-12-16 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-03 | 2022-08-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-03 | 2022-08-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-13 | 2022-07-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-13 | 2022-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-07-31 | N |
| 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 | 2022-07-13 | 2022-07-31 | N |
| 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 | 2022-07-13 | 2022-07-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-13 | 2022-07-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-27 | 2021-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-27 | 2021-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-27 | 2021-05-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-21 | 2021-05-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-21 | 2021-05-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-21 | 2021-05-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-21 | 2021-05-13 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-21 | 2021-05-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-21 | 2021-05-13 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-04-21 | 2021-05-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-21 | 2021-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-21 | 2021-05-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-21 | 2021-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-05-13 | N |
