A list of the most recent deficiencies for Hillcrest 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2024-01-17 | 2024-02-29 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-17 | 2024-02-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-01-17 | 2024-02-29 | 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 | 2024-01-17 | 2024-02-16 | 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 | 2024-01-17 | 2024-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-01-17 | 2024-02-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-14 | 2024-01-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-14 | 2024-01-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-14 | 2024-01-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-14 | 2024-01-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-14 | 2024-01-05 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-14 | 2024-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-14 | 2024-01-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-26 | 2023-11-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-26 | 2023-11-24 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-10-24 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-24 | 2023-11-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-19 | 2023-05-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-19 | 2023-05-05 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-03-10 | 2023-03-21 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-03-10 | 2023-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-03 | 2023-02-10 | Y |
| 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 | 2022-12-13 | 2022-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-13 | 2022-12-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2022-12-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-18 | 2022-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2022-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-01-26 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-10-07 | 2021-10-26 | Y |
| 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 | 2021-09-22 | 2021-10-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-22 | 2021-10-26 | 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 | 2021-09-22 | 2021-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-22 | 2021-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-22 | 2021-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-22 | 2021-10-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-03 | 2021-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-03 | 2021-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-03 | 2021-09-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-19 | 2021-07-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-19 | 2021-07-20 | Y |
