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Deficiency Records for Hillcrest Health Care Center

View the most recent health deficiencies and inspection results for Hillcrest Health Care Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Hillcrest Health Care Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that residents are free from significant medication errors. Health 2026-03-26 2026-04-08 N
Honor the resident's right to manage his or her financial affairs. Health 2026-03-26 2026-04-08 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2026-03-26 2026-04-08 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2026-03-26 2026-04-08 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-03-26 2026-04-08 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2026-03-26 2026-04-08 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 2026-03-26 2026-04-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-03-26 2026-04-08 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 2026-03-26 2026-04-08 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2026-03-26 2026-04-08 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 2026-03-26 2026-04-08 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2026-03-26 2026-04-08 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2026-03-26 2026-04-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-03-26 2026-04-08 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2026-03-26 2026-04-08 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2026-03-26 2026-04-08 N
Provide and implement an infection prevention and control program. Health 2026-03-26 2026-04-08 N
Reasonably accommodate the needs and preferences of each resident. Health 2026-03-26 2026-04-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2026-03-26 2026-04-08 Y
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 2026-03-26 2026-04-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2026-03-26 2026-04-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-03-26 2026-04-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-03-26 2026-04-08 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2026-03-26 2026-03-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2026-03-26 2026-03-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2026-03-26 2026-03-18 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 2025-10-08 2025-10-13 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 2025-03-11 2025-03-28 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 2025-03-11 2025-03-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-03-11 2025-03-28 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 2025-03-11 2025-03-28 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2025-03-11 2025-03-28 N
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 2025-03-11 2025-03-28 N
Provide and implement an infection prevention and control program. Health 2025-03-11 2025-03-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-03-11 2025-03-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-03-11 2025-03-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-03-11 2025-03-28 Y
List the names and contact information of those in the facility. Fire Safety 2025-03-11 2025-03-27 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-03-11 2025-03-27 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2025-03-11 2025-03-27 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2025-03-11 2025-03-27 N
Address subsistence needs for staff and patients. Fire Safety 2025-03-11 2025-03-27 N
Establish roles under a Waiver declared by secretary. Fire Safety 2025-03-11 2025-03-27 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 2025-03-11 2025-03-27 N
Provide a written emergency evacuation plan. Fire Safety 2025-03-11 2025-03-27 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2025-03-11 2025-03-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-03-11 2025-03-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-03-11 2025-03-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-03-11 2025-03-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-03-11 2025-03-05 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-03-11 2025-03-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-03-11 2025-03-04 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 2024-07-28 2024-08-13 Y
Provide and implement an infection prevention and control program. Health 2024-07-28 2024-08-13 Y
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 2024-07-28 2024-08-13 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-07-28 2024-08-13 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-07-28 2024-08-13 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-07-28 2024-08-13 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-07-28 2024-08-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-28 2024-08-13 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-28 2024-08-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-28 2024-08-13 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-07-28 2024-08-07 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-31 2024-02-14 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 2024-01-31 2024-02-14 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-01-31 2024-02-14 N
Ensure that residents are free from significant medication errors. Health 2024-01-31 2024-02-14 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-01-31 2024-02-14 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-01-31 2024-02-14 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-31 2024-02-14 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 2024-01-31 2024-02-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-31 2024-02-14 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-31 2024-02-14 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-01-31 2024-02-14 N
Provide and implement an infection prevention and control program. Health 2024-01-31 2024-02-14 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-01-31 2024-02-14 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-01-31 2024-02-14 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 2024-01-31 2024-02-14 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-01-31 2024-02-14 N
Ensure each resident receives an accurate assessment. Health 2024-01-31 2024-02-14 N
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 2024-01-31 2024-02-14 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-31 2024-02-14 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-31 2024-02-14 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 2024-01-31 2024-02-14 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 2024-01-31 2024-02-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-31 2024-02-14 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-01-31 2024-02-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-01-31 2024-02-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-31 2024-02-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-31 2024-02-02 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-01-31 2024-02-02 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-31 2024-01-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-01-31 2024-01-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-17 2023-06-14 Y

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