Deficiency Records for Hillcrest Health Care Center
Updated as of September 01, 2022
This is not the most recent data for Hillcrest Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Hillcrest Health Care Center. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-11 | 2021-08-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-15 | 2021-07-14 | 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 | 2021-06-15 | 2021-07-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-15 | 2021-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-15 | 2021-07-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-06-15 | 2021-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-15 | 2021-07-14 | 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 | 2021-06-15 | 2021-07-14 | 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 | 2021-06-15 | 2021-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-15 | 2021-07-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-11 | 2021-07-11 | N |
| Develop a communication plan. | Fire Safety | 2021-06-11 | 2021-07-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-11 | 2021-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-11 | 2021-07-11 | 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 | 2021-06-11 | 2021-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-11 | 2021-06-28 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-06-11 | 2021-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-11 | 2021-06-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-11 | 2021-06-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-11 | 2021-06-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-06-11 | 2021-06-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-11 | 2021-06-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-11 | 2021-06-21 | N |
| Establish methods for sharing information. | Fire Safety | 2021-06-11 | 2021-06-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-11 | 2021-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-11 | 2021-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-11 | 2021-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-16 | 2020-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-27 | 2019-05-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-03-27 | 2019-05-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-27 | 2019-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-27 | 2019-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-27 | 2019-04-26 | 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 | 2019-03-21 | 2019-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-21 | 2019-04-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-03-21 | 2019-04-12 | 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 | 2019-03-21 | 2019-04-12 | N |
| Post nurse staffing information every day. | Health | 2019-03-21 | 2019-04-12 | 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 | 2019-03-21 | 2019-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-12 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-27 | 2019-04-11 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-16 | 2017-12-27 | 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 | 2017-11-21 | 2017-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-21 | 2017-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-21 | 2017-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-21 | 2017-12-06 | N |
