A list of the most recent deficiencies for Hillside Village of De Soto. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-07 | 2022-10-10 | 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 | 2022-09-07 | 2022-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-07 | 2022-10-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-02 | 2022-09-06 | 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 | 2022-08-02 | 2022-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-09-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-02 | 2022-09-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-02 | 2022-09-06 | 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 | 2022-08-02 | 2022-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-02 | 2022-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-09-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-08 | 2021-06-18 | 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 | 2021-06-08 | 2021-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-08 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-26 | 2021-05-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-08-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-25 | 2019-08-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-25 | 2019-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-13 | 2019-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-13 | 2019-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-13 | 2019-01-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-12-13 | 2019-01-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-13 | 2019-01-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-13 | 2019-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-13 | 2019-01-11 | N |
