A list of the most recent deficiencies for Hilltop Manor Nursing 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? |
|---|---|---|---|---|
| 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 | 2022-08-29 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-29 | 2022-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-29 | 2022-09-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-29 | 2022-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-29 | 2022-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-29 | 2022-09-15 | 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 | 2022-06-16 | 2022-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-12 | 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 | 2022-06-16 | 2022-07-12 | 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 | 2022-06-16 | 2022-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-01-12 | 2021-02-12 | 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 | 2021-01-12 | 2021-02-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-01-12 | 2021-02-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-11-19 | 2020-12-31 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-07-09 | 2019-07-23 | 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 | 2019-07-09 | 2019-07-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-09 | 2019-07-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-09 | 2019-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-09 | 2019-07-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-09 | 2019-07-23 | N |
