Deficiency Records for Hillside Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Hillside Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-02-21 | 2023-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-21 | 2023-03-30 | 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 | 2023-02-21 | 2023-03-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-21 | 2023-03-30 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-21 | 2023-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-21 | 2023-03-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-21 | 2023-03-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-21 | 2023-03-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-21 | 2023-03-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-14 | 2023-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-14 | 2023-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-30 | 2020-03-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-09 | 2018-12-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-09 | 2018-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-09 | 2018-12-18 | 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 | 2018-11-09 | 2018-12-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-11-09 | 2018-12-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-09 | 2018-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-09 | 2018-12-18 | 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 | 2018-11-09 | 2018-12-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-09 | 2018-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-09 | 2018-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2018-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-08 | 2018-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-08 | 2018-12-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-08 | 2018-12-18 | N |
