Deficiency Records for Hillcreek Rehab and Care, LLC
Updated as of October 01, 2022
This is not the most recent data for Hillcreek Rehab and Care, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Hillcreek Rehab and Care, LLC. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-12-17 | 2021-01-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-12-17 | 2021-01-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-17 | 2021-01-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-17 | 2021-01-15 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2020-12-17 | 2021-01-15 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-12-17 | 2021-01-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-12-17 | 2021-01-15 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2020-12-17 | 2021-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-17 | 2021-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-05-14 | 2020-06-09 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-02-01 | 2019-03-11 | 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 | 2019-02-01 | 2019-03-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-01 | 2019-03-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-01 | 2019-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-01 | 2019-03-11 | 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 | 2019-02-01 | 2019-03-11 | 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 | 2019-02-01 | 2019-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-01 | 2019-03-11 | N |
| Post nurse staffing information every day. | Health | 2019-02-01 | 2019-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-01 | 2019-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-01 | 2019-03-11 | 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 | 2019-01-31 | 2019-03-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-31 | 2019-03-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-31 | 2019-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-08 | 2017-12-29 | 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 | 2017-12-08 | 2017-12-29 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2017-12-08 | 2017-12-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-08 | 2017-12-29 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2017-12-06 | 2017-12-29 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-10-04 | 2016-11-10 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-10-04 | 2016-11-10 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-10-04 | 2016-11-10 | N |
