Deficiency Records for Hillcreek Rehab and Care, LLC
Updated as of February 01, 2019
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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-31 | 2018-09-17 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-08-31 | 2018-09-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-31 | 2018-08-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-26 | 2018-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-26 | 2018-04-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-02 | 2018-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-02 | 2018-03-29 | Y |
| 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 |
| 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 |
| Provide written records when a resident is transferred or discharged. | Health | 2017-08-04 | 2017-08-31 | Y |
| 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 |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-04 | 2016-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-04 | 2016-04-09 | Y |
| Exits that are accessible at all times. | Fire Safety | 2016-02-25 | 2016-03-18 | Y |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-08-13 | 2015-10-02 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-08-13 | 2015-10-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-13 | 2015-09-30 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-08-13 | 2015-09-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-08-13 | 2015-09-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-08-13 | 2015-09-30 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-08-13 | 2015-09-30 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-08-13 | 2015-09-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-29 | 2015-09-30 | N |
| Provide housekeeping and maintenance services. | Health | 2015-08-29 | 2015-09-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2015-08-29 | 2015-09-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-29 | 2015-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-08-29 | 2015-09-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-29 | 2015-09-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-29 | 2015-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-29 | 2015-09-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-29 | 2015-09-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-29 | 2015-09-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-29 | 2015-09-30 | N |
