Deficiency Records for The Skilled Nursing Facility at North Hill

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Skilled Nursing Facility at North Hill. 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-26 2023-06-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-26 2023-06-30 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-05-18 2023-06-19 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-18 2023-06-19 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-05-18 2023-06-19 N
Implement emergency and standby power systems. Fire Safety 2022-01-18 2022-02-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-18 2022-02-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-01-18 2022-02-25 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-01-13 2022-02-11 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2022-01-13 2022-02-11 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-01-13 2022-02-11 N
Ensure each resident receives an accurate assessment. Health 2022-01-13 2022-02-11 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-01-13 2022-02-11 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2022-01-13 2022-02-11 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-01-13 2022-02-11 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 2022-01-13 2022-02-11 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-01-13 2022-02-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-13 2022-02-11 N
Implement a program that monitors antibiotic use. Health 2022-01-13 2022-02-11 N
Report COVID19 data to residents and families. Health 2022-01-13 2022-02-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-06-12 2019-07-11 N
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 2019-06-12 2019-07-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-06-12 2019-07-11 N
Provide and implement an infection prevention and control program. Health 2019-06-12 2019-07-11 N