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Deficiency Records for Hathorne Hill Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Hathorne Hill Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hathorne Hill Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-04 | 2026-01-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Develop a communication plan. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-04 | 2026-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-04 | 2025-12-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-04 | 2025-12-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-12-04 | 2025-12-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-05 | 2024-12-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-05 | 2024-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-05 | 2024-12-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-12-05 | 2024-02-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-15 | 2024-01-26 | 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 | 2023-12-15 | 2024-01-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-15 | 2024-01-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-12-15 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-12-15 | 2024-01-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-15 | 2024-01-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-15 | 2024-01-10 | 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 | 2023-12-15 | 2024-01-10 | N |
| 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 | 2023-12-15 | 2024-01-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-12-15 | 2024-01-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-12-15 | 2024-01-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-15 | 2024-01-10 | 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 | 2023-12-15 | 2024-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-15 | 2024-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-15 | 2024-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-15 | 2024-01-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-15 | 2024-01-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-15 | 2024-01-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-15 | 2024-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-15 | 2024-01-10 | N |