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Deficiency Records for Hillcrest Commons Nursing and Rehabilitation Center

View the most recent health deficiencies and inspection results for Hillcrest Commons Nursing and Rehabilitation Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Hillcrest Commons Nursing and Rehabilitation Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2025-03-25 2025-05-05 N
Post nurse staffing information every day. Health 2025-03-25 2025-05-05 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 2025-03-25 2025-05-05 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2025-03-25 2025-05-05 N
Provide care or services that was trauma informed and/or culturally competent. Health 2025-03-25 2025-05-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-03-25 2025-05-05 N
Provide enough food/fluids to maintain a resident's health. Health 2025-03-25 2025-05-05 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2025-03-25 2025-05-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-03-25 2025-05-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-03-25 2025-05-05 N
Ensure each resident receives an accurate assessment. Health 2025-03-25 2025-05-05 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2025-03-25 2025-05-05 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2025-03-25 2025-05-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-03-25 2025-05-05 N
Provide or obtain dental services for each resident. Health 2025-03-25 2025-05-05 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-03-25 2025-05-05 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2025-03-25 2025-05-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-03-25 2025-05-05 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-03-25 2025-05-05 N
Provide and implement an infection prevention and control program. Health 2025-03-25 2025-05-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-03-25 2025-05-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-03-25 2025-04-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-03-25 2025-04-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-03-25 2025-04-25 N
Have an enclosure around a vertical opening shaft. Fire Safety 2025-03-25 2025-04-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-09 2024-02-22 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-01-09 2024-02-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-09 2024-02-16 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-09 2024-02-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-09 2024-02-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-09 2024-02-16 N
Ensure each resident receives an accurate assessment. Health 2024-01-09 2024-02-16 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-01-09 2024-02-16 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-09 2024-02-16 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-01-09 2024-02-15 N
Install an approved automatic sprinkler system. Fire Safety 2024-01-09 2024-02-15 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 2024-01-09 2024-02-15 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2024-01-09 2024-02-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-22 2023-08-19 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-07-19 2023-08-16 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-07-19 2023-08-16 Y
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 2023-06-07 2023-07-07 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-06-07 2023-07-07 N
Provide and implement an infection prevention and control program. Health 2023-06-07 2023-07-07 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-06-14 2022-07-22 N
Provide and implement an infection prevention and control program. Health 2022-06-14 2022-07-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-14 2022-07-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-14 2022-07-22 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 2022-06-14 2022-07-22 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-06-14 2022-07-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-14 2022-07-22 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 2022-06-14 2022-07-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-14 2022-07-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-14 2022-07-22 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 2022-06-14 2022-07-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-14 2022-07-22 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-06-14 2022-07-22 N
Ensure each resident receives an accurate assessment. Health 2022-06-14 2022-07-22 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-06-14 2022-07-22 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-06-14 2022-07-22 N
Assess the resident when there is a significant change in condition Health 2022-06-14 2022-07-22 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-06-14 2022-07-22 N
Keep residents' personal and medical records private and confidential. Health 2022-06-14 2022-07-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-06-14 2022-07-22 N

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