Deficiency Records for Serenity Hill Nursing Center
Updated as of August 01, 2021
This is not the most recent data for Serenity Hill Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Serenity Hill Nursing Center. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-11-12 | 2021-01-06 | N |
| Perform COVID19 testing on residents and staff. | Health | 2020-11-12 | 2021-01-06 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-11-12 | 2020-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-13 | 2020-09-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-04 | 2019-02-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-04 | 2019-02-12 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-22 | 2018-11-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-22 | 2018-11-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-22 | 2018-11-16 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-10-22 | 2018-11-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-22 | 2018-11-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-10-22 | 2018-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-22 | 2018-11-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-10-22 | 2018-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-22 | 2018-11-12 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2017-06-28 | 2017-06-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-27 | 2016-08-03 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-27 | 2016-08-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-27 | 2016-08-03 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-05-27 | 2016-08-03 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-05-27 | 2016-08-03 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-05-27 | 2016-08-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-27 | 2016-08-03 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2016-05-27 | 2016-08-03 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-05-27 | 2016-08-03 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2016-05-27 | 2016-08-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-05-27 | 2016-08-03 | N |
