Deficiency Records for Seven Hills Pediatric Center

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Updated as of May 01, 2024

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Deficiency Records for Seven Hills Pediatric Center

A list of the most recent deficiencies for Seven Hills Pediatric Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Seven Hills Pediatric 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?
Install an approved automatic sprinkler system. Fire Safety 2023-08-31 2023-10-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-31 2023-10-05 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-08-16 2023-09-30 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-08-16 2023-09-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-16 2023-09-30 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 2023-08-16 2023-09-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-16 2023-09-30 N
Provide and implement an infection prevention and control program. Health 2023-08-16 2023-09-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-31 2023-09-22 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 2023-08-31 2023-09-21 N
Provide properly protected cooking facilities. Fire Safety 2023-08-31 2023-09-21 N
Install properly constructed windows in hallway walls or doors. Fire Safety 2023-08-31 2023-09-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-05-25 2022-07-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-25 2022-07-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-25 2022-07-14 N
Provide and implement an infection prevention and control program. Health 2022-05-25 2022-07-14 N
Provide and implement an infection prevention and control program. Health 2021-12-30 2022-01-31 N
Perform COVID19 testing on residents and staff. Health 2021-09-09 2021-10-15 N
Observe each nurse aide's job performance and give regular training. Health 2019-10-23 2019-12-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-23 2019-12-06 N

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