A list of the most recent deficiencies for Hillsdale Co Medical Care Faci. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-10-04 | 2023-10-20 | 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 | 2023-10-04 | 2023-10-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-04 | 2023-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-04 | 2023-10-20 | 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 | 2023-10-04 | 2023-10-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-04 | 2023-10-20 | 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 | 2023-10-05 | 2023-10-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-31 | 2022-09-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-31 | 2022-09-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-31 | 2022-09-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-31 | 2022-09-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-31 | 2022-09-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-31 | 2022-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-31 | 2022-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-31 | 2022-09-30 | 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 | 2022-08-31 | 2022-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-31 | 2022-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-31 | 2022-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-31 | 2022-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-31 | 2022-09-30 | 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 | 2022-08-31 | 2022-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-31 | 2022-09-30 | 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 | 2022-08-31 | 2022-09-30 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-31 | 2022-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-31 | 2022-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-31 | 2022-09-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-23 | 2022-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-23 | 2022-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-23 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-04-15 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-21 | 2020-04-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-21 | 2020-04-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-21 | 2020-04-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-21 | 2020-04-01 | 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 | 2020-02-21 | 2020-04-01 | 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 | 2020-02-21 | 2020-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-04-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-21 | 2020-04-01 | 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 | 2020-02-19 | 2020-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-19 | 2020-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-19 | 2020-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-19 | 2020-04-01 | N |
