Deficiency Records for Hillsdale Hospital Mcguire and Macritchie Ltcu
Updated as of October 01, 2020
This is not the most recent data for Hillsdale Hospital Mcguire and Macritchie Ltcu. For the most recent information, click here.
A list of the most recent deficiencies for Hillsdale Hospital Mcguire and Macritchie Ltcu. 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-10 | 2019-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-10 | 2019-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-10 | 2019-08-02 | 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 | 2019-07-10 | 2019-08-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-30 | 2018-12-12 | 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 | 2018-10-30 | 2018-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-30 | 2018-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-30 | 2018-12-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-30 | 2018-12-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-30 | 2018-12-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-30 | 2018-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-30 | 2018-12-12 | N |
| 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 | 2018-10-30 | 2018-12-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-30 | 2018-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-30 | 2018-12-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-30 | 2018-12-12 | 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 | 2018-10-30 | 2018-12-12 | 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 | 2018-10-30 | 2018-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-30 | 2018-12-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-23 | 2018-03-29 | N |
| 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 | 2018-02-27 | 2018-03-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-02-27 | 2018-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-27 | 2018-03-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-27 | 2018-03-20 | N |
