Deficiency Records for Hilltop Healthcare Rehabilitation and Skilled Nurs
Updated as of September 01, 2016
This is not the most recent data for Hilltop Healthcare Rehabilitation and Skilled Nurs. For the most recent information, click here.
A list of the most recent deficiencies for Hilltop Healthcare Rehabilitation and Skilled Nurs. 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 care by qualified persons according to each resident's written plan of care. | Health | 2016-02-10 | 2016-04-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-10 | 2016-04-19 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-02-10 | 2016-03-29 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-02-02 | 2016-03-29 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2016-02-02 | 2016-03-29 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2016-02-02 | 2016-03-29 | 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 | 2016-02-10 | 2016-03-21 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-10 | 2016-03-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-10 | 2016-03-21 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-02-10 | 2016-03-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-10 | 2016-03-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-10 | 2016-03-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-10 | 2016-03-21 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2016-02-10 | 2016-03-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-10 | 2016-03-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-10 | 2016-03-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-10 | 2016-03-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-10 | 2016-03-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-10 | 2016-03-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-10 | 2016-03-21 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-02-10 | 2016-03-21 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-02-10 | 2016-03-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-02-10 | 2016-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-10 | 2016-03-21 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-05-20 | 2015-11-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-05-20 | 2015-11-04 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-05-20 | 2015-11-04 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-05-20 | 2015-11-04 | 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 | 2015-05-20 | 2015-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-20 | 2015-11-04 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-05-20 | 2015-11-04 | 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 | 2015-09-09 | 2015-11-02 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-09-09 | 2015-11-02 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-09 | 2015-11-02 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-09-09 | 2015-11-02 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-09-09 | 2015-11-02 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-05-20 | 2015-08-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-20 | 2015-08-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-20 | 2015-08-20 | 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 | 2015-05-20 | 2015-08-20 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-05-20 | 2015-08-20 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-05-20 | 2015-08-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-20 | 2015-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-05-20 | 2015-07-21 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-05-20 | 2015-06-30 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-05-20 | 2015-06-30 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-05-20 | 2015-06-30 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-05-20 | 2015-06-30 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-05-20 | 2015-06-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-20 | 2015-06-30 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-05-20 | 2015-06-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-05-19 | 2015-06-29 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-05-19 | 2015-06-11 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-03-27 | 2014-05-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-03-27 | 2014-05-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-27 | 2014-05-06 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-03-27 | 2014-05-06 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-03-27 | 2014-05-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-03-27 | 2014-05-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-03-27 | 2014-05-06 | N |
