Deficiency Records for Hilltop Healthcare Rehabilitation and Skilled Nurs
Updated as of June 01, 2020
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 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 | 2020-02-06 | 2020-03-19 | Y |
| 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 ne | Health | 2020-02-06 | 2020-03-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-06 | 2020-03-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-31 | 2020-03-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-31 | 2020-03-19 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2020-01-31 | 2020-03-19 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-08 | 2020-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-08 | 2020-02-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-03 | 2019-12-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-11-14 | 2019-12-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-11-14 | 2019-12-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-09-18 | 2019-12-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-18 | 2019-12-07 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-09-11 | 2019-11-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-09-18 | 2019-11-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-18 | 2019-11-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-09-18 | 2019-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-18 | 2019-11-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-18 | 2019-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-18 | 2019-11-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-18 | 2019-11-05 | 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 ne | Health | 2019-09-18 | 2019-11-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-18 | 2019-11-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-18 | 2019-11-05 | 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 | 2019-09-18 | 2019-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-18 | 2019-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-18 | 2019-11-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-09-18 | 2019-11-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-18 | 2019-11-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-18 | 2019-11-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-31 | 2019-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-31 | 2019-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-19 | 2019-01-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-19 | 2019-01-28 | Y |
| 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 | 2018-12-19 | 2019-01-28 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-08-22 | 2018-10-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-23 | 2018-10-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-23 | 2018-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-23 | 2018-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-23 | 2018-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-23 | 2018-10-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-08-23 | 2018-10-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-23 | 2018-10-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-23 | 2018-10-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-23 | 2018-10-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-08-23 | 2018-10-02 | 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 | 2018-08-23 | 2018-10-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-23 | 2018-10-02 | 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 schedul | Health | 2018-08-23 | 2018-10-02 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-08-23 | 2018-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-23 | 2018-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-23 | 2018-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-10-02 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2018-06-13 | 2018-07-18 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-06-13 | 2018-05-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-23 | 2017-08-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-23 | 2017-08-02 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-06-23 | 2017-08-02 | N |
| Provide or obtain dental services for each resident. | Health | 2017-06-23 | 2017-08-02 | N |
