Deficiency Records for Hillcrest Care and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Hillcrest Care and Rehabilitation 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-07-27 | 2023-09-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-27 | 2023-09-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-27 | 2023-09-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-07-27 | 2023-09-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-27 | 2023-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-09-01 | 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 | 2023-07-27 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-09-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-27 | 2023-09-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-27 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-27 | 2023-09-01 | 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 | 2023-07-27 | 2023-08-30 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-27 | 2023-08-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-27 | 2023-08-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-04-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-06 | 2023-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-15 | 2022-12-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-18 | 2022-03-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-18 | 2022-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-18 | 2022-03-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-18 | 2022-03-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-18 | 2022-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-18 | 2022-03-18 | N |
| 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 | 2022-02-18 | 2022-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-18 | 2022-03-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-18 | 2022-03-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-02-18 | 2022-03-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-12-12 | 2020-01-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-12 | 2020-01-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-12 | 2020-01-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-12 | 2020-01-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-12 | 2020-01-22 | 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 | 2019-12-11 | 2020-01-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-11 | 2020-01-22 | N |
