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Deficiency Records for Shepherd of The Hills Living Center
View the most recent health deficiencies and inspection results for Shepherd of The Hills Living Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Shepherd of The Hills Living Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-13 | 2026-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-13 | 2026-03-30 | 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 | 2026-02-13 | 2026-03-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2026-02-13 | 2026-03-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-02-13 | 2026-03-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-13 | 2026-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-13 | 2026-03-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-02-13 | 2026-03-30 | N |
| Use approved construction type or materials. | Fire Safety | 2026-02-13 | 2026-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-13 | 2026-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-13 | 2026-03-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-02-13 | 2026-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-20 | 2026-01-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-29 | 2025-08-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-21 | 2024-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-05-06 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2024-03-21 | 2024-05-06 | 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 | 2024-03-21 | 2024-05-06 | 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 | 2024-03-21 | 2024-05-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-21 | 2024-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-21 | 2024-05-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-21 | 2024-05-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-21 | 2024-05-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-21 | 2024-05-06 | 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 | 2024-03-21 | 2024-05-06 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-21 | 2024-05-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-21 | 2024-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-21 | 2024-05-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-21 | 2024-05-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-21 | 2024-05-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-21 | 2024-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-12-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-29 | 2023-10-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-28 | 2022-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-28 | 2022-09-11 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2022-07-28 | 2022-09-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-28 | 2022-09-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-28 | 2022-09-11 | 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 | 2022-07-28 | 2022-09-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-28 | 2022-09-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-07-28 | 2022-09-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-28 | 2022-09-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-28 | 2022-09-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-28 | 2022-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-27 | N |