CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Hilltop at Blue River
View the most recent health deficiencies and inspection results for The Hilltop at Blue River. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Hilltop at Blue River. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-12-18 | 2025-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-14 | 2025-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-14 | 2025-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-14 | 2025-04-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-14 | 2025-04-28 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-03-14 | 2025-04-28 | 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 | 2025-03-14 | 2025-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-14 | 2025-04-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-14 | 2025-04-28 | N |
| Provide activities to meet all resident's needs. | Health | 2025-03-14 | 2025-04-28 | 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 | 2025-03-14 | 2025-04-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-14 | 2025-04-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Use approved construction type or materials. | Fire Safety | 2025-03-14 | 2025-04-15 | 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 | 2025-03-14 | 2025-04-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-14 | 2025-04-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-01-09 | 2025-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-08 | 2024-10-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-20 | 2023-09-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-21 | 2023-08-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-21 | 2023-08-24 | 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 | 2023-07-21 | 2023-08-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-08-24 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-21 | 2023-08-24 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-21 | 2023-08-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-21 | 2023-08-24 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-21 | 2023-08-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-21 | 2023-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-08-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-21 | 2023-08-24 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-07-21 | 2023-08-24 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-07-21 | 2023-08-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-07-21 | 2023-08-24 | N |
| Dispose of garbage and refuse properly. | Health | 2023-07-21 | 2023-08-24 | 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 | 2023-07-21 | 2023-08-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-21 | 2023-08-24 | 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 necessary and PRN use is limited. | Health | 2023-07-21 | 2023-08-24 | 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 | 2023-07-21 | 2023-08-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-21 | 2023-08-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-21 | 2023-08-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-21 | 2023-08-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-21 | 2023-08-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-21 | 2023-08-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-24 | 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 | 2023-07-21 | 2023-08-24 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-21 | 2023-08-24 | 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 | 2023-07-21 | 2023-08-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-21 | 2023-08-24 | 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 | 2023-07-21 | 2023-08-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-21 | 2023-08-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-21 | 2023-08-24 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-21 | 2023-08-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-21 | 2023-08-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-03-16 | 2021-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-16 | 2021-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-16 | 2021-04-15 | 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 | 2021-03-16 | 2021-04-15 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-16 | 2021-04-15 | 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 | 2021-03-16 | 2021-04-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-02 | Not Fixed | Y |