A list of the most recent deficiencies for Hill Crest Manor. 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-13 | 2023-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-13 | 2023-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-13 | 2023-10-28 | 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 | 2023-09-13 | 2023-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-28 | 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 | 2023-09-13 | 2023-10-28 | 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 | 2023-09-13 | 2023-10-28 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-09-13 | 2023-10-28 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-09-13 | 2023-10-28 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-09-13 | 2023-10-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-13 | 2023-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-13 | 2023-10-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-13 | 2023-10-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-13 | 2023-10-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-13 | 2023-10-28 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-09-13 | 2023-10-28 | 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 | 2023-09-13 | 2023-10-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-09-13 | 2023-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-13 | 2023-10-28 | 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 | 2023-09-13 | 2023-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-31 | 2023-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-31 | 2023-05-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-31 | 2023-05-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-31 | 2023-05-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-28 | 2023-04-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-28 | 2023-04-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-28 | 2023-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-28 | 2023-04-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-31 | 2023-03-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-31 | 2023-03-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-31 | 2023-03-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-29 | 2022-08-21 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-29 | 2022-08-21 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-09-02 | 2021-10-15 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-09-02 | 2021-10-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-09-02 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-10-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-02 | 2021-10-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-09-02 | 2021-10-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-09-02 | 2021-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-02 | 2021-10-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-02 | 2021-10-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-02 | 2021-10-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-02 | 2021-10-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-24 | 2019-09-05 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-07-24 | 2019-09-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-24 | 2019-09-05 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-24 | 2019-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-24 | 2019-09-05 | N |
| Keep all essential equipment working safely. | Health | 2019-07-24 | 2019-09-05 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-07-24 | 2019-09-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-24 | 2019-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-24 | 2019-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-24 | 2019-09-05 | N |
