A list of the most recent deficiencies for Hillcrest Health and Rehab. 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-17 | 2023-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-17 | 2023-11-28 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-10-17 | 2023-11-28 | 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 | 2023-10-17 | 2023-11-28 | 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 | 2023-10-17 | 2023-11-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-17 | 2023-11-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-17 | 2023-11-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-17 | 2023-11-28 | 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 | 2023-03-16 | 2023-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-20 | 2022-10-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-20 | 2022-10-19 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-20 | 2022-10-19 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-20 | 2022-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-20 | 2022-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-20 | 2022-10-19 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-13 | 2022-10-19 | 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 | 2022-09-13 | 2022-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-13 | 2022-10-19 | 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 | 2022-09-13 | 2022-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-13 | 2022-10-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-09 | 2021-03-05 | 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 | 2021-02-09 | 2021-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-09 | 2021-03-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-09 | 2021-03-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-02-09 | 2021-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-09 | 2021-03-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-02-11 | 2021-03-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-11 | 2021-03-04 | N |
