A list of the most recent deficiencies for Hillcrest Care 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-27 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-27 | 2023-04-27 | 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 | 2023-03-27 | 2023-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-27 | 2023-04-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-28 | 2023-04-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-28 | 2023-04-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-28 | 2023-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-28 | 2023-04-20 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-03-28 | 2023-04-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-03-27 | 2023-04-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-29 | 2022-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-29 | 2022-02-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-29 | 2022-02-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-29 | 2022-02-12 | N |
| Post nurse staffing information every day. | Health | 2021-12-29 | 2022-02-12 | 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 | 2021-12-29 | 2022-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-02-12 | 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 | 2021-12-28 | 2022-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-24 | 2021-05-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-24 | 2021-05-07 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-19 | 2020-12-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-10-19 | 2020-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-19 | 2020-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-19 | 2020-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-19 | 2020-12-01 | 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 | 2020-10-19 | 2020-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-19 | 2020-12-01 | N |
