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Deficiency Records for Hillcrest Country Estates-Cottages
View the most recent health deficiencies and inspection results for Hillcrest Country Estates-Cottages. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hillcrest Country Estates-Cottages. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-14 | 2025-05-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-14 | 2025-05-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-04-14 | 2025-05-15 | 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 | 2025-04-14 | 2025-05-15 | 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 | 2025-04-14 | 2025-05-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-04-14 | 2025-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-14 | 2025-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-14 | 2025-05-15 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-04-14 | 2025-05-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-14 | 2025-05-15 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-14 | 2025-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-30 | Y |
| 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 | 2024-04-24 | 2024-05-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-24 | 2024-05-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-24 | 2024-05-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-29 | 2024-04-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-29 | 2024-04-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-04-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-04-10 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-29 | 2024-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-29 | 2024-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-29 | 2024-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-29 | 2024-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-29 | 2024-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-29 | 2024-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-12-06 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-21 | 2023-06-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-21 | 2023-05-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-21 | 2023-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-21 | 2023-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-05-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-21 | 2023-05-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-21 | 2023-05-03 | 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 | 2023-03-21 | 2023-05-03 | 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 | 2023-03-21 | 2023-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-05-03 | N |