A list of the most recent deficiencies for Hillcrest Country Estates-Cottages. 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 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 | 2023-03-20 | 2023-06-13 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-20 | 2023-05-22 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-20 | 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 | Y |
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 | Y |
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 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-03-21 | 2023-05-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-09 | 2022-09-07 | Y |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-08-09 | 2022-09-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-09 | 2022-09-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-27 | 2022-08-01 | Y |
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 | 2021-11-04 | 2021-11-26 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-04 | 2021-11-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-04 | 2021-11-26 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-11-04 | 2021-11-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-11-26 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-11-02 | 2021-11-26 | 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 | 2021-11-02 | 2021-11-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-02 | 2021-11-26 | 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 | 2021-11-02 | 2021-11-26 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-02 | 2021-11-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-22 | 2019-12-06 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-10-24 | 2019-11-30 | 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 | 2019-10-24 | 2019-11-30 | N |