A list of the most recent deficiencies for Hillcrest Firethorn. 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? |
---|---|---|---|---|
Provide properly protected cooking facilities. | Fire Safety | 2023-05-11 | 2023-07-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-16 | 2023-06-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-06-21 | Y |
Implement emergency and standby power systems. | Fire Safety | 2023-05-11 | 2023-06-21 | 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 | 2023-05-11 | 2023-06-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
Meet other general requirements that are deficient. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-11 | 2023-06-21 | N |
Assess the resident when there is a significant change in condition | Health | 2022-01-20 | 2022-03-02 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-01-20 | 2022-03-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-20 | 2022-03-02 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-01-20 | 2022-03-02 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-20 | 2022-03-02 | 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 | 2022-01-20 | 2022-03-02 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-20 | 2022-03-02 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-20 | 2022-03-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-03-02 | Y |
Implement emergency and standby power systems. | Fire Safety | 2022-01-13 | 2022-03-02 | 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 | 2022-01-13 | 2022-03-02 | 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 | 2022-01-13 | 2022-03-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-13 | 2022-03-02 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-09 | 2021-09-02 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-07-28 | 2020-08-25 | 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 | 2020-07-28 | 2020-08-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-07-28 | 2020-08-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-07-28 | 2020-08-25 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-07-28 | 2020-08-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-07-30 | 2020-08-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-07-30 | 2020-08-20 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-07-30 | 2020-08-20 | N |