A list of the most recent deficiencies for Hillcrest Millard. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-03 | 2023-09-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-03 | 2023-09-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-03 | 2023-09-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-03 | 2023-09-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-03 | 2023-09-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-03 | 2023-09-12 | 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 | 2023-08-03 | 2023-09-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-31 | 2023-09-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-31 | 2023-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-31 | 2023-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-31 | 2023-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-31 | 2023-09-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-31 | 2023-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-13 | 2023-07-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-17 | 2022-11-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-17 | 2022-11-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-06 | 2022-08-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-06 | 2022-08-15 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2022-05-04 | 2022-06-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-03 | 2022-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-03 | 2022-06-15 | 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 | 2022-05-03 | 2022-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-03 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-03 | 2022-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-06-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-03 | 2022-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-02 | 2021-06-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-18 | 2021-06-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-09 | 2020-10-15 | 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 | 2020-09-09 | 2020-10-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-09 | 2020-10-15 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2020-09-09 | 2020-10-15 | N |
