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Deficiency Records for Hillsboro House Nursing Home

View the most recent health deficiencies and inspection results for Hillsboro House Nursing Home. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Hillsboro House Nursing Home. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-04-27 2026-06-04 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2025-08-06 2025-09-30 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-08-06 2025-09-30 N
Provide properly protected cooking facilities. Fire Safety 2025-08-06 2025-09-30 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2025-08-06 2025-09-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-08-06 2025-09-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-08-06 2025-09-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2025-08-06 2025-09-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-08-06 2025-09-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-08-06 2025-09-30 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-08-06 2025-09-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-08-06 2025-09-30 N
Provide and implement an infection prevention and control program. Health 2025-08-06 2025-09-09 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 2025-08-06 2025-09-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-09-05 2025-01-02 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-09-05 2024-11-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-09-05 2024-11-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-09-05 2024-11-15 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 2024-09-05 2024-11-15 N
Provide properly protected cooking facilities. Fire Safety 2024-09-05 2024-11-15 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-09-05 2024-11-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-09-05 2024-11-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-09-05 2024-11-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-09-05 2024-11-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-09-05 2024-11-15 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-09-05 2024-11-02 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 2024-09-05 2024-10-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-05 2024-10-08 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-09-05 2024-10-08 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-09-05 2024-10-08 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 2024-09-05 2024-10-08 N
Provide and implement an infection prevention and control program. Health 2024-09-05 2024-10-06 N
Ensure the activities program is directed by a qualified professional. Health 2023-08-17 2023-09-11 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-08-17 2023-09-11 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2023-08-17 2023-09-11 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-08-17 2023-09-11 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2023-08-17 2023-09-11 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-08-17 2023-09-09 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-17 2023-09-06 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2026-04-27 Not Fixed Y
Provide properly protected cooking facilities. Fire Safety 2026-04-27 Not Fixed Y

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