A list of the most recent deficiencies for Hilaire Rehab and Nursing. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-02-03 | 2022-08-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-03 | 2022-07-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-05 | 2022-06-24 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-03 | 2022-05-23 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-03 | 2022-05-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-03 | 2022-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-03 | 2022-05-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-02-03 | 2022-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-03 | 2022-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-03 | 2022-03-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-03 | 2022-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-03 | 2022-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-03 | 2022-03-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-02-03 | 2022-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-24 | 2022-01-03 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-15 | 2020-01-14 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-15 | 2020-01-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-15 | 2020-01-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-11-15 | 2020-01-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-15 | 2020-01-14 | 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 | 2019-11-15 | 2020-01-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-15 | 2020-01-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-15 | 2020-01-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-15 | 2020-01-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-15 | 2018-11-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-15 | 2018-10-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-15 | 2018-10-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-08-15 | 2018-10-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-15 | 2018-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-15 | 2018-10-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-15 | 2018-10-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-15 | 2018-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-15 | 2018-10-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-15 | 2018-10-12 | 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 | 2018-08-15 | 2018-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-15 | 2018-10-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-15 | 2018-10-12 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-15 | 2018-10-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-15 | 2018-10-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-15 | 2018-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-15 | 2018-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-15 | 2018-10-12 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-08-15 | 2018-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-15 | 2018-10-12 | N |
