Deficiency Records for Hilaire Rehab and Nursing

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Updated as of May 01, 2024

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Deficiency Records for Hilaire Rehab and Nursing

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.

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?
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-23 2024-03-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-23 2024-02-23 Y
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 2024-01-23 2024-02-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-23 2024-02-23 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-23 2024-02-23 Y
Respond appropriately to all alleged violations. Health 2024-01-23 2024-02-23 Y
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 2024-01-23 2024-02-15 N
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
Use approved construction type or materials. Fire Safety 2024-01-23 Not Fixed N
Have exits that are accessible at all times. Fire Safety 2024-01-23 Not Fixed N

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