Deficiency Records for Hudson Hill Center For Rehabilitation and Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Hudson Hill Center For Rehabilitation 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 | 2023-09-15 | 2023-12-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-15 | 2023-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-15 | 2023-12-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-15 | 2023-11-13 | 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 | 2023-09-15 | 2023-11-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-15 | 2023-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-08 | 2023-11-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-08 | 2023-11-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-08 | 2023-11-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-08 | 2023-11-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-09-08 | 2023-11-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-08 | 2023-11-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-08 | 2023-11-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-08 | 2023-11-03 | N |
| Post nurse staffing information every day. | Health | 2023-09-08 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-08 | 2023-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-08 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-11-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-12 | 2023-08-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-12 | 2023-08-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-12 | 2023-08-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-05 | 2022-12-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-05 | 2022-12-23 | Y |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-03 | 2021-12-27 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-03 | 2021-12-27 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-04-26 | 2021-06-21 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-05 | 2019-08-01 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-06-05 | 2019-07-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-05 | 2019-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-05 | 2019-07-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-09-20 | 2017-11-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-20 | 2017-11-17 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-09-20 | 2017-11-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-20 | 2017-11-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-09-20 | 2017-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-20 | 2017-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-20 | 2017-11-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-09-20 | 2017-11-15 | N |
