Deficiency Records for Holliswood Ctr For Rehabilitation and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Holliswood Ctr For Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-20 | 2022-10-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-03 | 2022-04-08 | 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 | 2022-03-03 | 2022-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-03 | 2022-04-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-03 | 2022-04-08 | 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 | 2022-03-03 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-04-08 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-03-03 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-04-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-03 | 2022-04-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-03 | 2022-03-04 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-02-01 | 2022-02-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-06 | 2022-01-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-08 | 2021-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-01 | 2021-07-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-23 | 2019-07-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-23 | 2019-07-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-23 | 2019-07-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-23 | 2019-06-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-11 | 2018-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-11 | 2018-02-10 | 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 | 2017-12-11 | 2018-02-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2017-12-11 | 2018-02-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-11 | 2018-02-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2017-12-11 | 2018-02-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2017-12-11 | 2018-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-11 | 2018-02-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2017-12-11 | 2018-02-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-12-11 | 2018-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-11 | 2018-02-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-11 | 2018-02-05 | N |
