A list of the most recent deficiencies for Hilltop Health and Rehabilitation. 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 | 2023-10-31 | 2023-12-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-31 | 2023-12-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-13 | 2023-09-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-13 | 2023-09-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-13 | 2023-09-18 | 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 | 2023-09-13 | 2023-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-13 | 2023-09-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-13 | 2023-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-09-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-13 | 2023-09-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-31 | 2023-04-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-31 | 2023-04-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-18 | 2022-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-27 | 2022-05-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-27 | 2022-05-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-27 | 2022-05-18 | N |
| Meet other general requirements. | Fire Safety | 2019-10-23 | 2019-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-23 | 2019-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-20 | 2019-09-20 | N |
