Deficiency Records for Hillcrest Raleigh at Crabtree Valley
Updated as of April 01, 2024
A list of the most recent deficiencies for Hillcrest Raleigh at Crabtree Valley. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-11 | 2024-02-25 | 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 | 2024-01-11 | 2024-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-11 | 2024-02-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-15 | 2024-01-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-15 | 2024-01-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-15 | 2024-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-11 | 2022-11-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-11 | 2022-11-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-16 | 2022-10-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-16 | 2022-10-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-16 | 2022-10-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-16 | 2022-10-14 | 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 | 2022-09-16 | 2022-10-14 | 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 | 2022-09-16 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-16 | 2022-10-14 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-09-16 | 2022-10-14 | N |
