Deficiency Records for Continuing Healthcare at Forest Hill
Updated as of April 01, 2024
A list of the most recent deficiencies for Continuing Healthcare at Forest Hill. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-26 | 2024-01-11 | Y |
| 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 | 2023-05-10 | 2023-06-20 | 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 | 2023-05-10 | 2023-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-10 | 2023-06-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-10 | 2023-06-20 | 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 | 2023-05-10 | 2023-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-10 | 2023-06-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-10 | 2023-06-20 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-10 | 2023-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-06-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-10 | 2023-06-20 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-08 | 2023-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-08 | 2023-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-08 | 2023-06-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-08 | 2023-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-08 | 2023-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-08 | 2023-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-14 | 2021-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-14 | 2021-08-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-14 | 2021-08-17 | 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 | 2021-06-14 | 2021-08-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-14 | 2021-08-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-06-14 | 2021-07-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-14 | 2021-07-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-14 | 2021-07-28 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-14 | 2021-07-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-14 | 2021-07-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-14 | 2021-07-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-14 | 2021-07-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-14 | 2021-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-14 | 2021-07-28 | N |
| Meet other general requirements. | Fire Safety | 2021-06-22 | 2021-07-28 | 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 | 2021-06-22 | 2021-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-22 | 2021-07-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-06-14 | 2021-07-07 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-06-14 | 2021-07-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-19 | 2019-10-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-19 | 2019-10-09 | 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 | 2019-09-19 | 2019-10-09 | 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 | 2019-09-19 | 2019-10-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-19 | 2019-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-19 | 2019-10-09 | 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 | 2019-09-19 | 2019-10-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-19 | 2019-10-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-19 | 2019-10-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
