A list of the most recent deficiencies for Forest Hills Healthcare Center.. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-02 | 2023-05-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-02 | 2023-05-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-02 | 2023-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-05-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-02 | 2023-05-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-02 | 2023-05-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-02 | 2023-02-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-02 | 2023-02-28 | Y |
| Post nurse staffing information every day. | Health | 2023-02-02 | 2023-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-02 | 2023-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-21 | 2022-11-17 | 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 | 2022-07-21 | 2022-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-21 | 2022-11-17 | 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 | 2022-07-21 | 2022-11-17 | 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 | 2022-07-21 | 2022-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-11-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | 2022-11-17 | Y |
| 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 | 2022-10-27 | 2022-11-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-13 | 2022-11-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-13 | 2022-11-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-13 | 2022-11-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-13 | 2022-11-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-23 | 2022-11-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-13 | 2022-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-13 | 2022-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-13 | 2022-11-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-01 | 2022-09-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-05-06 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-05 | 2022-05-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-21 | 2022-05-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-21 | 2022-05-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-21 | 2022-05-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-21 | 2022-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-21 | 2022-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-21 | 2022-05-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-21 | 2022-05-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-21 | 2022-05-06 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-21 | 2022-05-06 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-03-21 | 2022-05-06 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-21 | 2022-05-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-22 | 2022-01-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-13 | 2022-01-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-02 | 2021-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-04-16 | 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 | 2019-03-21 | 2019-04-26 | 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 | 2019-03-21 | 2019-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-18 | 2019-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-18 | 2019-04-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-18 | 2019-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-18 | 2019-04-26 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-03-01 | 2018-04-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-03-01 | 2018-04-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-01 | 2018-04-19 | 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 | 2018-03-01 | 2018-04-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-01 | 2018-04-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-01 | 2018-04-19 | 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 | 2018-03-01 | 2018-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-01 | 2018-04-19 | 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 | 2018-03-01 | 2018-04-19 | 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 | 2018-03-01 | 2018-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-01 | 2018-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-05 | 2018-04-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-05 | 2018-04-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-03-05 | 2018-04-19 | N |
