Deficiency Records for Seven Hills Health and Rehab Center
Updated as of February 01, 2021
This is not the most recent data for Seven Hills Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Seven Hills Health and Rehab 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-06 | 2019-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-06 | 2019-11-12 | 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 | 2019-11-06 | 2019-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2019-11-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-03 | 2019-09-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-09 | 2019-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-09 | 2019-09-27 | 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 | 2019-09-09 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-09 | 2019-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-09 | 2019-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-15 | 2019-07-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-15 | 2019-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-07 | 2019-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-29 | 2019-04-03 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-08-08 | 2018-09-05 | 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 | 2018-08-08 | 2018-09-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-08 | 2018-09-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-08-08 | 2018-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-08 | 2018-09-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-08 | 2018-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-08 | 2018-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-08-09 | 2018-09-05 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-24 | 2017-06-08 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-05-25 | 2017-06-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-25 | 2017-06-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-25 | 2017-06-08 | N |
