Deficiency Records for Forest Hills Care and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Forest Hills Care and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2024-02-09 | 2024-03-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-09 | 2024-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-09 | 2024-03-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-09 | 2024-03-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-09 | 2024-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-09 | 2024-03-13 | 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 | 2024-02-09 | 2024-03-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-09 | 2024-03-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-09 | 2024-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-11-09 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-18 | 2023-08-10 | 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 | 2023-07-18 | 2023-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-18 | 2023-08-10 | 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 | 2023-04-25 | 2023-05-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-25 | 2023-05-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-25 | 2023-05-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-25 | 2023-05-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-25 | 2023-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-25 | 2023-05-31 | 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 | 2023-04-25 | 2023-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-25 | 2023-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-25 | 2023-05-31 | 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 | 2023-04-25 | 2023-05-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-25 | 2023-05-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-25 | 2023-05-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-05-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-25 | 2023-05-31 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-10-28 | 2021-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-14 | 2019-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-14 | 2019-09-19 | 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 | 2019-08-14 | 2019-09-19 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-14 | 2019-09-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-14 | 2019-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-14 | 2019-09-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-14 | 2019-09-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-14 | 2019-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-19 | N |
| 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 | 2019-08-12 | 2019-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-12 | 2019-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-12 | 2019-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-12 | 2019-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-06 | 2018-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-06 | 2018-08-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-06 | 2018-08-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-06 | 2018-08-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-06-06 | 2018-08-03 | N |
