A list of the most recent deficiencies for Hillcrest Manor Nursing 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 manage his or her financial affairs. | Health | 2023-12-14 | 2024-02-13 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-12-14 | 2024-02-13 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-12-14 | 2024-02-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-14 | 2024-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-02-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-06 | 2023-01-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-06 | 2023-01-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-06 | 2023-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-06 | 2023-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-06 | 2023-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-06 | 2023-01-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-30 | 2023-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2023-01-16 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-11-30 | 2023-01-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-30 | 2023-01-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-30 | 2023-01-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-30 | 2023-01-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2023-01-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-07 | 2021-11-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-07 | 2021-11-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-07 | 2021-11-15 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-07 | 2021-11-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-17 | 2020-01-17 | 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 | 2019-12-17 | 2020-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-17 | 2020-01-17 | 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 | 2019-12-17 | 2020-01-17 | 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 | 2019-12-17 | 2020-01-17 | 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 | 2019-12-17 | 2020-01-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-17 | 2020-01-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-26 | 2018-11-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-26 | 2018-11-24 | 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 | 2018-09-26 | 2018-09-28 | N |
