Deficiency Records for Hillsboro Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Hillsboro Health 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | N |
| Post nurse staffing information every day. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-09 | 2024-03-15 | 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 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-09 | 2024-03-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-09 | 2024-03-15 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-05 | 2023-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-01 | 2023-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-04 | 2022-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-04 | 2022-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-04 | 2022-12-13 | 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 | 2022-11-04 | 2022-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-04 | 2022-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-07 | 2022-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-07 | 2022-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-17 | 2022-06-30 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-17 | 2022-06-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-01 | 2022-01-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-15 | 2022-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-15 | 2022-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-15 | 2022-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-15 | 2022-01-07 | 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 | 2021-11-15 | 2022-01-07 | 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 | 2021-11-15 | 2022-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-15 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2022-01-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-11-01 | 2022-01-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-01 | 2022-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-01 | 2022-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-01 | 2022-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-01 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-09-21 | Y |
