A list of the most recent deficiencies for Village at Hillside. 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 | 2023-03-24 | 2023-04-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-24 | 2023-04-21 | 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 | 2023-03-24 | 2023-04-21 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-03-24 | 2023-04-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-24 | 2023-04-21 | 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 | 2023-03-24 | 2023-04-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-24 | 2023-04-21 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-24 | 2023-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-21 | 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 | 2023-03-24 | 2023-04-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-24 | 2023-04-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-24 | 2023-04-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-24 | 2023-04-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-24 | 2023-04-21 | 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 | 2023-03-24 | 2023-04-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-24 | 2023-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-24 | 2023-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-30 | 2019-07-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-30 | 2019-07-22 | 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 | 2019-06-04 | 2019-07-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-04 | 2019-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-04 | 2019-07-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-30 | 2019-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-30 | 2019-06-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-30 | 2019-06-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-05 | 2018-02-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-05 | 2018-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-05 | 2018-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-05 | 2018-02-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-05 | 2018-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-05 | 2018-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-05 | 2018-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-05 | 2018-02-05 | N |
