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Deficiency Records for Hillcrest Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Hillcrest Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hillcrest Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-11 | 2026-03-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-12-17 | 2026-01-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-02 | 2025-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-31 | 2025-08-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-05 | 2025-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-05 | 2025-06-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-07 | 2025-06-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-07 | 2025-06-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-07 | 2025-06-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-07 | 2025-04-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-07 | 2025-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-07 | 2025-04-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-07 | 2025-04-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-07 | 2025-04-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-07 | 2025-04-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-03-07 | 2025-04-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-03-07 | 2025-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-07 | 2025-04-16 | 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 | 2025-03-07 | 2025-04-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-07 | 2025-04-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-07 | 2025-04-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-03-07 | 2025-04-16 | 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 | 2025-03-07 | 2025-04-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-07 | 2025-04-16 | 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 | 2025-03-07 | 2025-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-07 | 2025-04-16 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-03-07 | 2025-04-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-03-07 | 2025-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-07 | 2025-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-05 | 2025-03-04 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-26 | 2024-12-11 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-11-26 | 2024-12-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-17 | 2024-07-16 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-05-17 | 2024-07-16 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-05-17 | 2024-07-16 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-05-17 | 2024-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-17 | 2024-07-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-05-17 | 2024-07-16 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-05-17 | 2024-07-16 | 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 | 2024-05-17 | 2024-07-16 | 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 | 2024-05-17 | 2024-07-16 | 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 | 2024-05-17 | 2024-07-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-17 | 2024-07-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-17 | 2024-07-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-17 | 2024-07-16 | 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 | 2024-05-17 | 2024-07-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-17 | 2024-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-17 | 2024-07-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-17 | 2024-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-17 | 2024-07-16 | 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 | 2024-05-17 | 2024-07-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-17 | 2024-07-16 | 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 | 2024-05-17 | 2024-07-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-17 | 2024-07-16 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-17 | 2024-07-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-17 | 2024-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-17 | 2024-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-17 | 2024-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-17 | 2024-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-20 | 2024-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-20 | 2024-02-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-17 | Not Fixed | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2026-04-17 | Not Fixed | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-04-17 | Not Fixed | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-04-17 | Not Fixed | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-04-17 | Not Fixed | 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 | 2026-04-17 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-17 | Not Fixed | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-04-17 | Not Fixed | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-17 | Not Fixed | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2026-04-17 | Not Fixed | 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 | 2026-04-17 | Not Fixed | 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 | 2026-04-17 | Not Fixed | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2026-04-17 | Not Fixed | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-04-17 | Not Fixed | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-04-17 | Not Fixed | N |
| Keep all essential equipment working safely. | Health | 2026-04-17 | Not Fixed | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2026-04-17 | Not Fixed | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2026-04-17 | Not Fixed | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2026-04-17 | Not Fixed | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2026-04-17 | Not Fixed | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2026-04-17 | Not Fixed | N |
| Provide training in compliance and ethics. | Health | 2026-04-17 | Not Fixed | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2026-04-17 | Not Fixed | N |