Deficiency Records for Forest Hills Rehabilitation and Healthcare Center
Updated as of October 01, 2019
This is not the most recent data for Forest Hills Rehabilitation and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Forest Hills Rehabilitation and Healthcare 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 | 2019-06-14 | 2019-08-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-14 | 2019-08-13 | 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 | 2019-06-14 | 2019-08-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-14 | 2019-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-14 | 2019-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-14 | 2019-08-13 | 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 | 2019-06-14 | 2019-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-14 | 2019-08-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-14 | 2019-08-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-14 | 2019-08-13 | N |
| Post nurse staffing information every day. | Health | 2019-06-14 | 2019-08-13 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-06-14 | 2019-08-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-06-14 | 2019-08-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-14 | 2019-08-13 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-06-14 | 2019-08-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-06-14 | 2019-08-13 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-06-14 | 2019-08-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-06-14 | 2019-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-14 | 2019-08-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-14 | 2019-08-13 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-06-14 | 2019-08-13 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-06-03 | 2019-07-08 | 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 | 2019-06-03 | 2019-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-07 | 2019-04-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-07 | 2019-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-04 | 2019-03-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-04 | 2019-02-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-25 | 2018-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-05-25 | 2018-08-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-25 | 2018-07-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-25 | 2018-07-31 | 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 | 2018-05-25 | 2018-07-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-25 | 2018-07-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-05-25 | 2018-07-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-05-25 | 2018-07-31 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-05-25 | 2018-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-25 | 2018-07-31 | N |
| Tell 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 | 2017-10-18 | 2017-11-29 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2017-10-18 | 2017-11-29 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-18 | 2017-11-29 | Y |
| Hire a qualified dietician. | Health | 2017-10-18 | 2017-11-29 | Y |
| Hire sufficient dietary support personnel. | Health | 2017-10-18 | 2017-11-29 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-18 | 2017-11-29 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-06-23 | 2017-08-22 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-23 | 2017-08-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-23 | 2017-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-23 | 2017-08-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-23 | 2017-08-22 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-06-23 | 2017-08-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-23 | 2017-08-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-23 | 2017-08-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-23 | 2017-08-22 | Y |
| Install proper backup exit lighting. | Fire Safety | 2017-06-14 | 2017-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-14 | 2017-08-12 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-06-14 | 2017-08-12 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-06-14 | 2017-08-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-14 | 2017-08-12 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-06-23 | 2017-06-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-06 | 2017-01-11 | Y |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2016-12-06 | 2017-01-11 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-06 | 2017-01-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-08 | Not Fixed | Y |
| 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 | 2018-10-28 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-28 | Not Fixed | 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 | 2018-10-28 | Not Fixed | Y |
