A list of the most recent deficiencies for Hillcrest 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 easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-09-25 | 2023-11-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-25 | 2023-11-06 | 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 | 2023-09-25 | 2023-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-25 | 2023-11-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-25 | 2023-11-06 | 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 | 2023-09-25 | 2023-11-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-25 | 2023-11-06 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-09-25 | 2023-11-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-25 | 2023-11-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-25 | 2023-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-25 | 2023-11-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-22 | 2023-09-18 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-08-22 | 2023-09-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-09-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-22 | 2023-09-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-22 | 2023-09-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-04 | 2023-06-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-12-01 | 2023-01-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-12-01 | 2023-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-01 | 2023-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-01 | 2023-01-11 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-12-01 | 2023-01-11 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-12-01 | 2023-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-01 | 2023-01-11 | 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 | 2022-11-14 | 2023-01-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-14 | 2023-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-14 | 2023-01-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-14 | 2023-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-14 | 2023-01-03 | 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 | 2022-11-14 | 2023-01-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-14 | 2023-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-14 | 2023-01-03 | N |
| Meet other general requirements. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-20 | 2022-02-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-16 | 2021-12-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-16 | 2021-12-28 | 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 | 2021-11-16 | 2021-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-16 | 2021-12-28 | Y |
| 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 | 2021-11-16 | 2021-12-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-16 | 2021-12-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-16 | 2021-12-28 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-11-16 | 2021-12-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-16 | 2021-12-28 | Y |
