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Deficiency Records for Embassy of Hillsdale Park
View the most recent health deficiencies and inspection results for Embassy of Hillsdale Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Embassy of Hillsdale Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-20 | 2026-03-20 | N |
| Meet other general requirements. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-20 | 2026-03-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-02-20 | 2026-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-20 | 2026-03-20 | 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 | 2026-02-20 | 2026-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-20 | 2026-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-20 | 2026-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-20 | 2026-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-20 | 2026-03-20 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-20 | 2026-03-20 | 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 | 2026-02-20 | 2026-03-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-20 | 2026-03-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-02-20 | 2026-03-20 | 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 | 2025-03-06 | 2025-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-06 | 2025-04-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-03-06 | 2025-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-06 | 2025-04-18 | 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 | 2025-03-06 | 2025-04-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-03-06 | 2025-04-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-06 | 2025-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-06 | 2025-04-18 | 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 | 2025-03-06 | 2025-04-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-06 | 2025-04-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-06 | 2025-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-06 | 2025-04-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-06 | 2025-03-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-03-06 | 2025-03-31 | 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 | 2025-03-06 | 2025-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-11 | 2024-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-11 | 2024-06-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-11 | 2024-05-15 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-11 | 2024-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-11 | 2024-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-11 | 2024-05-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-20 | 2024-04-12 | Y |