Deficiency Records for North Hills Skilled Nursing and Rehabilitation Ctr
Updated as of August 01, 2023
This is not the most recent data for North Hills Skilled Nursing and Rehabilitation Ctr. For the most recent information, click here.
A list of the most recent deficiencies for North Hills Skilled Nursing and Rehabilitation Ctr. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-30 | 2023-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-30 | 2023-03-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-30 | 2023-03-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-30 | 2023-03-15 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-01-30 | 2023-03-15 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-30 | 2023-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-30 | 2023-03-15 | 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 | 2023-01-30 | 2023-03-15 | N |
| 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 | 2023-01-30 | 2023-03-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-30 | 2023-03-15 | N |
| 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 | 2023-01-30 | 2023-03-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-30 | 2023-03-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-30 | 2023-03-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-04 | 2022-11-09 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-08 | 2022-09-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-08 | 2022-09-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-28 | 2022-04-12 | 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 | 2022-02-28 | 2022-03-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-28 | 2022-03-24 | N |
| 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 | 2022-01-14 | 2022-02-22 | 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 | 2022-01-14 | 2022-02-22 | 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 | 2022-01-14 | 2022-02-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-14 | 2022-02-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-15 | 2021-08-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-15 | 2021-08-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-03 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-11 | 2020-02-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-12-12 | 2020-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-12 | 2020-01-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-12 | 2020-01-21 | 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 | 2019-12-12 | 2020-01-21 | N |
