Deficiency Records for Green Hills Center For Rehabilitation and Healing
Updated as of March 01, 2024
A list of the most recent deficiencies for Green Hills Center For Rehabilitation and Healing. 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 | 2021-07-26 | 2021-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-23 | 2021-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-23 | 2021-04-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-23 | 2021-04-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-07 | 2020-03-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-07 | 2020-03-02 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-07 | 2020-03-02 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-07 | 2020-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-07 | 2020-03-02 | 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 | 2020-02-07 | 2020-03-02 | 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 | 2020-02-07 | 2020-03-02 | N |
| Post nurse staffing information every day. | Health | 2020-02-07 | 2020-03-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-07 | 2020-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-02 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-02-07 | 2020-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-05 | 2020-03-02 | 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 | 2020-02-05 | 2020-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-05 | 2020-02-15 | 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 | 2020-02-05 | 2020-02-06 | 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 | 2019-02-13 | 2019-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-13 | 2019-03-30 | 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 | 2019-02-13 | 2019-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-13 | 2019-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-13 | 2019-03-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Establish methods for sharing information. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-02-10 | 2019-03-30 | 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 | 2019-02-10 | 2019-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-10 | 2019-03-30 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2018-02-14 | 2018-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-14 | 2018-03-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-14 | 2018-03-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-14 | 2018-03-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-02-14 | 2018-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-14 | 2018-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-14 | 2018-03-14 | N |
| Keep all essential equipment working safely. | Health | 2018-02-14 | 2018-03-14 | 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 | 2018-02-12 | 2018-03-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-12 | 2018-03-14 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-02-12 | 2018-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-12 | 2018-03-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-02-12 | 2018-03-14 | N |
