Deficiency Records for Hilltop Village Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Hilltop Village Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| 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 | 2023-06-07 | 2023-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-07 | 2023-07-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-07 | 2023-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-07 | 2023-06-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-07 | 2023-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-27 | 2023-06-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-27 | 2023-06-06 | N |
| 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 | 2023-05-27 | 2023-06-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-27 | 2023-06-06 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-05-27 | 2023-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-27 | 2023-06-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-27 | 2023-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-27 | 2023-06-06 | 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 | 2023-05-27 | 2023-06-06 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-05-27 | 2023-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-27 | 2023-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-27 | 2023-06-06 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-05-27 | 2023-06-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-27 | 2023-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-27 | 2023-06-06 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-05-27 | 2023-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-27 | 2023-06-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-05-27 | 2023-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-04-15 | Y |
| 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 | 2022-04-19 | 2022-06-02 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-04-19 | 2022-06-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-25 | 2022-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-25 | 2022-05-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-25 | 2022-05-06 | 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 | 2022-03-25 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-05-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-25 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-25 | 2022-05-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-03-25 | 2022-05-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-25 | 2022-05-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-27 | 2021-09-27 | Y |
| 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 | 2021-08-27 | 2021-09-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-27 | 2021-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-27 | 2021-09-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-10 | 2021-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-24 | 2021-03-19 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-02-24 | 2021-02-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-02-24 | 2021-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-24 | 2021-02-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-24 | 2021-02-25 | 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 | 2021-02-24 | 2021-02-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-02-24 | Not Fixed | N |
