Deficiency Records for Forest Hill Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Forest Hill Health 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-20 | 2023-05-05 | Y |
| 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 | 2022-10-28 | 2022-12-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-28 | 2022-12-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-28 | 2022-12-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-28 | 2022-12-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-15 | 2022-09-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-08-15 | 2022-09-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-14 | 2022-08-25 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-07-14 | 2022-08-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-14 | 2022-08-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-14 | 2022-08-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-14 | 2022-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-14 | 2022-08-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-07-14 | 2022-08-25 | 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 | 2022-07-14 | 2022-08-25 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-07-14 | 2022-08-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-14 | 2022-08-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-14 | 2022-08-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-14 | 2022-08-25 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-14 | 2022-08-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-07-14 | 2022-08-25 | N |
| Keep all essential equipment working safely. | Health | 2022-07-14 | 2022-08-25 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-07-14 | 2022-08-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-14 | 2022-08-25 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-07-14 | 2022-08-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-14 | 2022-08-25 | Y |
| 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 | 2022-07-14 | 2022-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-08-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-14 | 2022-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-14 | 2022-08-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-14 | 2022-08-25 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-14 | 2022-08-25 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-14 | 2022-08-25 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-07-14 | 2022-08-25 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-07-14 | 2022-08-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-08-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-25 | Y |
| Report COVID19 data to residents and families. | Health | 2022-07-14 | 2022-08-25 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-14 | 2022-08-25 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-14 | 2022-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-23 | 2022-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-23 | 2022-02-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-10 | 2021-12-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-10 | 2021-12-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-11-10 | 2021-12-03 | 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 | 2021-08-23 | 2021-12-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-23 | 2021-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-23 | 2021-12-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-08-23 | 2021-12-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-23 | 2021-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-23 | 2021-12-02 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-23 | 2021-10-14 | 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 | 2021-04-08 | 2021-05-04 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-08 | 2021-05-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-08 | 2021-05-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-04-08 | 2021-05-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-08 | 2021-05-04 | N |
| Provide or obtain dental services for each resident. | Health | 2021-04-08 | 2021-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-05-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-08 | 2021-05-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-08 | 2021-05-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-08 | 2021-05-04 | N |
| Meet other general requirements. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-18 | 2020-10-13 | 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 | 2020-02-18 | 2020-10-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-18 | 2020-10-13 | 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 | 2020-02-18 | 2020-10-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-02-18 | 2020-10-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-23 | 2020-02-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-23 | 2020-02-18 | 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 | 2020-01-23 | 2020-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-23 | 2020-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-02-18 | N |
