Deficiency Records for Forest Hill Health and Rehabilitation
Updated as of September 01, 2018
This is not the most recent data for Forest Hill Health and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-23 | 2018-09-05 | 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 | 2018-07-23 | 2018-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-23 | 2018-09-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-23 | 2018-09-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-23 | 2018-09-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-23 | 2018-09-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-23 | 2018-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-23 | 2018-09-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-23 | 2018-09-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-23 | 2018-09-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-23 | 2018-09-05 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-23 | 2018-09-05 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-19 | 2017-08-19 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-19 | 2017-08-19 | Y |
| Meet other general requirements. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Use approved construction type or materials. | Fire Safety | 2017-06-01 | 2017-08-15 | 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 | 2017-06-01 | 2017-08-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-06-01 | 2017-08-15 | 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 | 2017-06-01 | 2017-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-01 | 2017-08-15 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-05-19 | 2017-07-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-19 | 2017-07-24 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-19 | 2017-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-19 | 2017-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-12 | 2017-07-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-19 | 2017-07-03 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-05-19 | 2017-07-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-19 | 2017-07-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-19 | 2017-07-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-19 | 2017-07-03 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-05-19 | 2017-07-03 | N |
| Hire a qualified dietician. | Health | 2017-05-19 | 2017-07-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-19 | 2017-07-03 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-05-19 | 2017-07-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-19 | 2017-07-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-19 | 2017-07-03 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-05-19 | 2017-07-03 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-05-19 | 2017-07-03 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-05-19 | 2017-07-03 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-05-19 | 2017-07-03 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-19 | 2017-07-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-19 | 2017-07-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-19 | 2017-07-03 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-19 | 2017-07-03 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-19 | 2017-07-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-05-19 | 2017-07-03 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-05-19 | 2017-07-03 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-05-19 | 2017-07-03 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-19 | 2017-07-03 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2017-05-19 | 2017-07-03 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-05-19 | 2017-07-03 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-05-19 | 2017-07-03 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-19 | 2017-07-03 | Y |
| Keep clinical records for an appropriate amount of time. | Health | 2017-05-19 | 2017-07-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-19 | 2017-07-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-05 | 2017-02-07 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-05 | 2017-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-05 | 2017-02-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-05 | 2017-02-07 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-22 | 2016-11-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-22 | 2016-11-04 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-09-22 | 2016-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-22 | 2016-11-04 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-22 | 2016-11-04 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-15 | 2016-09-16 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-15 | 2016-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-27 | 2016-08-27 | Y |
| Provide residents with private access to a telephone. | Health | 2016-07-21 | 2016-08-19 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-07-21 | 2016-08-19 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-07-21 | 2016-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-21 | 2016-08-19 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-03 | 2016-06-16 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-03 | 2016-06-16 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-21 | 2016-05-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-21 | 2016-05-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-21 | 2016-05-10 | N |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2016-04-21 | 2016-05-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-21 | 2016-05-10 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-21 | 2016-05-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-21 | 2016-05-10 | Y |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2016-04-21 | 2016-05-10 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-14 | 2015-07-23 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-05-14 | 2015-07-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-05-14 | 2015-07-14 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-05-14 | 2015-07-14 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-05-14 | 2015-07-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-05-27 | 2015-07-10 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-05-27 | 2015-07-10 | N |
| Portable fire extinguishers. | Fire Safety | 2015-05-27 | 2015-07-10 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-05-27 | 2015-07-10 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-05-27 | 2015-07-10 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-05-14 | 2015-06-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-05-14 | 2015-06-25 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-05-14 | 2015-06-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-14 | 2015-06-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-05-14 | 2015-06-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-05-14 | 2015-06-25 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-05-14 | 2015-06-25 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-05-14 | 2015-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-14 | 2015-06-25 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-05-14 | 2015-06-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-14 | 2015-06-25 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-05-14 | 2015-06-25 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2015-05-14 | 2015-06-25 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-05-14 | 2015-06-25 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2015-05-14 | 2015-06-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-05-14 | 2015-06-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-14 | 2015-06-25 | N |
