Deficiency Records for Forest Hill Health and Rehabilitation
Updated as of August 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-06-26 | 2020-07-28 | 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 |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-09-30 | 2019-10-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-30 | 2019-10-25 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-09-30 | 2019-10-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-02 | 2019-09-17 | 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 | 2019-08-02 | 2019-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-02 | 2019-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-02 | 2019-09-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-02 | 2019-09-17 | 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 | 2019-07-25 | 2019-09-08 | 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 | 2019-07-25 | 2019-09-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-25 | 2019-09-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-25 | 2019-09-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-25 | 2019-09-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-25 | 2019-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-09-08 | 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 | 2019-07-25 | 2019-09-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-25 | 2019-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-09-08 | 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 | 2019-07-25 | 2019-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-25 | 2019-09-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-25 | 2019-09-08 | 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 | 2019-07-25 | 2019-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-09-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-07-25 | 2019-09-08 | N |
