A list of the most recent deficiencies for Hillcrest Healthcare Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-12-19 | 2024-01-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-26 | 2023-05-18 | 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 | 2023-04-26 | 2023-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-26 | 2023-05-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-26 | 2023-05-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-04-26 | 2023-05-18 | 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 | 2023-04-26 | 2023-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-26 | 2023-05-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-26 | 2023-05-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-02 | 2022-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-02 | 2022-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-02 | 2022-03-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-02 | 2022-02-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-02 | 2022-02-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-02-02 | 2022-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-02 | 2022-02-15 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-02-02 | 2022-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-02 | 2022-02-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-15 | 2019-07-03 | 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 | 2019-05-15 | 2019-07-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-15 | 2019-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-15 | 2019-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-07-03 | 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 | 2019-05-15 | 2019-07-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-15 | 2019-07-03 | 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 | 2019-05-15 | 2019-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-15 | 2019-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-15 | 2019-07-03 | N |
