A list of the most recent deficiencies for Hillside Manor. 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 and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-06 | 2023-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-07 | 2023-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-06 | 2023-09-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-07 | 2023-09-19 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-09-06 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-08-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-28 | 2022-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-21 | 2022-07-19 | 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 | 2022-06-21 | 2022-06-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-21 | 2022-06-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-26 | 2021-06-25 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-05-26 | 2021-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-26 | 2021-06-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-27 | 2021-06-09 | 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 | 2021-05-27 | 2021-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-27 | 2021-06-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-27 | 2021-05-28 | N |
