A list of the most recent deficiencies for The Hills 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2024-02-14 | 2024-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-01 | 2023-11-14 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-02 | 2023-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-02 | 2023-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2023-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-02 | 2023-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-02 | 2023-11-06 | 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 | 2023-11-02 | 2023-11-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-02 | 2023-11-06 | 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 | 2023-11-02 | 2023-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-11-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-02 | 2023-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-11-02 | 2023-11-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-19 | 2023-05-16 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-19 | 2022-11-18 | 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 | 2022-10-19 | 2022-11-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-19 | 2022-11-18 | 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 | 2022-10-14 | 2022-11-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-14 | 2022-11-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-10-14 | 2022-11-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-14 | 2022-11-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-14 | 2022-11-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-14 | 2022-11-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-14 | 2022-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-14 | 2022-11-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-14 | 2022-11-13 | N |
| Post nurse staffing information every day. | Health | 2022-10-14 | 2022-11-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-14 | 2022-11-13 | 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 | 2022-10-14 | 2022-11-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-10-14 | 2022-11-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2022-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-10-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-06 | 2021-05-16 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-06 | 2021-05-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-03 | 2021-05-12 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-02-20 | 2020-03-12 | 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 | 2020-02-20 | 2020-03-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-20 | 2020-03-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-07 | 2020-03-05 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2020-02-07 | 2020-03-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-07 | 2020-03-05 | 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 | 2020-02-07 | 2020-03-05 | N |
| 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 | 2020-02-07 | 2020-03-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-07 | 2020-03-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-02-07 | 2020-03-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-07 | 2020-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-03-05 | 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 | 2020-02-07 | 2020-03-05 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-07 | 2020-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-07 | 2020-03-05 | 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 | 2020-02-07 | 2020-03-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-07 | 2020-03-05 | 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 | 2020-02-07 | 2020-03-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-07 | 2020-03-05 | 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 | 2020-02-07 | 2020-03-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-07 | 2020-03-05 | 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 | 2020-02-07 | 2020-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-02-07 | 2020-03-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-07 | 2020-03-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-02-07 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-07 | 2020-03-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-07 | 2020-03-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-10-14 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-07 | Not Fixed | N |
