Deficiency Records for Hillcrest Post Acute
Updated as of September 01, 2019
This is not the most recent data for Hillcrest Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Hillcrest Post Acute. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-30 | 2019-07-24 | 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 | 2019-04-30 | 2019-07-24 | 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 | 2019-04-30 | 2019-07-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-30 | 2019-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-30 | 2019-07-24 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-30 | 2019-07-24 | 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 | 2019-04-30 | 2019-07-24 | 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 ne | Health | 2019-04-30 | 2019-07-24 | 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 | 2019-04-30 | 2019-07-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-04-30 | 2019-07-24 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-30 | 2019-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-30 | 2019-07-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-30 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-30 | 2019-07-24 | N |
| Keep all essential equipment working safely. | Health | 2019-04-30 | 2019-07-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-04-30 | 2019-07-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-27 | 2019-07-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-27 | 2019-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-19 | 2018-11-27 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-16 | 2018-05-24 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2017-03-24 | 2017-05-04 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-24 | 2017-05-04 | N |
| Hire sufficient dietary support personnel. | Health | 2017-03-24 | 2017-05-04 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-24 | 2017-05-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-24 | 2017-05-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-24 | 2017-05-04 | 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 | 2017-03-24 | 2017-05-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-24 | 2017-05-04 | Y |
