A list of the most recent deficiencies for Medical Hill 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-01 | 2023-06-09 | Y |
| 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 | 2021-05-20 | 2021-07-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-20 | 2021-07-06 | N |
| Post nurse staffing information every day. | Health | 2021-05-20 | 2021-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-07-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-21 | 2021-06-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-17 | 2019-06-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-15 | 2019-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-15 | 2019-04-10 | 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 | 2019-03-15 | 2019-04-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-15 | 2019-04-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-15 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-15 | 2019-04-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-16 | 2018-04-05 | 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 | 2018-03-16 | 2018-04-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-03-16 | 2018-04-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-01 | 2018-03-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-01 | 2018-03-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-01 | 2018-03-01 | 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 | 2018-02-01 | 2018-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-01 | 2018-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-01 | 2018-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-01 | 2018-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-01 | 2018-03-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-01 | 2018-03-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-02-01 | 2018-03-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-02-01 | 2018-03-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-01 | 2018-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-01 | 2018-03-01 | N |
