A list of the most recent deficiencies for Hillview Convalescent Hospital. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-12-12 | 2023-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2023-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2023-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-12 | 2023-12-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-12 | 2023-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-12 | 2023-12-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-08 | 2023-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-08 | 2023-12-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-08 | 2023-12-15 | 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 | 2023-12-08 | 2023-12-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-08 | 2023-12-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-08 | 2023-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-08 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-08 | 2023-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-08 | 2023-12-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-08 | 2023-12-15 | N |
| Post nurse staffing information every day. | Health | 2023-12-08 | 2023-12-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-08 | 2023-12-15 | 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 | 2023-12-08 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-08 | 2023-12-15 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-08 | 2023-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-08 | 2023-12-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-08 | 2023-12-15 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-12-08 | 2023-12-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-25 | 2023-02-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-25 | 2023-02-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-01 | 2022-08-04 | 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 | 2022-07-01 | 2022-08-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-01 | 2022-08-04 | 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 | 2022-07-01 | 2022-08-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-01 | 2022-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-01 | 2022-07-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-01 | 2022-07-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-01 | 2022-07-27 | 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 | 2022-07-01 | 2022-07-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-01 | 2022-07-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-06 | 2022-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-06 | 2022-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-06 | 2022-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-01 | 2022-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-01 | 2022-07-22 | 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 | 2022-07-01 | 2022-07-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-01 | 2022-07-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-01 | 2022-07-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-07-01 | 2022-07-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-01 | 2022-07-18 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-01 | 2022-07-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-21 | 2022-05-09 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-04-21 | 2022-05-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-29 | 2021-07-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-15 | 2020-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-15 | 2020-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-15 | 2020-02-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-15 | 2020-02-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-11-27 | 2019-12-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-27 | 2019-12-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-27 | 2019-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-27 | 2019-12-19 | 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 | 2019-11-27 | 2019-12-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-27 | 2019-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-27 | 2019-12-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-27 | 2019-12-19 | N |
