Deficiency Records for The Hills Post Acute
Updated as of March 01, 2021
This is not the most recent data for The Hills Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for The Hills 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-11-04 | 2020-11-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-10-16 | 2020-11-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-16 | 2020-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-16 | 2020-11-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-22 | 2020-10-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-22 | 2020-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-22 | 2020-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-24 | 2020-08-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-04-07 | 2020-04-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-04-07 | 2020-04-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-27 | 2020-04-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-27 | 2020-04-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-27 | 2020-04-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-04-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-04-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-12-20 | 2020-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-23 | 2019-11-10 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-08-05 | 2019-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-05 | 2019-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-05 | 2019-10-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-05 | 2019-10-10 | 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 | 2019-08-05 | 2019-10-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-05 | 2019-10-10 | 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 | 2019-08-05 | 2019-10-10 | 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 | 2019-08-05 | 2019-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-05 | 2019-10-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-05 | 2019-10-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-05 | 2019-10-10 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-20 | 2019-09-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-20 | 2019-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-09-13 | Y |
| 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 | 2019-08-29 | 2019-09-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-05 | 2019-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-08-05 | 2019-09-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-05 | 2019-09-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-08-05 | 2019-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-05 | 2019-09-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-05 | 2019-09-05 | Y |
| 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 | 2019-08-05 | 2019-09-05 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-09 | 2019-07-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-09 | 2019-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-28 | 2019-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-17 | 2019-06-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-17 | 2019-06-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-30 | 2019-05-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-07 | 2019-05-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-07 | 2019-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-11 | 2019-04-28 | Y |
| 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 | 2019-03-29 | 2019-04-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-26 | 2019-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-26 | 2019-03-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-02-26 | 2019-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-03-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-11 | 2019-02-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-11 | 2019-02-22 | Y |
| 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 | 2019-02-11 | 2019-02-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-11 | 2019-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-02-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-12-07 | 2018-12-20 | Y |
| 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 | 2018-10-31 | 2018-11-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-10 | 2018-10-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-10 | 2018-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-03 | 2018-10-20 | Y |
| 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 | 2018-10-03 | 2018-10-20 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-08-03 | 2018-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-03 | 2018-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-03 | 2018-10-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-03 | 2018-10-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-03 | 2018-10-15 | 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 | 2018-08-03 | 2018-10-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-03 | 2018-09-28 | 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 | 2018-08-03 | 2018-09-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-03 | 2018-09-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-03 | 2018-09-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-03 | 2018-09-28 | 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 | 2018-08-03 | 2018-09-28 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-03 | 2018-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-03 | 2018-09-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-03 | 2018-09-28 | 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 | 2018-08-03 | 2018-09-28 | 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 | 2018-08-03 | 2018-09-28 | 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 | 2018-08-03 | 2018-09-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-03 | 2018-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-03 | 2018-09-28 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2018-08-03 | 2018-09-28 | N |
| Respond appropriately to all alleged violations. | Health | 2018-07-23 | 2018-08-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-12 | 2018-06-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-16 | 2018-05-07 | Y |
| 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 | 2018-03-26 | 2018-04-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-16 | 2018-04-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-16 | 2018-04-06 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-07-10 | 2017-08-10 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-10 | 2017-08-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-10 | 2017-08-10 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-07-10 | 2017-08-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-10 | 2017-08-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-10 | 2017-08-10 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-07-10 | 2017-08-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-10 | 2017-08-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-10 | 2017-08-10 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-07-10 | 2017-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-10 | 2017-08-10 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-07-10 | 2017-08-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-10 | 2017-08-10 | N |
| Dispose of garbage and refuse properly. | Health | 2017-07-10 | 2017-08-10 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-07-10 | 2017-08-10 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-10 | 2017-08-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-10 | 2017-08-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-10 | 2017-08-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-10 | 2017-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-10 | 2017-08-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-10 | 2017-08-10 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-07-10 | 2017-08-10 | N |
