Deficiency Records for Hillside Heights Rehabilitation Suites
Updated as of March 01, 2022
This is not the most recent data for Hillside Heights Rehabilitation Suites. For the most recent information, click here.
A list of the most recent deficiencies for Hillside Heights Rehabilitation Suites. 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 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 | 2021-09-02 | 2021-09-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-02 | 2021-09-03 | 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 | 2021-09-02 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-04-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-06 | 2020-10-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-06 | 2020-10-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-15 | 2020-10-15 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2020-09-17 | 2020-10-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-29 | 2020-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-29 | 2020-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-29 | 2020-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-29 | 2020-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-29 | 2020-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-29 | 2020-02-21 | 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 | 2020-01-29 | 2020-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-29 | 2020-02-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-29 | 2020-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-29 | 2020-01-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-03 | 2019-12-05 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-03 | 2019-12-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-03 | 2019-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-21 | 2019-08-23 | 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 | 2019-08-21 | 2019-08-23 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-08-21 | 2019-08-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-22 | 2019-06-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-22 | 2019-06-21 | 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 | 2019-05-22 | 2019-06-21 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-05-22 | 2019-06-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-22 | 2019-06-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-22 | 2019-06-21 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-03 | 2019-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-03 | 2019-04-04 | 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 | 2019-04-03 | 2019-04-04 | 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 | 2019-04-03 | 2019-04-04 | 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 | 2019-04-03 | 2019-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-03 | 2019-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-03 | 2019-04-04 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-04-03 | 2019-04-04 | N |
