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Deficiency Records for Holly Hall
View the most recent health deficiencies and inspection results for Holly Hall. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Holly Hall. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-10-07 | 2025-10-08 | N |
| Dispose of garbage and refuse properly. | Health | 2025-10-07 | 2025-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-10-07 | 2025-10-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-10-07 | 2025-10-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-07 | 2025-10-08 | 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 | 2025-10-07 | 2025-10-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-10-07 | 2025-10-08 | 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 | 2025-10-07 | 2025-10-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-10-07 | 2025-10-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-07 | 2025-10-08 | 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 | 2025-10-07 | 2025-10-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-10-07 | 2025-10-08 | N |
| Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | Health | 2025-10-07 | 2025-10-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-10-07 | 2025-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-10-07 | 2025-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-03 | 2024-11-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-29 | 2024-10-07 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-06-29 | 2024-08-14 | 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 | 2024-04-03 | 2024-04-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-03 | 2024-04-24 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-08 | 2023-07-28 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-08 | 2023-07-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-08 | 2023-07-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-08 | 2023-07-28 | 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 | 2023-06-08 | 2023-07-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-08 | 2023-07-21 | N |