Deficiency Records for The Hillcrest of North Dallas

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Updated as of April 01, 2020

This is not the most recent data for The Hillcrest of North Dallas. For the most recent information, click here.

A list of the most recent deficiencies for The Hillcrest of North Dallas. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-05-13 2019-06-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-13 2019-06-05 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 2019-05-13 2019-06-05 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 2019-05-13 2019-06-05 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 ne Health 2019-05-13 2019-06-05 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2019-05-13 2019-06-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-05-13 2019-06-05 Y
Respond appropriately to all alleged violations. Health 2019-05-13 2019-06-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-05-13 2019-06-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-05-13 2019-06-05 Y
Install an approved automatic sprinkler system. Fire Safety 2019-05-14 2019-05-31 N
Have proper medical gas storage and administration areas. Fire Safety 2019-05-14 2019-05-31 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 2019-05-14 2019-05-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-05-14 2019-05-16 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-09-06 2018-09-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-09-06 2018-09-07 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 2018-05-18 2018-06-11 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2018-05-18 2018-06-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-05-18 2018-06-11 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-05-18 2018-06-11 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2018-05-18 2018-06-11 Y
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-05-16 2018-06-06 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-09-08 2017-09-27 Y
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Health 2017-04-28 2017-05-24 Y
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 2017-04-28 2017-05-24 Y
Store, cook, and serve food in a safe and clean way. Health 2017-04-28 2017-05-24 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2017-04-26 2017-05-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2017-04-26 2017-05-05 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2017-04-26 2017-05-05 N
Have proper medical gas storage and administration areas. Fire Safety 2017-04-26 2017-05-05 N