Inspection Results » Hillcrest Nursing Home

Health Inspection on October 5, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2018-10-31)
   • Keep all essential equipment working safely. (Corrected 2018-10-31)
   • 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. (Corrected 2018-10-31)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-10-31)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-31)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-10-31)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-10-31)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-10-31)
   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2018-10-31)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-31)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-10-31)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-10-31)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-10-31)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-10-31)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-31)
   • 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 (Corrected 2018-10-31)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-31)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-10-31)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-10-31)