Inspection Results » Hillcrest Commons Nursing & Rehabilitation Center

Health Inspection on August 7, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-20)

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

   • 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 2018-09-20)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-20)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-20)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-09-20)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-20)
   • 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 2018-09-20)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-09-20)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-09-20)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-09-20)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-09-20)
   • Assess the resident when there is a significant change in condition (Corrected 2018-09-20)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-09-20)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-09-20)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-09-20)
   • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2018-09-20)

4. Pattern: No actual harm with potential for minimal harm

   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-09-20)