Inspection Results » Hillcrest Nursing Center

  1. Health Inspection on August 21, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2018-10-08)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-10-08)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-10-08)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-10-08)
      • Provide and implement an infection prevention and control program. (Corrected 2018-10-08)
      • Give residents a notice of rights, rules, services and charges. (Corrected 2018-10-08)
      • Honor the resident's right to manage his or her financial affairs. (Corrected 2018-10-08)
      • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2018-10-08)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-01-05)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-08)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-10-08)
      • Assure the security of all personal funds of residents deposited with the facility. (Corrected 2018-10-08)
      • 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. (Corrected 2018-10-08)
      • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-10-08)
      • 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. (Corrected 2018-10-08)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-08)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-08)
      • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (Corrected 2018-10-08)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-10-08)
      • Provide or obtain dental services for each resident. (Corrected 2018-10-08)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-08)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-08)
      • Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. (Corrected 2019-01-05)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-10-08)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-05)
      • 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 2018-10-08)
      • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-10-08)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2018-10-08)
      • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-10-08)
      • 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. (Corrected 2018-10-08)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html