Inspection Results » Hilltop Center

  1. Health Inspection on August 30, 2018 [1]

    1. Widespread: Immediate jeopardy to the resident health or safety
      • Provide and implement an infection prevention and control program. (Corrected 2018-11-29)
    2. Isolated: Actual harm that is not immediate jeopardy
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-15)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-29)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-29)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-11-15)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-11-29)
      • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-11-15)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-11-29)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Observe each nurse aide's job performance and give regular training. (Corrected 2018-11-15)
      • 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 2018-11-15)
      • Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. (Corrected 2018-11-15)
      • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-11-15)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-11-15)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-15)
      • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-11-15)
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-11-15)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-15)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-11-29)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-29)

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