Complete Care at Hillside LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Hillside LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 1, 2024

  Based on observations, staff interviews, and record review, the facility failed to ensure the resident food stored in the refrigerators in the nourishment rooms on 3 of 3 units was stored in a sanitary manner. This involved 3 of 3 units and had the potential to affect 96 of 98 residents residing in the facility. Findings include: 1.On 01/24/24 at 9:28 AM the refrigerator/freezer in the nourishment rooms on the 100 unit was inspected with the assistance of Corporate Dietary Manager 27 (CDM27). The refrigerator contained the following: Oikes yogurt with a use by date of 05/03/24. The container was not labeled with a name. An unlabeled and undated Styrofoam cup half full of a tan colored food substance. […]

• No harm, potential for more than minimal, widespreadF880Feb 1, 2024

  Based on observations, record review, interviews, and facility policy review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility failed to ensure donning and doffing procedures, hand hygiene, and isolation precautions were followed according to facility processes to prevent the potential spread of infection to facility residents and staff. This had the potential to affect 98 of 98 residents who resided at the facility. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF812Jan 19, 2022

  Based on observations and interviews, it was determined that the facility failed to ensure that food was stored, prepared, and served in a sanitary manner. Findings include: The following were observed during the kitchen tour on 1/10/22 from 9:35 AM to 10:15 AM: - The paper towel dispenser at the cooking area hand sink had clean paper towels dispensing into the hand washing splash zone. The splash zone is an area around a sink in which contamination could occur. CMS identifies it as 3 feet apart; - The fume hood was greasy; - The hand sink by the dishwashing area was inaccessible. Findings were reviewed and confirmed by E5 (FSD) on 1/10/22 at approximately 10:15 AM. […]

• No harm, potential for more than minimal, patternF584Jan 30, 2026

  Based on observation, interview, and record review, it was determined that for three (second floor, third floor and fourth floor) of three shower rooms, the facility failed to ensure that adequate housekeeping and maintenance services were provided to maintain a clean, sanitary, and home-like environment. Additionally, the hallway carpet on all the units, and the floors of multiple residents' rooms were visibly soiled. Lastly, the facility also failed to ensure that resident care equipment was maintained in good repair and sanitary condition. Findings included: 1. 1/21/26 11:11 AM – During a tour of the second floor, the shower room was observed with cracked tiles, standing water on the floor, discolored walls and water dripping from the shower head. […]

• No harm, potential for more than minimal, patternF880Feb 6, 2025

  Based on review of facility policy, record review, observations and interviews, the facility failed to ensure facility infection control procedures were followed related to Transmission Based Precautions (TBP)/Isolation for four Residents (R) R48, R93 and R199 of a total of 47 residents reviewed in the sample. This failure created the potential for residents to become ill related to facility outbreak of infection. The findings include: The facility's Transmission-Based (Isolation) Precautions Policy most recently revised 03/14/23 read, in pertinent part, It is our policy to take appropriate precautions to prevent transmission of pathogens' modes of transmission; and Facility staff will apply Transmission Based Precautions, in addition to standard precautions, to residents who are known or… […]